HCPCS,Source,Category,CMS Code,Description,Unit,Price,NF Quantity,F Quantity,Global,Reference Code,RUC Meeting,RUC Tab
93451,RUC,"Accessory, Procedure",SD208,"towel clamp, plastic",item,0.556,2,0,000,,CPT11,40
93452,RUC,"Accessory, Procedure",SD208,"towel clamp, plastic",item,0.556,2,0,000,,CPT11,40
93453,RUC,"Accessory, Procedure",SD208,"towel clamp, plastic",item,0.556,2,0,000,,CPT11,40
93454,RUC,"Accessory, Procedure",SD208,"towel clamp, plastic",item,0.556,2,0,000,,CPT11,40
93455,RUC,"Accessory, Procedure",SD208,"towel clamp, plastic",item,0.556,2,0,000,,CPT11,40
93456,RUC,"Accessory, Procedure",SD208,"towel clamp, plastic",item,0.556,2,0,000,,CPT11,40
93457,RUC,"Accessory, Procedure",SD208,"towel clamp, plastic",item,0.556,2,0,000,,CPT11,40
93458,RUC,"Accessory, Procedure",SD208,"towel clamp, plastic",item,0.556,2,0,000,,CPT11,40
93459,RUC,"Accessory, Procedure",SD208,"towel clamp, plastic",item,0.556,2,0,000,,CPT11,40
93460,RUC,"Accessory, Procedure",SD208,"towel clamp, plastic",item,0.556,2,0,000,,CPT11,40
93461,RUC,"Accessory, Procedure",SD208,"towel clamp, plastic",item,0.556,2,0,000,,CPT11,40
92132,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT11,21
22552,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,CPT11,26
93464,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,CPT11,40
43338,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,CPT11,7
43283,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,CPT11,7
12017,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,CPT11,MD Time
12018,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,CPT11,MD Time
59515,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,MMM,,CPT11,MD Time
59622,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,MMM,,CPT11,MD Time
93530,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93531,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93532,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93533,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
G0436,CMS,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,CPT11,
G0437,CMS,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,CPT11,
37222,CMS,"Accessory, Procedure",SD151,"catheter, balloon, low profile PTA",item,431.5,1,,ZZZ,,CPT11,27
37222,CMS,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,ZZZ,,CPT11,27
37222,CMS,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,,ZZZ,,CPT11,27
37222,CMS,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,,ZZZ,,CPT11,27
37222,CMS,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,,ZZZ,,CPT11,27
37223,CMS,"Accessory, Procedure",SD151,"catheter, balloon, low profile PTA",item,431.5,1,,ZZZ,,CPT11,27
37223,CMS,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,ZZZ,,CPT11,27
37223,CMS,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,,ZZZ,,CPT11,27
37223,CMS,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,,ZZZ,,CPT11,27
37223,CMS,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,10,,ZZZ,,CPT11,27
37232,CMS,"Accessory, Procedure",SD151,"catheter, balloon, low profile PTA",item,431.5,1,,ZZZ,,CPT11,27
37232,CMS,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,ZZZ,,CPT11,27
37232,CMS,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,,ZZZ,,CPT11,27
37232,CMS,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,,ZZZ,,CPT11,27
37232,CMS,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,,ZZZ,,CPT11,27
37233,CMS,"Accessory, Procedure",SD151,"catheter, balloon, low profile PTA",item,431.5,1,,ZZZ,,CPT11,27
37233,CMS,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,ZZZ,,CPT11,27
37233,CMS,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,,ZZZ,,CPT11,27
37233,CMS,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,,ZZZ,,CPT11,27
37233,CMS,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,10,,ZZZ,,CPT11,27
37234,CMS,"Accessory, Procedure",SD151,"catheter, balloon, low profile PTA",item,431.5,1,,ZZZ,,CPT11,27
37234,CMS,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,ZZZ,,CPT11,27
37234,CMS,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,,ZZZ,,CPT11,27
37234,CMS,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,,ZZZ,,CPT11,27
37234,CMS,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,10,,ZZZ,,CPT11,27
37235,CMS,"Accessory, Procedure",SD151,"catheter, balloon, low profile PTA",item,431.5,1,,ZZZ,,CPT11,27
37235,CMS,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,ZZZ,,CPT11,27
37235,CMS,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,,ZZZ,,CPT11,27
37235,CMS,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,,ZZZ,,CPT11,27
37235,CMS,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,10,,ZZZ,,CPT11,27
37232,CMS,"Accessory, Procedure",SD173,"guidewire, low profile (SpartaCore)",item,101.25,3,,ZZZ,,CPT11,27
37233,CMS,"Accessory, Procedure",SD173,"guidewire, low profile (SpartaCore)",item,101.25,3,,ZZZ,,CPT11,27
37234,CMS,"Accessory, Procedure",SD173,"guidewire, low profile (SpartaCore)",item,101.25,3,,ZZZ,,CPT11,27
37235,CMS,"Accessory, Procedure",SD173,"guidewire, low profile (SpartaCore)",item,101.25,3,,ZZZ,,CPT11,27
37223,CMS,"Kit, Pack, Tray",SA103,"stent, vascular, deployment system, Cordis SMART",item,1645,1,,ZZZ,,CPT11,27
37234,CMS,"Accessory, Procedure",SD266,"stent, self expanding 2-5 mm XPERT (Abbott)",item,2495,1,,ZZZ,,CPT11,27
37235,CMS,"Accessory, Procedure",SD266,"stent, self expanding 2-5 mm XPERT (Abbott)",item,2495,1,,ZZZ,,CPT11,27
0001T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0003T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0005T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0006T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0007T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0009T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
00100,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00102,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00103,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00104,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Feb05,
0010T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0011T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
00120,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00124,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Feb05,
00126,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
0012T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0013T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
00140,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00142,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00144,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00145,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00147,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00148,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
0014T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
00160,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00162,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00164,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
0016T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
00170,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00172,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00174,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00176,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
0017T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0018T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
00190,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00192,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
0019T,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
00210,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00211,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT09,1
00212,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00214,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00215,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00216,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00218,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
0021T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
00220,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00222,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
0022T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0023T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0024T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0026T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0027T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0028T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0029T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
00300,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
0030T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0031T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
00320,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00322,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00326,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
0032T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0033T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0034T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
00350,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00352,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
0035T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0036T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0037T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0038T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0039T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
00400,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00402,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00404,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00406,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
0040T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
00410,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
0041T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0042T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0043T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
00450,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00452,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00454,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00470,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00472,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00474,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00500,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00520,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00522,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00524,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00528,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00529,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00530,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00532,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00534,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00537,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00539,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00540,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00541,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00542,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00546,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00548,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00550,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00560,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00561,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00562,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00563,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00566,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00567,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT09,2
00580,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00600,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00604,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00620,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00622,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00625,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT07,
00626,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT07,
00630,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00632,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00634,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00635,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00640,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00670,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00700,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00702,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00730,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00740,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00750,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00752,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00754,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00756,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00770,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00790,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00792,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00794,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00796,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00797,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00800,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00802,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00810,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00820,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00830,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00832,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00834,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00836,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00840,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00842,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00844,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00846,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00848,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00851,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00860,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00862,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00864,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00865,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00866,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00868,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00870,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00872,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00873,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00880,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00882,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00902,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00904,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00906,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00908,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00910,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00912,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00914,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00916,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00918,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00920,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00921,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00922,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00924,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00926,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00928,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00930,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00932,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00934,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00936,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00938,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00940,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00942,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00944,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00948,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00950,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
00952,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01112,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01120,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01130,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01140,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01150,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01160,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01170,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01173,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01180,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01190,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01200,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01202,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01210,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01212,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01214,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01215,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01220,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01230,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01232,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01234,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01250,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01260,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01270,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01272,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01274,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01320,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01340,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01360,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01380,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01382,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01390,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01392,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01400,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01402,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01404,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01420,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01430,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01432,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01440,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01442,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01444,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01462,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01464,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01470,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01472,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01474,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01480,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01482,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01484,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01486,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01490,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01500,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01502,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01520,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01522,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
0155T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT,
0156T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0157T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
0158T,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
01610,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01620,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01622,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01630,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01632,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01634,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01636,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01638,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01650,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01652,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01654,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01656,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01670,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01680,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01682,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01710,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01712,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01714,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01716,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01730,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01732,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01740,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01742,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01744,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01756,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01758,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01760,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01770,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01772,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01780,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01782,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01810,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01820,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01829,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01830,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01832,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01840,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01842,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01844,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01850,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01852,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01860,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01916,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01920,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01922,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01924,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01925,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01926,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01930,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01931,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01932,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01933,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01935,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01936,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
01951,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01952,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01953,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01958,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01960,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01961,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01962,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01963,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01967,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01968,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01969,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01990,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01991,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01992,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01996,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
01999,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
10021,RUC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,2,,XXX,88170,,
10021,RUC,"Gown, Drape",SB030,"lab coat, staff",item,4.522,2,,XXX,88170,,
10021,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,4,,XXX,88170,,
10021,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,,XXX,88170,,
10021,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,88170,,
10021,RUC,Lab,SL020,bleach,ml,0.001,50,,XXX,88170,,
10021,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,XXX,88170,,
10021,RUC,Lab,SL071,fixative spray,ml,0.047,0.2,,XXX,88170,,
10021,RUC,Lab,SL120,slide container (for 20 microscope slides),item,6.652,2,,XXX,88170,,
10021,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,88170,,
10021,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,88170,,
10021,RUC,"Pharmacy, Rx",SH030,Emla cream,gm,2.089,5,,XXX,88170,,
10021,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,88170,,
10021,RUC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,1,,XXX,88170,,
10021,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,XXX,88170,,
10022,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,88171,,
10022,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,88171,,
10022,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,XXX,88171,,
10022,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,88171,,
10022,RUC,"Gown, Drape",SB030,"lab coat, staff",item,4.522,2,,XXX,88171,,
10022,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,XXX,88171,,
10022,RUC,"Hypodermic, IV",SC035,"needle, Chiba",item,8.477,2,,XXX,88171,,
10022,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,,XXX,88171,,
10022,RUC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,88171,,
10022,RUC,"Kit, Pack, Tray",SA061,"tray, biopsy procedure",tray,14.65,1,,XXX,88171,,
10022,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,88171,,
10022,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,XXX,88171,,
10022,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,88171,,
10040,PEAC,"Cutters, Closures, Cautery",SF022,comedone extractor,item,3,1,0,010,,,
10040,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
10040,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,010,,,
10040,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,010,,,
10040,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,14,0,010,,,
10040,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
10040,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
10040,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
10040,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,5,4,010,,,
10060,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
10060,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,010,,,
10060,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
10060,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,010,,,
10060,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,,
10060,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,010,,,
10060,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
10060,PEAC,"Pharmacy, NonRx",SJ025,ethyl chloride spray,oz,4.401,1,0,010,,,
10060,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,10,010,,,
10060,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,10,010,,,
10060,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
10060,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,,,
10060,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,1,010,,,
10060,PEAC,"Wound Care, Dressings",SG034,"dressing, 3in x 3in (Adaptic)",item,0.516,1,0,010,,,
10060,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,10,6,010,,,
10061,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,1,010,,,
10061,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,1,010,,,
10061,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
10061,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,010,,,
10061,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
10061,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
10061,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,,010,,,
10061,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
10061,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
10061,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,5,010,,,
10061,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,3,010,,,
10061,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
10061,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,1,010,,,
10061,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
10061,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,3,1,010,,,
10061,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,1,010,,,
10061,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,6,,010,,,
10061,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,,010,,,
10061,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,1,010,,,
10061,PEAC,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,1,1,010,,,
10080,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,010,,,
10080,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
10080,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
10080,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
10080,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,1,010,,,
10080,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
10080,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,010,,,
10080,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,,010,,,
10080,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,5,1,010,,,
10080,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
10080,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
10080,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,010,,,
10080,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,010,,,
10080,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
10080,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
10080,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,010,,,
10080,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
10080,PEAC,"Kit, Pack, Tray",SA052,,pack,5.056,1,1,010,,,
10080,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
10080,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,010,,,
10080,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
10080,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,,010,,,
10080,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,120,,010,,,
10080,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,010,,,
10080,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
10080,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,010,,,
10080,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
10080,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
10080,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
10080,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
10081,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
10081,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
10081,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
10081,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,010,,,
10081,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,010,,,
10081,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
10081,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
10081,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
10081,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,1,010,,,
10081,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
10081,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,010,,,
10081,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,,010,,,
10081,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,5,1,010,,,
10081,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
10081,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
10081,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,010,,,
10081,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,010,,,
10081,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
10081,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
10081,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,010,,,
10081,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
10081,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
10081,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
10081,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,010,,,
10081,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
10081,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,,010,,,
10081,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,120,,010,,,
10081,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
10081,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,010,,,
10081,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
10081,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
10081,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
10081,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
10120,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Aug03,5
10120,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,010,,Aug03,5
10120,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Aug03,5
10120,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Aug03,5
10120,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1.5,0.5,010,,Aug03,5
10120,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,0.5,0.5,010,,Aug03,5
10120,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Aug03,5
10120,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Aug03,5
10120,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Aug03,5
10120,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Aug03,5
10120,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Aug03,5
10120,PEAC,"Pharmacy, NonRx",SJ025,ethyl chloride spray,oz,4.401,1,0,010,,Aug03,5
10120,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Aug03,5
10120,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,010,,Aug03,5
10120,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Aug03,5
10120,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,010,,Aug03,5
10121,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Aug03,5
10121,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Aug03,5
10121,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Aug03,5
10121,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,010,,Aug03,5
10121,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Aug03,5
10121,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Aug03,5
10121,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,0,010,,Aug03,5
10121,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Aug03,5
10121,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Aug03,5
10121,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Aug03,5
10121,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Aug03,5
10121,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Aug03,5
10121,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Aug03,5
10121,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Aug03,5
10121,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Aug03,5
10121,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Aug03,5
10121,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Aug03,5
10121,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,010,,Aug03,5
10121,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Aug03,5
10140,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Aug03,5
10140,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Aug03,5
10140,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Aug03,5
10140,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Aug03,5
10140,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Aug03,5
10140,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Aug03,5
10140,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Aug03,5
10140,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Aug03,5
10140,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Aug03,5
10140,PEAC,"Pharmacy, NonRx",SJ025,ethyl chloride spray,oz,4.401,1,0,010,,Aug03,5
10140,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Aug03,5
10140,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,010,,Aug03,5
10140,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,010,,Aug03,5
10160,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Aug03,5
10160,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,010,,Aug03,5
10160,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,010,,Aug03,5
10160,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Aug03,5
10160,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Aug03,5
10160,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Aug03,5
10160,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Aug03,5
10160,PEAC,"Pharmacy, NonRx",SJ025,ethyl chloride spray,oz,4.401,1,0,010,,Aug03,5
10160,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Aug03,5
10160,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,010,,Aug03,5
10160,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,010,,Aug03,5
10180,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
10180,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
10180,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,6
10180,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
10180,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,6
10180,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
10180,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
10180,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
10180,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
10180,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
10180,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Mar03,6
10180,PEAC,Lab,SL146,tubed culture media,item,0.849,1,0,010,,Mar03,6
10180,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,6
10180,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,6
10180,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar03,6
10180,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
10180,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
10180,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
10180,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
11000,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
11000,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,000,,,
11000,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
11000,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
11000,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
11000,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
11000,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,000,,,
11000,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
11000,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,000,,,
11000,PEAC,"Gown, Drape",SB040,"slippers, paper",pair,0.201,1,,000,,,
11000,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,,000,,,
11000,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
11000,PEAC,"Pharmacy, Rx",SH038,hemostatic solution (Lumicain),ml,0.136,1,,000,,,
11000,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,,000,,,
11000,PEAC,"Wound Care, Dressings",SG034,"dressing, 3in x 3in (Adaptic)",item,0.516,1,0,000,,,
11000,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,3,,000,,,
11000,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,,000,,,
11001,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,ZZZ,,,
11001,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,,ZZZ,,,
11001,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,ZZZ,,,
11001,PEAC,"Pharmacy, Rx",SH038,hemostatic solution (Lumicain),ml,0.136,1,,ZZZ,,,
11001,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,,ZZZ,,,
11001,PEAC,"Wound Care, Dressings",SG034,"dressing, 3in x 3in (Adaptic)",item,0.516,1,,ZZZ,,,
11001,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,3,,ZZZ,,,
11001,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,,ZZZ,,,
11004,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
11005,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
11006,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
11008,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
11010,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,010,,,
11010,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
11010,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,010,,,
11010,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11010,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11010,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,010,,,
11010,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
11010,PEAC,"Gown, Drape",SB013,"drape, sterile, hand-upper extremity",item,18.076,1,,010,,,
11010,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,,010,,,
11010,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,,010,,,
11010,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,010,,,
11010,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,,010,,,
11010,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,,010,,,
11010,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
11010,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,3,,010,,,
11010,PEAC,"Gown, Drape",SB038,safety glasses,item,2.902,2,,010,,,
11010,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,010,,,
11010,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
11010,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
11010,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,010,,,
11010,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,,010,,,
11010,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,010,,,
11010,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,010,,,
11010,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
11010,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,,010,,,
11010,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,,010,,,
11010,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,010,,,
11010,PEAC,"Wound Care, Dressings",SG015,"bandage, Esmarch-Martin, sterile 3in x 9ft",item,5.645,1,,010,,,
11010,PEAC,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,5,,010,,,
11010,PEAC,"Wound Care, Dressings",SG028,"cast, stockinette 6in",yd,0.669,3,,010,,,
11010,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,,010,,,
11010,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,010,,,
11010,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11010,PEAC,"Wound Care, Dressings",SG068,plaster bandage (4in x 5yd uou),item,1.862,3,,010,,,
11010,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,010,,,
11011,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,,
11011,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,000,,,
11011,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,000,,,
11011,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,000,,,
11011,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,000,,,
11011,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,000,,,
11011,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,000,,,
11011,PEAC,"Gown, Drape",SB013,"drape, sterile, hand-upper extremity",item,18.076,1,,000,,,
11011,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,,000,,,
11011,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,,000,,,
11011,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,000,,,
11011,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,,000,,,
11011,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,,000,,,
11011,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
11011,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,3,,000,,,
11011,PEAC,"Gown, Drape",SB038,safety glasses,item,2.902,2,,000,,,
11011,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
11011,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
11011,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
11011,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,000,,,
11011,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,,000,,,
11011,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,,
11011,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,000,,,
11011,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
11011,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,,000,,,
11011,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,,000,,,
11011,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,000,,,
11011,PEAC,"Wound Care, Dressings",SG015,"bandage, Esmarch-Martin, sterile 3in x 9ft",item,5.645,1,,000,,,
11011,PEAC,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,5,,000,,,
11011,PEAC,"Wound Care, Dressings",SG028,"cast, stockinette 6in",yd,0.669,3,,000,,,
11011,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,,000,,,
11011,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,000,,,
11011,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
11011,PEAC,"Wound Care, Dressings",SG068,plaster bandage (4in x 5yd uou),item,1.862,3,,000,,,
11011,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,000,,,
11012,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,,
11012,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,000,,,
11012,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,000,,,
11012,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,000,,,
11012,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,000,,,
11012,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,000,,,
11012,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,000,,,
11012,PEAC,"Gown, Drape",SB013,"drape, sterile, hand-upper extremity",item,18.076,1,,000,,,
11012,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,,000,,,
11012,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,,000,,,
11012,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,000,,,
11012,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,,000,,,
11012,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,,000,,,
11012,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
11012,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,3,,000,,,
11012,PEAC,"Gown, Drape",SB038,safety glasses,item,2.902,2,,000,,,
11012,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
11012,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
11012,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
11012,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,000,,,
11012,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,,000,,,
11012,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,,
11012,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,000,,,
11012,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
11012,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,,000,,,
11012,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,,000,,,
11012,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,000,,,
11012,PEAC,"Wound Care, Dressings",SG015,"bandage, Esmarch-Martin, sterile 3in x 9ft",item,5.645,1,,000,,,
11012,PEAC,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,5,,000,,,
11012,PEAC,"Wound Care, Dressings",SG028,"cast, stockinette 6in",yd,0.669,3,,000,,,
11012,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,,000,,,
11012,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,000,,,
11012,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
11012,PEAC,"Wound Care, Dressings",SG068,plaster bandage (4in x 5yd uou),item,1.862,3,,000,,,
11012,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,000,,,
11042,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT11,25
11042,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,CPT11,25
11042,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,CPT11,25
11042,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,CPT11,25
11042,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,,CPT11,25
11042,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,CPT11,25
11042,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,CPT11,25
11042,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,000,,CPT11,25
11042,RUC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,2,0,000,,CPT11,25
11042,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,CPT11,25
11042,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,CPT11,25
11042,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,2,0,000,,CPT11,25
11042,RUC,Lab,SL033,culture swab system (Culturette),item,0.865,1,0,000,,CPT11,25
11042,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,CPT11,25
11042,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,CPT11,25
11042,RUC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,1,0,000,,CPT11,25
11042,RUC,"Wound Care, Dressings",SG052,"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)",inch,0.003,72,0,000,,CPT11,25
11042,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,10,0,000,,CPT11,25
11042,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,CPT11,25
11043,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT11,25
11043,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,CPT11,25
11043,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,CPT11,25
11043,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,CPT11,25
11043,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,,CPT11,25
11043,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,CPT11,25
11043,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT11,25
11043,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,CPT11,25
11043,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,CPT11,25
11043,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,CPT11,25
11043,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,6,0,000,,CPT11,25
11043,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,000,,CPT11,25
11043,RUC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,2,0,000,,CPT11,25
11043,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,CPT11,25
11043,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,CPT11,25
11043,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,CPT11,25
11043,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,3,0,000,,CPT11,25
11043,RUC,Lab,SL033,culture swab system (Culturette),item,0.865,1,0,000,,CPT11,25
11043,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,0,000,,CPT11,25
11043,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,CPT11,25
11043,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,CPT11,25
11043,RUC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,2,0,000,,CPT11,25
11043,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,CPT11,25
11043,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,CPT11,25
11044,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT11,25
11044,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,CPT11,25
11044,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,CPT11,25
11044,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,CPT11,25
11044,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,,CPT11,25
11044,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,CPT11,25
11044,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT11,25
11044,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,CPT11,25
11044,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,CPT11,25
11044,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,CPT11,25
11044,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,6,0,000,,CPT11,25
11044,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,000,,CPT11,25
11044,RUC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,2,0,000,,CPT11,25
11044,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,CPT11,25
11044,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,CPT11,25
11044,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,CPT11,25
11044,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,3,0,000,,CPT11,25
11044,RUC,Lab,SL033,culture swab system (Culturette),item,0.865,1,0,000,,CPT11,25
11044,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,0,000,,CPT11,25
11044,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,CPT11,25
11044,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,CPT11,25
11044,RUC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,2,0,000,,CPT11,25
11044,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,CPT11,25
11044,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,CPT11,25
11045,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,ZZZ,,CPT11,25
11045,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,ZZZ,,CPT11,25
11045,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,ZZZ,,CPT11,25
11045,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,ZZZ,,CPT11,25
11045,RUC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,1,0,ZZZ,,CPT11,25
11046,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,6,0,ZZZ,,CPT11,25
11046,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,ZZZ,,CPT11,25
11046,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,0,ZZZ,,CPT11,25
11046,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,ZZZ,,CPT11,25
11046,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,ZZZ,,CPT11,25
11047,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,6,0,ZZZ,,CPT11,25
11047,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,ZZZ,,CPT11,25
11047,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,0,ZZZ,,CPT11,25
11047,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,ZZZ,,CPT11,25
11047,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,ZZZ,,CPT11,25
11047,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,ZZZ,,CPT11,25
11055,PEAC,"Accessory, Procedure",SD097,"monofilament, sensory testing",item,0.23,1,,000,,,
11055,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
11055,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
11055,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
11055,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
11055,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,000,,,
11055,PEAC,"Gown, Drape",SB040,"slippers, paper",pair,0.201,1,,000,,,
11055,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
11055,PEAC,"Wound Care, Dressings",SG001,"adherent, pre-tape spray",oz,0.761,1,,000,,,
11055,PEAC,"Wound Care, Dressings",SG003,adhesive foam,inch,0.122,4,,000,,,
11055,PEAC,"Wound Care, Dressings",SG052,"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)",inch,0.003,6,,000,,,
11055,PEAC,"Wound Care, Dressings",SG075,"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)",item,1.741,6,,000,,,
11056,PEAC,"Accessory, Procedure",SD097,"monofilament, sensory testing",item,0.23,1,,000,,,
11056,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
11056,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
11056,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
11056,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
11056,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,000,,,
11056,PEAC,"Gown, Drape",SB040,"slippers, paper",pair,0.201,1,,000,,,
11056,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
11056,PEAC,"Wound Care, Dressings",SG001,"adherent, pre-tape spray",oz,0.761,1,,000,,,
11056,PEAC,"Wound Care, Dressings",SG003,adhesive foam,inch,0.122,6,,000,,,
11056,PEAC,"Wound Care, Dressings",SG052,"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)",inch,0.003,6,,000,,,
11056,PEAC,"Wound Care, Dressings",SG075,"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)",item,1.741,6,,000,,,
11057,PEAC,"Accessory, Procedure",SD097,"monofilament, sensory testing",item,0.23,1,,000,,,
11057,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
11057,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
11057,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
11057,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
11057,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,000,,,
11057,PEAC,"Gown, Drape",SB040,"slippers, paper",pair,0.201,1,,000,,,
11057,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
11057,PEAC,"Wound Care, Dressings",SG001,"adherent, pre-tape spray",oz,0.761,1,,000,,,
11057,PEAC,"Wound Care, Dressings",SG003,adhesive foam,inch,0.122,8,,000,,,
11057,PEAC,"Wound Care, Dressings",SG052,"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)",inch,0.003,6,,000,,,
11057,PEAC,"Wound Care, Dressings",SG075,"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)",item,1.741,6,,000,,,
11100,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,000,,,
11100,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,,
11100,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,000,,,
11100,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,000,,,
11100,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,,
11100,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,,
11100,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,000,,,
11100,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,0,000,,,
11100,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,0,000,,,
11100,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
11100,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,000,,,
11100,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,000,,,
11100,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,,
11100,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,,
11100,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,000,,,
11100,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,0,000,,,
11100,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,000,,,
11100,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,,
11100,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
11101,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,0,ZZZ,,,
11101,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,ZZZ,,,
11101,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,0,ZZZ,,,
11101,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,0,ZZZ,,,
11101,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,ZZZ,,,
11101,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,ZZZ,,,
11101,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,ZZZ,,,
11200,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11200,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
11200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11200,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,5,,010,,,
11200,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,12,,010,,,
11200,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,010,,,
11200,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,0,010,,,
11200,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,6,,010,,,
11201,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
11300,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
11300,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
11300,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
11300,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
11300,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
11300,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
11300,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
11300,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
11300,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
11300,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
11300,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
11300,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
11300,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,000,,,
11300,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,000,,,
11300,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
11300,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
11300,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
11301,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
11301,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
11301,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
11301,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
11301,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
11301,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
11301,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
11301,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
11301,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
11301,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
11301,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
11301,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
11301,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,000,,,
11301,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,000,,,
11301,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
11301,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
11301,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
11302,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,,
11302,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
11302,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
11302,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
11302,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
11302,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
11302,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
11302,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
11302,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
11302,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
11302,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
11302,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
11302,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,000,,,
11302,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
11302,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,000,,,
11302,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,000,,,
11302,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
11302,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
11302,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
11303,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,,
11303,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
11303,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
11303,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
11303,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
11303,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
11303,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
11303,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
11303,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
11303,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
11303,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
11303,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
11303,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,000,,,
11303,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
11303,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,000,,,
11303,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,000,,,
11303,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
11303,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
11303,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
11305,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
11305,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
11305,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
11305,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
11305,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
11305,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
11305,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
11305,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
11305,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
11305,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
11305,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
11305,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
11305,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,000,,,
11305,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,000,,,
11305,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
11305,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
11305,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
11306,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
11306,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
11306,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
11306,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
11306,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
11306,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
11306,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
11306,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
11306,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
11306,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
11306,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
11306,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
11306,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,000,,,
11306,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,000,,,
11306,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
11306,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
11306,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
11307,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,,
11307,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
11307,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
11307,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
11307,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
11307,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
11307,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
11307,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
11307,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
11307,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
11307,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
11307,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
11307,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,000,,,
11307,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
11307,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,000,,,
11307,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,000,,,
11307,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
11307,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
11307,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
11308,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,,
11308,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
11308,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
11308,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
11308,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
11308,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
11308,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
11308,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
11308,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
11308,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
11308,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
11308,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
11308,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,000,,,
11308,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
11308,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,000,,,
11308,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,000,,,
11308,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
11308,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
11308,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
11310,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
11310,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
11310,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
11310,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
11310,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
11310,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
11310,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
11310,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
11310,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
11310,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
11310,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
11310,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
11310,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,000,,,
11310,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,000,,,
11310,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
11310,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
11310,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
11311,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
11311,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
11311,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
11311,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
11311,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
11311,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
11311,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
11311,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
11311,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
11311,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
11311,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
11311,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
11311,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,000,,,
11311,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,000,,,
11311,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
11311,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
11311,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
11312,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,,
11312,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
11312,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
11312,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
11312,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
11312,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
11312,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
11312,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
11312,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
11312,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
11312,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
11312,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
11312,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,000,,,
11312,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
11312,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,000,,,
11312,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,000,,,
11312,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
11312,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
11312,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
11313,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,,
11313,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
11313,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
11313,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
11313,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
11313,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
11313,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
11313,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
11313,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
11313,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
11313,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
11313,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
11313,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,000,,,
11313,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
11313,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,000,,,
11313,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,000,,,
11313,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
11313,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
11313,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
11400,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11400,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11400,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11400,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11400,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11400,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11400,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
11400,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11400,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11400,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11400,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,1,010,,,
11400,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11400,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11400,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11400,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11400,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11400,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11400,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11400,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11401,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11401,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11401,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11401,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11401,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11401,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11401,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
11401,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11401,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11401,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11401,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,1,010,,,
11401,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11401,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11401,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11401,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11401,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11401,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11401,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11401,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11402,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,010,,,
11402,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11402,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11402,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11402,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11402,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11402,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11402,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
11402,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11402,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11402,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11402,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,1,010,,,
11402,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11402,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11402,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11402,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11402,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11402,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11402,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11402,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,010,,,
11403,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,010,,,
11403,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11403,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11403,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11403,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11403,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11403,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11403,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,010,,,
11403,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11403,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11403,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11403,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,1,010,,,
11403,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11403,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11403,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11403,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11403,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11403,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11403,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11403,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,010,,,
11404,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,010,,,
11404,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,010,,,
11404,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11404,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11404,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11404,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11404,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11404,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,010,,,
11404,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11404,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11404,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11404,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,1,010,,,
11404,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11404,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11404,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11404,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11404,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11404,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11404,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,1,010,,,
11404,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,30,,010,,,
11406,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,010,,,
11406,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,010,,,
11406,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11406,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11406,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11406,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11406,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11406,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,4,,010,,,
11406,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11406,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11406,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11406,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,3,1,010,,,
11406,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11406,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11406,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11406,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11406,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11406,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11406,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,1,010,,,
11406,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,,010,,,
11420,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11420,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11420,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11420,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11420,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11420,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11420,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
11420,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11420,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11420,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11420,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,1,010,,,
11420,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11420,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11420,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11420,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11420,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11420,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11420,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11421,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11421,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11421,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11421,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11421,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11421,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11421,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
11421,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11421,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11421,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11421,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,1,010,,,
11421,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11421,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11421,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11421,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11421,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11421,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11421,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11422,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,010,,,
11422,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11422,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11422,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11422,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11422,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11422,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11422,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,010,,,
11422,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11422,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11422,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11422,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,1,010,,,
11422,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11422,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11422,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11422,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11422,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11422,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11422,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11423,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,010,,,
11423,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11423,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11423,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11423,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11423,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11423,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11423,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,010,,,
11423,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11423,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11423,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11423,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,1,010,,,
11423,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11423,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11423,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11423,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11423,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
11423,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11423,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11424,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,010,,,
11424,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11424,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11424,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11424,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11424,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11424,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11424,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,010,,,
11424,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,2,1,010,,,
11424,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11424,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11424,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,1,010,,,
11424,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11424,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11424,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11424,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11424,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
11424,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,1,010,,,
11424,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11426,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,010,,,
11426,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11426,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11426,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11426,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11426,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11426,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11426,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,4,,010,,,
11426,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,2,1,010,,,
11426,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11426,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11426,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,3,1,010,,,
11426,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11426,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11426,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11426,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11426,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
11426,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,1,010,,,
11426,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11440,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11440,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11440,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11440,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11440,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11440,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11440,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
11440,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11440,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11440,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11440,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,1,010,,,
11440,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11440,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11440,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11440,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11440,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11440,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11440,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11440,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11441,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11441,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11441,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11441,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11441,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11441,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11441,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
11441,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11441,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11441,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11441,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,1,010,,,
11441,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11441,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11441,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11441,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11441,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11441,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11441,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11441,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11442,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,010,,,
11442,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11442,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11442,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11442,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11442,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11442,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11442,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,010,,,
11442,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11442,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11442,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11442,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,1,010,,,
11442,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11442,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11442,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11442,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11442,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11442,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11442,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11442,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,010,,,
11443,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,010,,,
11443,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11443,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11443,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11443,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11443,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11443,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11443,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,010,,,
11443,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11443,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11443,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11443,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,1,010,,,
11443,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11443,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11443,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11443,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11443,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11443,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11443,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11443,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,010,,,
11444,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,010,,,
11444,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11444,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11444,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11444,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11444,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11444,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11444,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,010,,,
11444,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,2,1,010,,,
11444,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11444,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11444,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,1,010,,,
11444,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11444,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11444,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11444,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11444,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11444,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11444,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,1,010,,,
11444,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,010,,,
11446,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,010,,,
11446,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11446,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11446,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11446,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11446,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11446,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11446,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,4,,010,,,
11446,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,2,1,010,,,
11446,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11446,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11446,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,3,1,010,,,
11446,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11446,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11446,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11446,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11446,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11446,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11446,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,1,010,,,
11446,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,30,,010,,,
11450,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,,090,,,
11450,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,,090,,,
11450,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,,
11450,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,,
11450,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,090,,,
11450,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,,090,,,
11450,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,090,,,
11450,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,4,,090,,,
11450,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,090,,,
11450,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
11450,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,,
11450,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,090,,,
11450,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,090,,,
11450,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,090,,,
11450,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,,090,,,
11450,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,,
11450,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,,
11450,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,25,,090,,,
11450,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,,090,,,
11450,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,090,,,
11450,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,12,,090,,,
11450,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,090,,,
11451,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,,090,,,
11451,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,,090,,,
11451,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,,
11451,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,,
11451,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,090,,,
11451,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,4,,090,,,
11451,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,090,,,
11451,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,4,,090,,,
11451,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,090,,,
11451,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
11451,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,,
11451,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,090,,,
11451,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,090,,,
11451,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,090,,,
11451,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,,090,,,
11451,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,,
11451,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,,
11451,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,25,,090,,,
11451,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,,090,,,
11451,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,090,,,
11451,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,12,,090,,,
11451,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,090,,,
11462,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,,090,,,
11462,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,,090,,,
11462,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,,
11462,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,,
11462,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,090,,,
11462,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,,090,,,
11462,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,090,,,
11462,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,4,,090,,,
11462,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,090,,,
11462,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
11462,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,,
11462,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,090,,,
11462,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,090,,,
11462,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,090,,,
11462,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,,090,,,
11462,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,,
11462,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,,
11462,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,25,,090,,,
11462,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,,090,,,
11462,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,090,,,
11462,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,12,,090,,,
11462,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,090,,,
11463,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,,090,,,
11463,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,,090,,,
11463,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,,
11463,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,,
11463,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,090,,,
11463,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,4,,090,,,
11463,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,090,,,
11463,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,4,,090,,,
11463,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,090,,,
11463,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
11463,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,,
11463,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,090,,,
11463,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,090,,,
11463,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,090,,,
11463,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,,090,,,
11463,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,,
11463,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,,
11463,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,25,,090,,,
11463,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,,090,,,
11463,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,090,,,
11463,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,12,,090,,,
11463,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,090,,,
11470,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,,090,,,
11470,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,,090,,,
11470,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,,
11470,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,,
11470,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,090,,,
11470,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,,090,,,
11470,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,090,,,
11470,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,4,,090,,,
11470,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,090,,,
11470,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
11470,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,,
11470,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,090,,,
11470,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,090,,,
11470,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,090,,,
11470,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,,090,,,
11470,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,,
11470,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,,
11470,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,25,,090,,,
11470,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,,090,,,
11470,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,090,,,
11470,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,12,,090,,,
11470,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,090,,,
11471,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,,090,,,
11471,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,,090,,,
11471,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,,
11471,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,,
11471,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,090,,,
11471,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,4,,090,,,
11471,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,090,,,
11471,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,4,,090,,,
11471,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,090,,,
11471,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
11471,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,,
11471,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,090,,,
11471,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,090,,,
11471,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,090,,,
11471,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,,090,,,
11471,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,,
11471,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,,
11471,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,25,,090,,,
11471,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,,090,,,
11471,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,090,,,
11471,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,12,,090,,,
11471,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,090,,,
11600,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11600,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11600,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11600,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11600,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11600,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11600,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11600,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11600,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11600,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
11600,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11600,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11600,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11600,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11600,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11600,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11600,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11600,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11600,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11600,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11600,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11600,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11600,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11601,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11601,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11601,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11601,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11601,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11601,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11601,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11601,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11601,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11601,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
11601,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11601,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11601,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11601,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11601,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11601,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11601,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11601,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11601,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11601,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11601,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11601,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11601,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11601,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11602,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11602,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11602,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11602,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11602,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11602,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11602,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11602,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11602,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11602,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,010,,,
11602,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11602,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11602,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11602,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11602,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11602,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11602,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11602,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11602,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11602,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11602,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11602,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11602,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11602,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11603,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11603,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11603,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11603,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11603,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11603,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11603,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11603,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11603,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11603,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,010,,,
11603,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11603,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11603,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11603,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11603,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11603,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11603,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11603,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11603,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11603,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11603,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11603,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11603,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11603,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11604,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11604,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11604,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,010,,,
11604,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11604,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11604,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11604,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11604,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11604,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11604,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,010,,,
11604,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11604,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11604,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11604,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11604,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11604,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11604,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11604,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11604,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11604,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11604,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11604,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
11604,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11604,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11606,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11606,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11606,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,010,,,
11606,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11606,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11606,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11606,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11606,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11606,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11606,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,4,,010,,,
11606,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11606,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11606,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11606,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11606,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11606,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11606,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11606,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11606,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11606,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,010,,,
11606,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11606,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11606,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
11606,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11606,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11620,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11620,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11620,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11620,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11620,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11620,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11620,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11620,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11620,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11620,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
11620,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11620,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11620,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11620,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11620,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11620,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11620,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11620,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11620,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11620,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11620,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11620,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11620,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11620,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11621,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11621,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11621,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11621,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11621,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11621,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11621,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11621,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11621,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11621,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
11621,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11621,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11621,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11621,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11621,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11621,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11621,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11621,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11621,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11621,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11621,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11621,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11621,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11621,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11622,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11622,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11622,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11622,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11622,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11622,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11622,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11622,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11622,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11622,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,010,,,
11622,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11622,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11622,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11622,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11622,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11622,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11622,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11622,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11622,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11622,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11622,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11622,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11622,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11622,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11623,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11623,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11623,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11623,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11623,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11623,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11623,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11623,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11623,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11623,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,010,,,
11623,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11623,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11623,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11623,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11623,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11623,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11623,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11623,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11623,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11623,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11623,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11623,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11623,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11623,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11624,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11624,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11624,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,010,,,
11624,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11624,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11624,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11624,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11624,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11624,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11624,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,010,,,
11624,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11624,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11624,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11624,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11624,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11624,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11624,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11624,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11624,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11624,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,010,,,
11624,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11624,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11624,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11624,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11626,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11626,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11626,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,010,,,
11626,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11626,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11626,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11626,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11626,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11626,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11626,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,4,,010,,,
11626,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11626,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11626,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11626,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11626,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11626,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11626,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11626,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11626,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11626,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,010,,,
11626,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11626,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11626,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
11626,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11626,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11640,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11640,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11640,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11640,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11640,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11640,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11640,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11640,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11640,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11640,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
11640,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11640,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11640,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11640,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11640,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11640,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11640,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11640,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11640,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11640,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11640,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11640,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11640,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11640,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11641,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11641,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11641,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11641,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11641,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11641,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11641,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11641,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11641,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11641,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
11641,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11641,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11641,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11641,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11641,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11641,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11641,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11641,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11641,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11641,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11641,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11641,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11641,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11641,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11642,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11642,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11642,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11642,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11642,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11642,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11642,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11642,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11642,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11642,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
11642,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11642,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11642,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11642,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11642,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11642,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11642,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11642,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11642,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11642,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11642,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11642,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11642,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11642,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11643,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11643,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11643,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11643,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11643,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11643,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11643,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11643,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11643,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11643,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
11643,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11643,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11643,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11643,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11643,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11643,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11643,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11643,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11643,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11643,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11643,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11643,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
11643,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
11643,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11644,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11644,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11644,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,010,,,
11644,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11644,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11644,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11644,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11644,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11644,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11644,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,010,,,
11644,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11644,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11644,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11644,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11644,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11644,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11644,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11644,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11644,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11644,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11644,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11644,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
11644,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,2,010,,,
11644,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11646,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11646,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11646,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,010,,,
11646,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11646,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
11646,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11646,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11646,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
11646,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
11646,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,4,,010,,,
11646,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
11646,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11646,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
11646,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
11646,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
11646,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
11646,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
11646,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11646,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
11646,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11646,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
11646,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,3,,010,,,
11646,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,2,010,,,
11646,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11719,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,2,,000,,,
11719,PEAC,"Cutters, Closures, Cautery",SF009,"blade, surgical chisel 81-86 (Beaver)",item,3.301,1,,000,,,
11719,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
11719,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
11719,PEAC,"Gown, Drape",SB040,"slippers, paper",pair,0.201,1,,000,,,
11719,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,,000,,,
11719,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,000,,,
11719,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
11719,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,000,,,
11719,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,2,,000,,,
11720,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,2,,000,,,
11720,PEAC,"Cutters, Closures, Cautery",SF009,"blade, surgical chisel 81-86 (Beaver)",item,3.301,1,,000,,,
11720,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
11720,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,000,,,
11720,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
11720,PEAC,"Gown, Drape",SB040,"slippers, paper",pair,0.201,1,,000,,,
11720,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,,000,,,
11720,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,000,,,
11720,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,000,,,
11720,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
11720,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,000,,,
11720,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,2,,000,,,
11721,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,2,,000,,,
11721,PEAC,"Cutters, Closures, Cautery",SF009,"blade, surgical chisel 81-86 (Beaver)",item,3.301,1,,000,,,
11721,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
11721,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,000,,,
11721,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
11721,PEAC,"Gown, Drape",SB040,"slippers, paper",pair,0.201,1,,000,,,
11721,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,,000,,,
11721,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,000,,,
11721,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,000,,,
11721,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
11721,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,000,,,
11721,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,2,,000,,,
11730,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
11730,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
11730,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
11730,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,000,,,
11730,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,,000,,,
11730,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
11730,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
11730,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,,
11730,PEAC,"Gown, Drape",SB040,"slippers, paper",pair,0.201,1,,000,,,
11730,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
11730,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,,
11730,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,000,,,
11730,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,000,,,
11730,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
11730,PEAC,"Pharmacy, NonRx",SJ025,ethyl chloride spray,oz,4.401,1,,000,,,
11730,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
11730,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,,000,,,
11730,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,,
11730,PEAC,"Pharmacy, Rx",SH064,silver sulfadiazene cream (Silvadene),gm,0.161,0.5,,000,,,
11730,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
11730,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,,000,,,
11730,PEAC,"Wound Care, Dressings",SG034,"dressing, 3in x 3in (Adaptic)",item,0.516,1,,000,,,
11730,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
11730,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,,000,,,
11732,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,ZZZ,,,
11732,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,,ZZZ,,,
11732,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,ZZZ,,,
11732,PEAC,"Pharmacy, NonRx",SJ025,ethyl chloride spray,oz,4.401,1,,ZZZ,,,
11732,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,ZZZ,,,
11732,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,,ZZZ,,,
11732,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,ZZZ,,,
11732,PEAC,"Pharmacy, Rx",SH064,silver sulfadiazene cream (Silvadene),gm,0.161,0.5,,ZZZ,,,
11732,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,ZZZ,,,
11732,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,ZZZ,,,
11732,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,,ZZZ,,,
11740,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,Aug03,5
11740,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,Aug03,5
11740,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,Aug03,5
11740,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Aug03,5
11740,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,000,,Aug03,5
11740,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,000,,Aug03,5
11740,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,Aug03,5
11740,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,000,,Aug03,5
11740,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Aug03,5
11740,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,000,,Aug03,5
11740,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,Aug03,5
11750,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11750,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
11750,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
11750,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11750,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
11750,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11750,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
11750,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,,010,,,
11750,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11750,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
11750,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
11750,PEAC,"Gown, Drape",SB040,"slippers, paper",pair,0.201,3,,010,,,
11750,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
11750,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,010,,,
11750,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,010,,,
11750,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,3,,010,,,
11750,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,,010,,,
11750,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,,
11750,PEAC,"Pharmacy, NonRx",SJ025,ethyl chloride spray,oz,4.401,1,,010,,,
11750,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11750,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,,010,,,
11750,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,010,,,
11750,PEAC,"Pharmacy, Rx",SH064,silver sulfadiazene cream (Silvadene),gm,0.161,1,0.5,010,,,
11750,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,,010,,,
11750,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,010,,,
11750,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,1,010,,,
11750,PEAC,"Wound Care, Dressings",SG034,"dressing, 3in x 3in (Adaptic)",item,0.516,1,1,010,,,
11750,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,1,010,,,
11750,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,,010,,,
11750,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,,010,0,,
11752,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
11752,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
11752,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,010,,,
11752,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11752,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
11752,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
11752,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
11752,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,,010,,,
11752,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
11752,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
11752,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
11752,PEAC,"Gown, Drape",SB040,"slippers, paper",pair,0.201,4,,010,,,
11752,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
11752,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,010,,,
11752,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,010,,,
11752,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,3,,010,,,
11752,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,,010,,,
11752,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,010,,,
11752,PEAC,"Pharmacy, NonRx",SJ025,ethyl chloride spray,oz,4.401,1,,010,,,
11752,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11752,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,,010,,,
11752,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,010,,,
11752,PEAC,"Pharmacy, Rx",SH064,silver sulfadiazene cream (Silvadene),gm,0.161,1,0.5,010,,,
11752,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,,010,,,
11752,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,010,,,
11752,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,1,010,,,
11752,PEAC,"Wound Care, Dressings",SG034,"dressing, 3in x 3in (Adaptic)",item,0.516,1,1,010,,,
11752,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,1,010,,,
11752,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,,010,,,
11752,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,,010,0,,
11755,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,Aug03,5
11755,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,000,,Aug03,5
11755,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,Aug03,5
11755,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,Aug03,5
11755,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,Aug03,5
11755,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,000,,Aug03,5
11755,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,000,,Aug03,5
11755,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,000,,Aug03,5
11755,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,000,,Aug03,5
11755,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,000,,Aug03,5
11755,PEAC,"Pharmacy, NonRx",SJ025,ethyl chloride spray,oz,4.401,1,0,000,,Aug03,5
11755,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,000,,Aug03,5
11755,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Aug03,5
11755,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,0,000,,Aug03,5
11755,PEAC,"Wound Care, Dressings",SG040,"dressing, 5in x 9in (Adaptic)",item,2.318,1,0,000,,Aug03,5
11755,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,Aug03,5
11755,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,Aug03,5
11760,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Aug03,5
11760,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,010,,Aug03,5
11760,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Aug03,5
11760,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Aug03,5
11760,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Aug03,5
11760,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Aug03,5
11760,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Aug03,5
11760,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Aug03,5
11760,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Aug03,5
11760,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Aug03,5
11760,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Aug03,5
11760,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Aug03,5
11760,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Aug03,5
11760,PEAC,"Pharmacy, NonRx",SJ025,ethyl chloride spray,oz,4.401,1,0,010,,Aug03,5
11760,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Aug03,5
11760,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,010,,Aug03,5
11760,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,0,010,,Aug03,5
11760,PEAC,"Wound Care, Dressings",SG015,"bandage, Esmarch-Martin, sterile 3in x 9ft",item,5.645,1,0,010,,Aug03,5
11760,PEAC,"Wound Care, Dressings",SG040,"dressing, 5in x 9in (Adaptic)",item,2.318,1,0,010,,Aug03,5
11760,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Aug03,5
11760,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Aug03,5
11762,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Aug03,5
11762,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,010,,Aug03,5
11762,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Aug03,5
11762,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Aug03,5
11762,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Aug03,5
11762,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Aug03,5
11762,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Aug03,5
11762,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Aug03,5
11762,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Aug03,5
11762,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Aug03,5
11762,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Aug03,5
11762,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Aug03,5
11762,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Aug03,5
11762,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Aug03,5
11762,PEAC,"Pharmacy, NonRx",SJ025,ethyl chloride spray,oz,4.401,1,0,010,,Aug03,5
11762,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Aug03,5
11762,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,010,,Aug03,5
11762,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,0,010,,Aug03,5
11762,PEAC,"Wound Care, Dressings",SG015,"bandage, Esmarch-Martin, sterile 3in x 9ft",item,5.645,1,0,010,,Aug03,5
11762,PEAC,"Wound Care, Dressings",SG040,"dressing, 5in x 9in (Adaptic)",item,2.318,1,0,010,,Aug03,5
11762,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Aug03,5
11762,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Aug03,5
11765,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Aug03,5
11765,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,010,,Aug03,5
11765,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Aug03,5
11765,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Aug03,5
11765,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Aug03,5
11765,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Aug03,5
11765,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Aug03,5
11765,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Aug03,5
11765,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Aug03,5
11765,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Aug03,5
11765,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Aug03,5
11765,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Aug03,5
11765,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Aug03,5
11765,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Aug03,5
11765,PEAC,"Pharmacy, NonRx",SJ025,ethyl chloride spray,oz,4.401,1,0,010,,Aug03,5
11765,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Aug03,5
11765,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,010,,Aug03,5
11765,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,0,010,,Aug03,5
11765,PEAC,"Wound Care, Dressings",SG015,"bandage, Esmarch-Martin, sterile 3in x 9ft",item,5.645,1,0,010,,Aug03,5
11765,PEAC,"Wound Care, Dressings",SG040,"dressing, 5in x 9in (Adaptic)",item,2.318,1,0,010,,Aug03,5
11765,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Aug03,5
11765,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Aug03,5
11770,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,010,,,
11770,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
11770,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
11770,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
11770,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,1,010,,,
11770,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
11770,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,010,,,
11770,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,,010,,,
11770,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,5,1,010,,,
11770,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
11770,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
11770,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,010,,,
11770,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,010,,,
11770,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
11770,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
11770,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,010,,,
11770,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
11770,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
11770,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
11770,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,010,,,
11770,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
11770,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,,010,,,
11770,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,120,,010,,,
11770,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,010,,,
11770,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
11770,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,010,,,
11770,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
11770,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
11770,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
11770,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
11771,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,,090,,,
11771,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,,090,,,
11771,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,,
11771,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,,
11771,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,090,,,
11771,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,,090,,,
11771,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,090,,,
11771,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,4,,090,,,
11771,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,090,,,
11771,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
11771,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,,
11771,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,090,,,
11771,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,090,,,
11771,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,090,,,
11771,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,,090,,,
11771,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,,
11771,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,,
11771,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,25,,090,,,
11771,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,,090,,,
11771,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,090,,,
11771,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,12,,090,,,
11771,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,090,,,
11772,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,7
11772,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar03,7
11772,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,7
11772,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Mar03,7
11772,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,7
11772,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,7
11772,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,7
11772,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,3,2,090,,Mar03,7
11772,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,7
11772,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Mar03,7
11772,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,0,090,,Mar03,7
11772,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,5,1,090,,Mar03,7
11772,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,7
11772,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,7
11772,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,7
11772,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,2,090,,Mar03,7
11772,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,3,2,090,,Mar03,7
11772,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Mar03,7
11772,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Mar03,7
11772,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,Mar03,7
11772,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,4,090,,Mar03,7
11772,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,7
11772,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,7
11772,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,3,2,090,,Mar03,7
11772,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,7
11772,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Mar03,7
11772,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,120,0,090,,Mar03,7
11772,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,7
11772,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,090,,Mar03,7
11772,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,3,2,090,,Mar03,7
11772,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,3,2,090,,Mar03,7
11772,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,4,2,090,,Mar03,7
11772,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,12,090,,Mar03,7
11900,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
11900,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
11900,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
11900,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
11900,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
11900,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
11900,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
11900,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
11900,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
11900,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
11900,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
11900,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,000,,,
11900,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
11900,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
11901,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
11901,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
11901,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
11901,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
11901,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
11901,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
11901,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
11901,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
11901,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,,000,,,
11901,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
11901,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
11901,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,000,,,
11901,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
11901,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
11920,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Mar04,P
11920,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,Mar04,P
11920,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,0,000,,Mar04,P
11920,PEAC,"Hypodermic, IV",SC079,"needle, micropigmentation (tattoo)",item,12,1,0,000,,Mar04,P
11920,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,P
11920,PEAC,"Office Supply, Grocery",SK073,skin marking ink (tattoo),ml,0.221,3,0,000,,Mar04,P
11920,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,3,0,000,,Mar04,P
11920,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,000,,Mar04,P
11920,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,3,0,000,,Mar04,P
11920,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,000,,Mar04,P
11921,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Mar04,P
11921,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,Mar04,P
11921,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,0,000,,Mar04,P
11921,PEAC,"Hypodermic, IV",SC079,"needle, micropigmentation (tattoo)",item,12,1,0,000,,Mar04,P
11921,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,P
11921,PEAC,"Office Supply, Grocery",SK073,skin marking ink (tattoo),ml,0.221,3,0,000,,Mar04,P
11921,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,3,0,000,,Mar04,P
11921,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,000,,Mar04,P
11921,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,3,0,000,,Mar04,P
11921,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,000,,Mar04,P
11922,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,0,ZZZ,,Mar04,P
11922,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,ZZZ,,Mar04,P
11922,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,ZZZ,,Mar04,P
11922,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,ZZZ,,Mar04,P
11922,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,ZZZ,,Mar04,P
11950,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Sep04,
11950,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Sep04,
11950,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,000,,Sep04,
11950,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,000,,Sep04,
11951,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Sep04,
11951,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Sep04,
11951,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,000,,Sep04,
11951,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,Sep04,
11952,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Sep04,
11952,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Sep04,
11952,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,000,,Sep04,
11952,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,Sep04,
11952,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,000,,Sep04,
11952,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,Sep04,
11952,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,Sep04,
11954,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Sep04,
11954,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Sep04,
11954,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,000,,Sep04,
11954,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,0,000,,Sep04,
11954,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,000,,Sep04,
11954,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,Sep04,
11954,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,Sep04,
11960,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,8,090,,,
11960,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,8,090,,Apr06,J
11960,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,80,090,,,
11960,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,8,090,,,
11960,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,8,090,,,
11960,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,,
11970,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
11970,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
11970,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
11970,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,3,090,,,
11970,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,3,090,,,
11970,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,,
11971,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
11971,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
11971,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
11971,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
11971,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
11971,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
11971,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
11971,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
11971,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
11971,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Aug03,6
11971,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
11971,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
11971,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
11971,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,090,,Aug03,6
11971,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
11971,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
11971,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
11971,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
11971,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
11971,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
11971,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,6
11975,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Feb05,
11975,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,XXX,,Feb05,
11975,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,XXX,,Feb05,
11975,PEAC,"Wound Care, Dressings",SG012,"bandage, elastic wrap 4in (Ace)",item,1.179,1,0,XXX,,Feb05,
11976,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Feb05,
11976,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,Feb05,
11976,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,000,,Feb05,
11976,PEAC,"Wound Care, Dressings",SG012,"bandage, elastic wrap 4in (Ace)",item,1.179,1,0,000,,Feb05,
11977,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Feb05,
11977,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,XXX,,Feb05,
11977,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,XXX,,Feb05,
11977,PEAC,"Wound Care, Dressings",SG012,"bandage, elastic wrap 4in (Ace)",item,1.179,1,0,XXX,,Feb05,
11980,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
11980,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
11980,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
11980,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,,000,,,
11980,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,000,,,
11980,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
11981,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,XXX,11975,,
11981,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,11975,,
11981,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,11975,,
11981,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,11975,,
11981,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,11975,,
11981,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,11975,,
11981,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,XXX,11975,,
11981,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,11975,,
11981,RUC,"Office Supply, Grocery",SK052,"pad, feminine mini",item,0.11,1,,XXX,11975,,
11981,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,1,,XXX,11975,,
11981,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,50,,XXX,11975,,
11981,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,4,,XXX,11975,,
11981,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,11975,,
11981,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,,XXX,11975,,
11981,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,XXX,11975,,
11982,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,XXX,11976,,
11982,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,11976,,
11982,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,11976,,
11982,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,11976,,
11982,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,11976,,
11982,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,11976,,
11982,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,XXX,11976,,
11982,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,11976,,
11982,RUC,"Office Supply, Grocery",SK052,"pad, feminine mini",item,0.11,1,,XXX,11976,,
11982,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,1,,XXX,11976,,
11982,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,50,,XXX,11976,,
11982,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,4,,XXX,11976,,
11982,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,11976,,
11982,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,,XXX,11976,,
11982,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,XXX,11976,,
11983,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,XXX,11977,,
11983,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,11977,,
11983,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,11977,,
11983,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,11977,,
11983,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,11977,,
11983,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,11977,,
11983,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,XXX,11977,,
11983,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,11977,,
11983,RUC,"Office Supply, Grocery",SK052,"pad, feminine mini",item,0.11,1,,XXX,11977,,
11983,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,1,,XXX,11977,,
11983,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,50,,XXX,11977,,
11983,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,4,,XXX,11977,,
11983,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,11977,,
11983,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,,XXX,11977,,
11983,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,XXX,11977,,
12001,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,000,,,
12001,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
12001,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
12001,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
12001,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
12001,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
12001,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,MD Time
12001,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,,
12001,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
12001,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
12001,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
12001,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
12001,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,000,,,
12001,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
12001,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
12001,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
12002,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,000,,,
12002,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
12002,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
12002,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
12002,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
12002,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,000,,,
12002,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,MD Time
12002,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,,
12002,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
12002,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
12002,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
12002,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
12002,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,000,,,
12002,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
12002,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
12002,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
12004,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,,
12004,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,000,,,
12004,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
12004,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
12004,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
12004,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
12004,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,000,,,
12004,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,MD Time
12004,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,,
12004,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
12004,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
12004,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
12004,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
12004,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,000,,,
12004,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,,
12004,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
12004,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,,000,,,
12005,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,,
12005,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,000,,,
12005,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
12005,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
12005,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
12005,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
12005,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,6,,000,,,
12005,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,MD Time
12005,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,,
12005,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
12005,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,40,,000,,,
12005,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,15,,000,,,
12005,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
12005,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,000,,,
12005,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,,
12005,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,000,,,
12005,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,48,,000,,,
12006,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,,
12006,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,3,,000,,,
12006,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
12006,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
12006,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
12006,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
12006,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,8,,000,,,
12006,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,MD Time
12006,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,,
12006,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
12006,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,40,,000,,,
12006,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,15,,000,,,
12006,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
12006,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,40,,000,,,
12006,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,,
12006,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,000,,,
12006,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,54,,000,,,
12007,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,,
12007,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,3,,000,,,
12007,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
12007,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
12007,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
12007,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
12007,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,10,,000,,,
12007,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,MD Time
12007,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,,
12007,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
12007,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,40,,000,,,
12007,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,15,,000,,,
12007,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
12007,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,40,,000,,,
12007,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,,
12007,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,3,,000,,,
12007,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,66,,000,,,
12011,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,,
12011,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,000,,,
12011,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
12011,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
12011,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
12011,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
12011,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
12011,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,MD Time
12011,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,000,,,
12011,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,,
12011,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
12011,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
12011,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
12011,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
12011,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,000,,,
12011,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
12011,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
12011,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,,
12011,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
12013,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,,
12013,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,000,,,
12013,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
12013,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
12013,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
12013,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
12013,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,000,,,
12013,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,MD Time
12013,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,,
12013,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
12013,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
12013,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
12013,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
12013,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,000,,,
12013,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
12013,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
12013,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,,
12013,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
12014,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,,
12014,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,000,,,
12014,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
12014,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
12014,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
12014,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
12014,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,000,,,
12014,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,MD Time
12014,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,,
12014,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
12014,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
12014,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
12014,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
12014,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,000,,,
12014,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
12014,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
12014,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,,
12014,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
12015,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,,
12015,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,000,,,
12015,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
12015,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
12015,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
12015,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
12015,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,000,,,
12015,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,MD Time
12015,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,,
12015,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
12015,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,,
12015,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
12015,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
12015,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,000,,,
12015,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
12015,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,000,,,
12015,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,,
12015,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,,000,,,
12016,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,,
12016,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,3,,000,,,
12016,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
12016,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
12016,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
12016,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
12016,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,6,,000,,,
12016,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,MD Time
12016,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,,
12016,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
12016,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,40,,000,,,
12016,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,15,,000,,,
12016,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
12016,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,000,,,
12016,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,,
12016,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,000,,,
12016,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,48,,000,,,
12020,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
12020,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
12020,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,6
12020,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
12020,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,6
12020,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
12020,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,6
12020,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
12020,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
12020,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
12020,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
12020,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
12020,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Mar03,6
12020,PEAC,Lab,SL146,tubed culture media,item,0.849,1,0,010,,Mar03,6
12020,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,6
12020,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,6
12020,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar03,6
12020,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
12020,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
12020,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
12020,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
12021,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
12021,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
12021,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Mar03,6
12021,PEAC,Lab,SL146,tubed culture media,item,0.849,1,0,010,,Mar03,6
12021,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar03,6
12021,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
12021,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
12021,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
12031,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Sep04,
12031,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Sep04,
12031,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Sep04,
12031,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Sep04,
12031,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Sep04,
12031,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Sep04,
12031,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Sep04,
12031,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Sep04,
12031,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Sep04,
12031,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Sep04,
12031,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
12031,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,010,,Sep04,
12031,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,1,010,,Sep04,
12031,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Sep04,
12031,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Sep04,
12031,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,010,,Sep04,
12031,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
12031,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,010,,Sep04,
12031,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Sep04,
12031,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Sep04,
12031,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Sep04,
12031,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Sep04,
12031,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Sep04,
12031,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Sep04,
12031,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Sep04,
12031,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Sep04,
12031,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
12032,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
12032,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
12032,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,010,,,
12032,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
12032,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
12032,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
12032,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,1,010,,,
12032,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
12032,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,,010,,,
12032,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,,010,,,
12032,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,010,,,
12032,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,,010,,,
12032,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,5,1,010,,,
12032,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
12032,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
12032,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
12032,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
12032,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
12032,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,010,,,
12032,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
12032,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
12032,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
12032,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
12032,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
12032,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,010,,,
12032,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
12032,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
12034,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
12034,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Sep04,
12034,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Sep04,
12034,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
12034,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Sep04,
12034,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Sep04,
12034,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Sep04,
12034,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Sep04,
12034,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Sep04,
12034,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Sep04,
12034,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Sep04,
12034,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Sep04,
12034,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Sep04,
12034,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Sep04,
12034,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Sep04,
12034,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
12034,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,1,010,,Sep04,
12034,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Sep04,
12034,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Sep04,
12034,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,010,,Sep04,
12034,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Sep04,
12034,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,010,,Sep04,
12034,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,,Sep04,
12034,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,0,010,,Sep04,
12034,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Sep04,
12034,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Sep04,
12034,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Sep04,
12035,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
12035,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
12035,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,010,,,
12035,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
12035,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
12035,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
12035,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,1,010,,,
12035,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
12035,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,,010,,,
12035,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,,010,,,
12035,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,010,,,
12035,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,010,,,
12035,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,5,1,010,,,
12035,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
12035,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
12035,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
12035,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
12035,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
12035,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,010,,,
12035,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
12035,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
12035,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
12035,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
12035,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
12035,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,010,,,
12035,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
12035,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
12036,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
12036,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
12036,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,6
12036,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
12036,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,6
12036,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
12036,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,6
12036,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
12036,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
12036,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
12036,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
12036,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
12036,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Mar03,6
12036,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
12036,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,6
12036,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,6
12036,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
12036,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
12036,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
12036,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
12037,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
12037,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
12037,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,6
12037,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
12037,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,6
12037,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
12037,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,6
12037,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
12037,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
12037,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
12037,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
12037,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
12037,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Mar03,6
12037,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
12037,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,6
12037,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,6
12037,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
12037,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
12037,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
12037,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
12041,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
12041,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Sep04,
12041,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Sep04,
12041,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
12041,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Sep04,
12041,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Sep04,
12041,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Sep04,
12041,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Sep04,
12041,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Sep04,
12041,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Sep04,
12041,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Sep04,
12041,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Sep04,
12041,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Sep04,
12041,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Sep04,
12041,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Sep04,
12041,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
12041,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,1,010,,Sep04,
12041,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Sep04,
12041,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Sep04,
12041,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,010,,Sep04,
12041,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Sep04,
12041,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Sep04,
12041,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,010,,Sep04,
12041,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,010,,Sep04,
12041,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Sep04,
12041,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Sep04,
12041,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Sep04,
12042,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
12042,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Sep04,
12042,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Sep04,
12042,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
12042,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Sep04,
12042,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Sep04,
12042,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Sep04,
12042,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Sep04,
12042,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Sep04,
12042,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Sep04,
12042,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Sep04,
12042,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Sep04,
12042,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Sep04,
12042,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Sep04,
12042,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Sep04,
12042,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
12042,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,1,010,,Sep04,
12042,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Sep04,
12042,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Sep04,
12042,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,010,,Sep04,
12042,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Sep04,
12042,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Sep04,
12042,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,010,,Sep04,
12042,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,010,,Sep04,
12042,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Sep04,
12042,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Sep04,
12042,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Sep04,
12044,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
12044,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Sep04,
12044,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Sep04,
12044,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
12044,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Sep04,
12044,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Sep04,
12044,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Sep04,
12044,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Sep04,
12044,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Sep04,
12044,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Sep04,
12044,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Sep04,
12044,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Sep04,
12044,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Sep04,
12044,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Sep04,
12044,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Sep04,
12044,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
12044,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,1,010,,Sep04,
12044,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,2,0,010,,Sep04,
12044,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,Sep04,
12044,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,010,,Sep04,
12044,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,010,,Sep04,
12044,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,010,,Sep04,
12044,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,,Sep04,
12044,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,0,010,,Sep04,
12044,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Sep04,
12044,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Sep04,
12044,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Sep04,
12045,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
12045,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
12045,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,6
12045,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
12045,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,6
12045,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
12045,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,6
12045,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
12045,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
12045,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
12045,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
12045,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
12045,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Mar03,6
12045,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
12045,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,6
12045,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,6
12045,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
12045,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
12045,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
12045,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
12046,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
12046,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
12046,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,010,,,
12046,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,010,,,
12046,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,,010,,,
12046,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
12046,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,1,010,,,
12046,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
12046,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,,010,,,
12046,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,,010,,,
12046,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,010,,,
12046,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,5,,010,,,
12046,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,5,1,010,,,
12046,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
12046,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
12046,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
12046,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
12046,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
12046,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,010,,,
12046,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
12046,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
12046,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
12046,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
12046,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
12046,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,010,,,
12046,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
12046,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
12047,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
12047,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
12047,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,010,,,
12047,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,010,,,
12047,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,,010,,,
12047,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
12047,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,1,010,,,
12047,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
12047,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,,010,,,
12047,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,,010,,,
12047,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,010,,,
12047,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,5,,010,,,
12047,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,5,1,010,,,
12047,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
12047,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
12047,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
12047,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
12047,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
12047,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,010,,,
12047,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
12047,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
12047,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
12047,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
12047,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
12047,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,010,,,
12047,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
12047,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
12051,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
12051,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Sep04,
12051,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Sep04,
12051,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
12051,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Sep04,
12051,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Sep04,
12051,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Sep04,
12051,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Sep04,
12051,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Sep04,
12051,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Sep04,
12051,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Sep04,
12051,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Sep04,
12051,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Sep04,
12051,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Sep04,
12051,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Sep04,
12051,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
12051,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Sep04,
12051,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Sep04,
12051,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Sep04,
12051,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,010,,Sep04,
12051,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Sep04,
12051,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Sep04,
12051,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,010,,Sep04,
12051,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,010,,Sep04,
12051,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Sep04,
12051,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Sep04,
12051,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Sep04,
12052,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
12052,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,Sep04,
12052,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Sep04,
12052,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
12052,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Sep04,
12052,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Sep04,
12052,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Sep04,
12052,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Sep04,
12052,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Sep04,
12052,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Sep04,
12052,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Sep04,
12052,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Sep04,
12052,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Sep04,
12052,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Sep04,
12052,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Sep04,
12052,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
12052,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Sep04,
12052,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Sep04,
12052,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Sep04,
12052,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,010,,Sep04,
12052,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Sep04,
12052,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Sep04,
12052,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,010,,Sep04,
12052,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,010,,Sep04,
12052,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Sep04,
12052,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Sep04,
12052,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Sep04,
12053,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
12053,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Sep04,
12053,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Sep04,
12053,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
12053,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Sep04,
12053,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Sep04,
12053,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Sep04,
12053,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Sep04,
12053,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Sep04,
12053,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Sep04,
12053,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Sep04,
12053,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Sep04,
12053,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Sep04,
12053,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Sep04,
12053,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Sep04,
12053,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
12053,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Sep04,
12053,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,2,0,010,,Sep04,
12053,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,Sep04,
12053,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,010,,Sep04,
12053,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,010,,Sep04,
12053,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,010,,Sep04,
12053,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,,Sep04,
12053,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,0,010,,Sep04,
12053,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Sep04,
12053,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Sep04,
12053,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Sep04,
12054,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
12054,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Sep04,
12054,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Sep04,
12054,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
12054,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Sep04,
12054,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Sep04,
12054,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Sep04,
12054,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Sep04,
12054,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Sep04,
12054,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Sep04,
12054,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Sep04,
12054,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Sep04,
12054,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Sep04,
12054,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Sep04,
12054,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Sep04,
12054,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
12054,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Sep04,
12054,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,2,0,010,,Sep04,
12054,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,Sep04,
12054,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,010,,Sep04,
12054,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,010,,Sep04,
12054,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,010,,Sep04,
12054,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,,Sep04,
12054,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,0,010,,Sep04,
12054,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Sep04,
12054,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Sep04,
12054,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Sep04,
12055,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
12055,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Sep04,
12055,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Sep04,
12055,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
12055,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Sep04,
12055,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Sep04,
12055,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Sep04,
12055,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Sep04,
12055,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Sep04,
12055,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Sep04,
12055,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Sep04,
12055,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Sep04,
12055,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Sep04,
12055,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Sep04,
12055,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Sep04,
12055,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
12055,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Sep04,
12055,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,3,0,010,,Sep04,
12055,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,010,,Sep04,
12055,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,010,Sep04,Sep04,
12055,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,010,Sep04,Sep04,
12055,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,010,Sep04,Sep04,
12055,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,,Sep04,
12055,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,0,010,,Sep04,
12055,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,20,0,010,,Sep04,
12055,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Sep04,
12055,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Sep04,
12056,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
12056,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Sep04,
12056,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Sep04,
12056,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
12056,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Sep04,
12056,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Sep04,
12056,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Sep04,
12056,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Sep04,
12056,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Sep04,
12056,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Sep04,
12056,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Sep04,
12056,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Sep04,
12056,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Sep04,
12056,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Sep04,
12056,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Sep04,
12056,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
12056,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,Sep04,Sep04,
12056,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,3,0,010,Sep04,Sep04,
12056,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,010,,Sep04,
12056,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,3,0,010,Sep04,Sep04,
12056,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,010,Sep04,Sep04,
12056,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,0,010,Sep04,Sep04,
12056,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,010,,Sep04,
12056,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,3,0,010,,Sep04,
12056,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Sep04,
12056,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Sep04,
12056,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Sep04,
12057,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
12057,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Sep04,
12057,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Sep04,
12057,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
12057,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Sep04,
12057,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Sep04,
12057,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Sep04,
12057,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Sep04,
12057,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Sep04,
12057,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Sep04,
12057,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Sep04,
12057,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Sep04,
12057,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Sep04,
12057,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Sep04,
12057,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Sep04,
12057,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
12057,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,Sep04,Sep04,
12057,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,4,0,010,Sep04,Sep04,
12057,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,4,0,010,,Sep04,
12057,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,3,0,010,Sep04,Sep04,
12057,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,010,Sep04,Sep04,
12057,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,0,010,Sep04,Sep04,
12057,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,010,,Sep04,
12057,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,3,0,010,,Sep04,
12057,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Sep04,
12057,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Sep04,
12057,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Sep04,
13100,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Mar04,P
13100,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar04,P
13100,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,P
13100,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar04,P
13100,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar04,P
13100,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,P
13100,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,P
13100,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar04,P
13100,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,010,,Mar04,P
13100,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,P
13100,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,P
13100,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,P
13100,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,P
13100,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,P
13100,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar04,P
13100,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Mar04,P
13100,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Mar04,P
13100,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,P
13100,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar04,P
13100,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,010,,Mar04,P
13100,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar04,P
13100,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,P
13100,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,,Mar04,P
13100,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,010,,Mar04,P
13100,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,P
13100,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Mar04,P
13101,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Mar04,P
13101,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar04,P
13101,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,P
13101,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,2,0,010,,Mar04,P
13101,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,Mar04,P
13101,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,P
13101,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,P
13101,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Mar04,P
13101,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar04,P
13101,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,P
13101,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,P
13101,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,P
13101,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,P
13101,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,P
13101,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar04,P
13101,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Mar04,P
13101,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Mar04,P
13101,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,P
13101,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar04,P
13101,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,0,010,,Mar04,P
13101,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar04,P
13101,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,P
13101,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,,Mar04,P
13101,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,010,,Mar04,P
13101,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,010,,Mar04,P
13101,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,010,,Mar04,P
13102,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,ZZZ,,Mar04,P
13102,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,ZZZ,,Mar04,P
13102,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,ZZZ,,Mar04,P
13102,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,ZZZ,,Mar04,P
13102,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,ZZZ,,Mar04,P
13120,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Mar04,P
13120,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar04,P
13120,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,P
13120,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar04,P
13120,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar04,P
13120,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,P
13120,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,P
13120,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar04,P
13120,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,010,,Mar04,P
13120,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,P
13120,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,P
13120,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,P
13120,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,P
13120,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,P
13120,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar04,P
13120,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Mar04,P
13120,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Mar04,P
13120,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,P
13120,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar04,P
13120,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,010,,Mar04,P
13120,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar04,P
13120,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,P
13120,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,,Mar04,P
13120,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,010,,Mar04,P
13120,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,P
13120,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Mar04,P
13121,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Mar04,P
13121,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar04,P
13121,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,P
13121,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,2,0,010,,Mar04,P
13121,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,Mar04,P
13121,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,P
13121,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,P
13121,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Mar04,P
13121,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar04,P
13121,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,P
13121,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,P
13121,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,P
13121,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,P
13121,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,P
13121,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar04,P
13121,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Mar04,P
13121,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Mar04,P
13121,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,Mar04,P
13121,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar04,P
13121,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,0,010,,Mar04,P
13121,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar04,P
13121,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,P
13121,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,,Mar04,P
13121,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,010,,Mar04,P
13121,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,010,,Mar04,P
13121,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,010,,Mar04,P
13122,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,ZZZ,,Mar04,P
13122,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,ZZZ,,Mar04,P
13122,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,ZZZ,,Mar04,P
13122,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,ZZZ,,Mar04,P
13122,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,ZZZ,,Mar04,P
13131,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Mar04,P
13131,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar04,P
13131,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,P
13131,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar04,P
13131,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar04,P
13131,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,P
13131,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,P
13131,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar04,P
13131,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,010,,Mar04,P
13131,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,P
13131,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,P
13131,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,P
13131,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,P
13131,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,P
13131,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar04,P
13131,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Mar04,P
13131,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Mar04,P
13131,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,P
13131,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar04,P
13131,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,010,,Mar04,P
13131,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar04,P
13131,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,P
13131,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,,Mar04,P
13131,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,010,,Mar04,P
13131,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,P
13131,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Mar04,P
13132,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Mar04,P
13132,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar04,P
13132,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,P
13132,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,2,0,010,,Mar04,P
13132,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,Mar04,P
13132,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,P
13132,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,P
13132,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Mar04,P
13132,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar04,P
13132,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,P
13132,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,P
13132,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,P
13132,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,P
13132,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,P
13132,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar04,P
13132,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Mar04,P
13132,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Mar04,P
13132,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,Mar04,P
13132,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar04,P
13132,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,0,010,,Mar04,P
13132,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar04,P
13132,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,P
13132,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,,Mar04,P
13132,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,010,,Mar04,P
13132,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,010,,Mar04,P
13132,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,010,,Mar04,P
13133,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,ZZZ,,Mar04,P
13133,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,ZZZ,,Mar04,P
13133,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,ZZZ,,Mar04,P
13133,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,ZZZ,,Mar04,P
13133,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,ZZZ,,Mar04,P
13150,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Mar04,P
13150,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar04,P
13150,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,P
13150,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar04,P
13150,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar04,P
13150,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,P
13150,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,P
13150,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar04,P
13150,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,010,,Mar04,P
13150,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,P
13150,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,P
13150,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,P
13150,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,P
13150,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,P
13150,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar04,P
13150,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Mar04,P
13150,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Mar04,P
13150,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,P
13150,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar04,P
13150,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,010,,Mar04,P
13150,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar04,P
13150,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,P
13150,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,,Mar04,P
13150,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,010,,Mar04,P
13150,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,P
13150,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Mar04,P
13151,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Mar04,P
13151,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar04,P
13151,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,P
13151,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar04,P
13151,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar04,P
13151,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,P
13151,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,P
13151,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar04,P
13151,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,010,,Mar04,P
13151,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,P
13151,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,P
13151,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,P
13151,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,P
13151,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,P
13151,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar04,P
13151,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Mar04,P
13151,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Mar04,P
13151,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,P
13151,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar04,P
13151,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,010,,Mar04,P
13151,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar04,P
13151,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,P
13151,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,,Mar04,P
13151,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,010,,Mar04,P
13151,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,P
13151,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Mar04,P
13152,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,010,,Sep04,
13152,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
13152,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Sep04,
13152,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,2,0,010,,Sep04,
13152,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,Sep04,
13152,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
13152,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Sep04,
13152,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Sep04,
13152,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Sep04,
13152,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Sep04,
13152,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Sep04,
13152,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Sep04,
13152,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Sep04,
13152,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Sep04,
13152,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Sep04,
13152,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Sep04,
13152,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Sep04,
13152,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Sep04,
13152,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,Sep04,Sep04,
13152,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,0,010,,Sep04,
13152,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,Sep04,Sep04,
13152,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,Sep04,Sep04,
13152,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,Sep04,Sep04,
13152,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,010,Sep04,Sep04,
13152,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,010,,Sep04,
13152,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,010,,Sep04,
13152,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
13153,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,ZZZ,,Mar04,P
13153,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,ZZZ,,Mar04,P
13153,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,ZZZ,,Mar04,P
13153,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,ZZZ,,Mar04,P
13153,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,ZZZ,,Mar04,P
13160,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,,,
13160,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
13160,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
13160,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
13160,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,4,090,,,
13160,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
14000,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
14000,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
14000,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
14000,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
14000,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
14000,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
14000,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
14000,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Aug03,6
14000,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,090,,Aug03,6
14000,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,090,,Aug03,6
14000,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
14000,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
14000,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
14000,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
14000,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,6
14000,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
14000,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
14000,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,1,090,,Aug03,6
14000,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,090,,Aug03,6
14000,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Aug03,6
14000,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
14000,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
14000,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,1,0,090,,Aug03,6
14000,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,0,090,,Aug03,6
14000,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,090,,Aug03,6
14000,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
14000,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,090,,Aug03,6
14000,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,6
14001,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
14001,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
14001,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
14001,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
14001,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
14001,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
14001,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
14001,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Aug03,6
14001,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,090,,Aug03,6
14001,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,090,,Aug03,6
14001,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
14001,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
14001,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
14001,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
14001,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
14001,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
14001,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
14001,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,1,090,,Aug03,6
14001,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,090,,Aug03,6
14001,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Aug03,6
14001,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
14001,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
14001,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,1,0,090,,Aug03,6
14001,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,0,090,,Aug03,6
14001,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,090,,Aug03,6
14001,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
14001,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,090,,Aug03,6
14001,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,6
14020,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
14020,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
14020,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
14020,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
14020,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
14020,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
14020,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
14020,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Aug03,6
14020,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,090,,Aug03,6
14020,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,090,,Aug03,6
14020,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
14020,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
14020,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
14020,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
14020,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-sof-setspecialty visit",pack,1.143,5,4,090,,Aug03,6
14020,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
14020,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
14020,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,1,090,,Aug03,6
14020,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,090,,Aug03,6
14020,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Aug03,6
14020,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
14020,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
14020,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,1,0,090,,Aug03,6
14020,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,0,090,,Aug03,6
14020,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,090,,Aug03,6
14020,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
14020,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,090,,Aug03,6
14020,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,6
14021,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
14021,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
14021,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
14021,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
14021,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
14021,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
14021,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
14021,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Aug03,6
14021,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,090,,Aug03,6
14021,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,090,,Aug03,6
14021,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
14021,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
14021,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
14021,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
14021,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
14021,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
14021,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
14021,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,1,090,,Aug03,6
14021,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,090,,Aug03,6
14021,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Aug03,6
14021,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,0,090,,Aug03,6
14021,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
14021,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
14021,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,1,0,090,,Aug03,6
14021,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,0,090,,Aug03,6
14021,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,090,,Aug03,6
14021,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
14021,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,090,,Aug03,6
14021,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,6
14040,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
14040,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
14040,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
14040,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
14040,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
14040,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Aug03,6
14040,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
14040,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,090,,Aug03,6
14040,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
14040,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
14040,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
14040,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
14040,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,4,090,,Aug03,6
14040,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
14040,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
14040,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,090,,Aug03,6
14040,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Aug03,6
14040,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,0,090,,Aug03,6
14040,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
14040,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
14040,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
14040,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,0,090,,Aug03,6
14040,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,090,,Aug03,6
14040,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Aug03,6
14040,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,0,090,,Aug03,6
14040,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,090,,Aug03,6
14041,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,,
14041,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,,
14041,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,090,,,
14041,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,,090,,,
14041,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,,
14041,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,090,,,
14041,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
14041,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,,
14041,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,,
14041,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,6,,090,,,
14041,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,,
14041,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,,
14041,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,090,,,
14041,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,1,090,,,
14041,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,40,,090,,,
14041,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,20,,090,,,
14041,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,090,,,
14041,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,40,,090,,,
14041,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,090,,,
14041,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,090,,,
14041,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,090,,,
14041,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,090,,,
14041,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,1,090,,,
14041,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,090,,,
14060,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
14060,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
14060,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
14060,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
14060,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
14060,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Aug03,6
14060,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,090,,Aug03,6
14060,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,090,,Aug03,6
14060,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
14060,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
14060,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
14060,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
14060,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
14060,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
14060,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,1,090,,Aug03,6
14060,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,090,,Aug03,6
14060,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Aug03,6
14060,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,0,090,,Aug03,6
14060,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
14060,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
14060,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
14060,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,0,090,,Aug03,6
14060,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,090,,Aug03,6
14060,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
14060,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,090,,Aug03,6
14060,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,090,,Aug03,6
14061,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,,
14061,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,,
14061,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,090,,,
14061,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,,090,,,
14061,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,,
14061,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,090,,,
14061,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
14061,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,,
14061,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,,
14061,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,6,,090,,,
14061,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,,
14061,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,,
14061,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,090,,,
14061,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,1,090,,,
14061,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,40,,090,,,
14061,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,20,,090,,,
14061,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,090,,,
14061,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,40,,090,,,
14061,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,090,,,
14061,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,090,,,
14061,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,090,,,
14061,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,3,,090,,,
14061,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,1,090,,,
14061,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,090,,,
14301,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,090,,CPT10,26
14301,RUC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,,090,,CPT10,26
14301,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,20,,090,,CPT10,26
14301,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,090,,CPT10,26
14301,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,40,,090,,CPT10,26
14301,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,090,,CPT10,26
14301,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,090,,CPT10,26
14301,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,,090,,CPT10,26
14301,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,090,,CPT10,26
14301,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,CPT10,26
14301,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,CPT10,26
14301,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,CPT10,26
14301,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,CPT10,26
14301,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,CPT10,26
14301,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,,090,,CPT10,26
14301,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,3,,090,,CPT10,26
14301,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,CPT10,26
14301,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,CPT10,26
14301,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,090,,CPT10,26
14301,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,090,,CPT10,26
14301,RUC,"Cutters, Closures, Cautery",SF010,"blade, surgical hair clipper",item,5.036,1,,090,,CPT10,26
14301,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,5,,090,,CPT10,26
14301,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,090,,CPT10,26
14301,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,090,,CPT10,26
14301,RUC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,,090,,CPT10,26
14301,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,090,,CPT10,26
14301,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,,090,,CPT10,26
14301,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,5,,090,,CPT10,26
14301,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,5,,090,,CPT10,26
14301,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,090,,CPT10,26
14301,RUC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,090,,CPT10,26
14301,RUC,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,1,,090,,CPT10,26
14301,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,090,,CPT10,26
14302,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,CPT10,26
14350,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
14350,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,,
14350,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,5,090,,,
14350,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,5,090,,,
14350,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,,
15002,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,CPT07,
15002,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,CPT07,
15002,RUC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,000,,CPT07,
15002,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,000,,CPT07,
15002,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,CPT07,
15002,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT07,
15002,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,CPT07,
15002,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,000,,CPT07,
15002,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,CPT07,
15002,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,CPT07,
15002,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT07,
15002,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,CPT07,
15002,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,CPT07,
15002,RUC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,CPT07,
15002,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,CPT07,
15002,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,4,,000,,CPT07,
15002,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,CPT07,
15002,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,000,,CPT07,
15002,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,,000,,CPT07,
15002,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,000,,CPT07,
15002,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,000,,CPT07,
15003,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,ZZZ,,CPT07,
15003,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,ZZZ,,CPT07,
15003,RUC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,ZZZ,,CPT07,
15003,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,ZZZ,,CPT07,
15003,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,ZZZ,,CPT07,
15003,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,,ZZZ,,CPT07,
15003,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,4,,ZZZ,,CPT07,
15004,RUC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,000,,CPT07,
15004,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,CPT07,
15004,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,4,,000,,CPT07,
15004,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,CPT07,
15004,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,000,,CPT07,
15004,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,,000,,CPT07,
15004,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,000,,CPT07,
15004,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,CPT07,
15004,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,CPT07,
15004,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,000,,CPT07,
15004,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,CPT07,
15004,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT07,
15004,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,CPT07,
15004,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,000,,CPT07,
15004,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT07,
15004,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,CPT07,
15004,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,000,,CPT07,
15004,RUC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,000,,CPT07,
15004,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,CPT07,
15004,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,CPT07,
15004,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,CPT07,
15005,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,ZZZ,,CPT07,
15005,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,ZZZ,,CPT07,
15005,RUC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,ZZZ,,CPT07,
15005,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,ZZZ,,CPT07,
15005,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,ZZZ,,CPT07,
15005,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,,ZZZ,,CPT07,
15005,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,4,,ZZZ,,CPT07,
15040,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,000,,RUC05,
15040,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,RUC05,
15040,RUC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,,000,,RUC05,
15040,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,RUC05,
15040,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,RUC05,
15040,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,RUC05,
15040,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,000,,RUC05,
15040,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,4,,000,,RUC05,
15040,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,RUC05,
15040,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,40,,000,,RUC05,
15040,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,2,,000,,RUC05,
15040,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,6,,000,,RUC05,
15040,RUC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,2,,000,,RUC05,
15040,RUC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,000,,RUC05,
15040,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,,000,,RUC05,
15040,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,RUC05,
15040,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,000,,RUC05,
15040,RUC,"Cutters, Closures, Cautery",SF003,"blade, dermatome",item,17.4,1,,000,,RUC05,
15040,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,,000,,RUC05,
15040,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,2,,000,,RUC05,
15040,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,RUC05,
15040,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,RUC05,
15040,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,RUC05,
15040,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,8,,000,,RUC05,
15050,PEAC,"Cutters, Closures, Cautery",SF048,"suture, monocryl, 3-0 to 6-0, p, ps",item,9.8869,1,0,090,,Aug03,6
15050,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15050,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15050,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15050,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15050,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
15050,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
15050,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
15050,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15050,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15050,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15050,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15050,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15050,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
15050,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15050,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
15050,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
15050,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15050,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15050,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15050,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,5,4,090,,Aug03,6
15050,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,5,0,090,,Aug03,6
15100,PEAC,"Cutters, Closures, Cautery",SF003,"blade, dermatome",item,17.4,1,,090,,,
15100,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,,
15100,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,,
15100,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,6,,090,,,
15100,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,090,,,
15100,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,,090,,,
15100,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,2,,090,,,
15100,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
15100,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,,
15100,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,,
15100,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,8,,090,,,
15100,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,,
15100,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,,
15100,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,090,,,
15100,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,1,090,,,
15100,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,090,,,
15100,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,090,,,
15100,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,090,,,
15100,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,40,,090,,,
15100,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,090,,,
15100,PEAC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,2,1,090,,,
15100,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,2,2,090,,,
15100,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,4,4,090,,,
15100,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,090,,,
15101,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,ZZZ,,,
15101,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,4,,ZZZ,,,
15101,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,ZZZ,,,
15101,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,4,,ZZZ,,,
15101,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,ZZZ,,,
15101,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,ZZZ,,,
15101,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,1,ZZZ,,,
15101,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,ZZZ,,,
15101,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,ZZZ,,,
15101,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,ZZZ,,,
15101,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,ZZZ,,,
15101,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,4,2,ZZZ,,,
15101,PEAC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,2,,ZZZ,,,
15101,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,3,3,ZZZ,,,
15101,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,ZZZ,,,
15110,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,090,,RUC05,
15110,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,090,,RUC05,
15110,RUC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,1,090,,RUC05,
15110,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,090,,RUC05,
15110,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,090,,RUC05,
15110,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,090,,RUC05,
15110,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,090,,RUC05,
15110,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,4,4,090,,RUC05,
15110,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,RUC05,
15110,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,40,,090,,RUC05,
15110,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,2,2,090,,RUC05,
15110,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,6,,090,,RUC05,
15110,RUC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,2,1,090,,RUC05,
15110,RUC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,RUC05,
15110,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,RUC05,
15110,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,RUC05,
15110,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,090,,RUC05,
15110,RUC,"Cutters, Closures, Cautery",SF003,"blade, dermatome",item,17.4,1,,090,,RUC05,
15110,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,,090,,RUC05,
15110,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,2,,090,,RUC05,
15110,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,RUC05,
15110,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,RUC05,
15110,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,RUC05,
15110,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,8,,090,,RUC05,
15111,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
15115,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,090,,RUC05,
15115,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,090,,RUC05,
15115,RUC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,1,090,,RUC05,
15115,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,090,,RUC05,
15115,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,090,,RUC05,
15115,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,090,,RUC05,
15115,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,090,,RUC05,
15115,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,4,4,090,,RUC05,
15115,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,RUC05,
15115,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,40,,090,,RUC05,
15115,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,2,2,090,,RUC05,
15115,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,6,,090,,RUC05,
15115,RUC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,2,1,090,,RUC05,
15115,RUC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,RUC05,
15115,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,RUC05,
15115,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,RUC05,
15115,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,090,,RUC05,
15115,RUC,"Cutters, Closures, Cautery",SF003,"blade, dermatome",item,17.4,1,,090,,RUC05,
15115,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,,090,,RUC05,
15115,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,2,,090,,RUC05,
15115,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,RUC05,
15115,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,RUC05,
15115,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,RUC05,
15115,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,8,,090,,,
15116,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
15120,PEAC,"Cutters, Closures, Cautery",SF003,"blade, dermatome",item,17.4,1,,090,,,
15120,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,,
15120,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,,
15120,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,6,,090,,,
15120,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,090,,,
15120,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,,090,,,
15120,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,2,,090,,,
15120,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
15120,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,,
15120,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,,
15120,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,8,,090,,,
15120,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,,
15120,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,,
15120,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,090,,,
15120,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,1,090,,,
15120,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,090,,,
15120,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,090,,,
15120,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,090,,,
15120,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,40,,090,,,
15120,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,2,090,,,
15120,PEAC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,2,,090,,,
15120,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,2,1,090,,,
15120,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,4,4,090,,,
15120,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,090,,,
15121,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,ZZZ,,,
15121,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,4,,ZZZ,,,
15121,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,ZZZ,,,
15121,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,4,,ZZZ,,,
15121,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,ZZZ,,,
15121,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,ZZZ,,,
15121,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,1,ZZZ,,,
15121,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,ZZZ,,,
15121,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,ZZZ,,,
15121,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,ZZZ,,,
15121,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,ZZZ,,,
15121,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,4,2,ZZZ,,,
15121,PEAC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,2,,ZZZ,,,
15121,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,3,3,ZZZ,,,
15121,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,4,4,ZZZ,,,
15121,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,ZZZ,,,
15130,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,090,,RUC05,
15130,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,090,,RUC05,
15130,RUC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,1,090,,RUC05,
15130,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,090,,RUC05,
15130,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,090,,RUC05,
15130,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,090,,RUC05,
15130,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,090,,RUC05,
15130,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,4,4,090,,RUC05,
15130,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,RUC05,
15130,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,40,,090,,RUC05,
15130,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,2,2,090,,RUC05,
15130,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,6,,090,,RUC05,
15130,RUC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,2,1,090,,RUC05,
15130,RUC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,RUC05,
15130,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,RUC05,
15130,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,RUC05,
15130,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,090,,RUC05,
15130,RUC,"Cutters, Closures, Cautery",SF003,"blade, dermatome",item,17.4,1,,090,,RUC05,
15130,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,,090,,RUC05,
15130,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,2,,090,,RUC05,
15130,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,RUC05,
15130,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,RUC05,
15130,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,RUC05,
15130,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,8,,090,,RUC05,
15131,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
15135,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,090,,RUC05,
15135,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,090,,RUC05,
15135,RUC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,1,090,,RUC05,
15135,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,090,,RUC05,
15135,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,090,,RUC05,
15135,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,090,,RUC05,
15135,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,090,,RUC05,
15135,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,4,4,090,,RUC05,
15135,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,RUC05,
15135,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,40,,090,,RUC05,
15135,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,2,2,090,,RUC05,
15135,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,6,,090,,RUC05,
15135,RUC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,2,1,090,,RUC05,
15135,RUC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,RUC05,
15135,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,RUC05,
15135,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,RUC05,
15135,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,090,,RUC05,
15135,RUC,"Cutters, Closures, Cautery",SF003,"blade, dermatome",item,17.4,1,,090,,RUC05,
15135,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,,090,,RUC05,
15135,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,2,,090,,RUC05,
15135,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,RUC05,
15135,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,RUC05,
15135,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,RUC05,
15135,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,8,,090,,RUC05,
15136,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
15150,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,090,,RUC05,
15150,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,090,,RUC05,
15150,RUC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,1,090,,RUC05,
15150,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,090,,RUC05,
15150,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,090,,RUC05,
15150,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,090,,RUC05,
15150,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,090,,RUC05,
15150,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,4,4,090,,RUC05,
15150,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,RUC05,
15150,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,090,,RUC05,
15150,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,2,2,090,,RUC05,
15150,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,090,,RUC05,
15150,RUC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,2,1,090,,RUC05,
15150,RUC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,RUC05,
15150,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,RUC05,
15150,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,RUC05,
15150,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,090,,RUC05,
15150,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,,090,,RUC05,
15150,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,2,,090,,RUC05,
15150,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,RUC05,
15150,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,RUC05,
15150,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,RUC05,
15150,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,090,,RUC05,
15151,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,ZZZ,,RUC05,
15152,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,ZZZ,,RUC05,
15155,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,090,,RUC05,
15155,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,090,,RUC05,
15155,RUC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,1,090,,RUC05,
15155,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,090,,RUC05,
15155,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,090,,RUC05,
15155,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,090,,RUC05,
15155,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,090,,RUC05,
15155,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,4,4,090,,RUC05,
15155,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,RUC05,
15155,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,090,,RUC05,
15155,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,2,2,090,,RUC05,
15155,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,090,,RUC05,
15155,RUC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,2,1,090,,RUC05,
15155,RUC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,RUC05,
15155,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,RUC05,
15155,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,RUC05,
15155,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,090,,RUC05,
15155,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,,090,RUC05,RUC05,
15155,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,2,,090,RUC05,RUC05,
15155,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,RUC05,RUC05,
15155,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,RUC05,RUC05,
15155,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,RUC05,RUC05,
15155,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,090,RUC05,RUC05,
15156,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,ZZZ,,RUC05,
15157,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,ZZZ,,RUC05,
15170,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,090,,RUC05,
15170,RUC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,5,,090,,RUC05,
15170,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,,090,,RUC05,
15170,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,,090,,RUC05,
15170,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,090,,RUC05,
15170,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,090,,RUC05,
15170,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,090,,RUC05,
15170,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,090,,RUC05,
15170,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,RUC05,
15170,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,090,,RUC05,
15170,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,090,,RUC05,
15170,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,RUC05,
15170,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,RUC05,
15170,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,,090,,RUC05,
15170,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,090,,RUC05,
15171,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
15175,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,090,,RUC05,
15175,RUC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,5,,090,,RUC05,
15175,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,,090,,RUC05,
15175,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,,090,,RUC05,
15175,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,090,,RUC05,
15175,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,090,,RUC05,
15175,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,090,,RUC05,
15175,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,090,,RUC05,
15175,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,RUC05,
15175,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,090,,RUC05,
15175,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,090,,RUC05,
15175,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,RUC05,
15175,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,RUC05,
15175,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,,090,,RUC05,
15175,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,090,,RUC05,
15176,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
15200,PEAC,"Cutters, Closures, Cautery",SF048,"suture, monocryl, 3-0 to 6-0, p, ps",item,9.8869,1,0,090,,Aug03,6
15200,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15200,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15200,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15200,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15200,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
15200,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,4,0,090,,Aug03,6
15200,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
15200,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15200,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15200,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15200,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15200,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,6
15200,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15200,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
15200,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
15200,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15200,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15200,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15200,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,4.5,3.5,090,,Aug03,6
15200,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,5,0,090,,Aug03,6
15201,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,ZZZ,,Mar04,P
15201,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,2,0,ZZZ,,Mar04,P
15201,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,ZZZ,,Mar04,P
15201,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,ZZZ,,Mar04,P
15201,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,0,ZZZ,,Mar04,P
15201,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,ZZZ,,Mar04,P
15201,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,ZZZ,,Mar04,P
15201,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,ZZZ,,Mar04,P
15201,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,0,ZZZ,,Mar04,P
15201,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,1,0,ZZZ,,Mar04,P
15201,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,ZZZ,,Mar04,P
15220,PEAC,"Cutters, Closures, Cautery",SF048,"suture, monocryl, 3-0 to 6-0, p, ps",item,9.8869,1,0,090,,Aug03,6
15220,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15220,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15220,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15220,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15220,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
15220,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,4,0,090,,Aug03,6
15220,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
15220,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15220,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15220,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15220,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15220,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15220,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,6
15220,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15220,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
15220,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
15220,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15220,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15220,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15220,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,5.5,4.5,090,,Aug03,6
15220,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,5,0,090,,Aug03,6
15221,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,ZZZ,,Mar04,P
15221,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,2,0,ZZZ,,Mar04,P
15221,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,ZZZ,,Mar04,P
15221,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,ZZZ,,Mar04,P
15221,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,0,ZZZ,,Mar04,P
15221,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,ZZZ,,Mar04,P
15221,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,ZZZ,,Mar04,P
15221,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,ZZZ,,Mar04,P
15221,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,0,ZZZ,,Mar04,P
15221,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,1,0,ZZZ,,Mar04,P
15221,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,ZZZ,,Mar04,P
15240,PEAC,"Cutters, Closures, Cautery",SF048,"suture, monocryl, 3-0 to 6-0, p, ps",item,9.8869,1,0,090,,Aug03,6
15240,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15240,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15240,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15240,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15240,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
15240,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
15240,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
15240,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15240,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15240,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15240,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15240,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15240,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,7,6,090,,Aug03,6
15240,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15240,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
15240,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
15240,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15240,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15240,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15240,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,7,6,090,,Aug03,6
15240,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,5,0,090,,Aug03,6
15241,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,ZZZ,,Mar04,P
15241,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,2,0,ZZZ,,Mar04,P
15241,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,ZZZ,,Mar04,P
15241,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,ZZZ,,Mar04,P
15241,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,0,ZZZ,,Mar04,P
15241,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,ZZZ,,Mar04,P
15241,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,ZZZ,,Mar04,P
15241,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,ZZZ,,Mar04,P
15241,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,0,ZZZ,,Mar04,P
15241,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,1,0,ZZZ,,Mar04,P
15241,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,ZZZ,,Mar04,P
15260,PEAC,"Cutters, Closures, Cautery",SF048,"suture, monocryl, 3-0 to 6-0, p, ps",item,9.8869,1,0,090,,Aug03,6
15260,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15260,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15260,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15260,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15260,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
15260,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
15260,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
15260,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15260,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15260,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15260,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15260,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15260,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,6
15260,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15260,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
15260,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
15260,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15260,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15260,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15260,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,6,5,090,,Aug03,6
15260,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,5,0,090,,Aug03,6
15261,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,ZZZ,,,
15261,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,ZZZ,,,
15261,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,ZZZ,,,
15261,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,ZZZ,,,
15261,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,ZZZ,,,
15261,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,ZZZ,,,
15261,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,1,ZZZ,,,
15261,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,ZZZ,,,
15261,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,ZZZ,,,
15261,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,ZZZ,,,
15261,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,ZZZ,,,
15261,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,ZZZ,,,
15261,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,ZZZ,,,
15261,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,2,ZZZ,,,
15261,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,ZZZ,,,
15300,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,090,,RUC05,
15300,RUC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,5,,090,,RUC05,
15300,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,,090,,RUC05,
15300,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,,090,,RUC05,
15300,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,090,,RUC05,
15300,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,090,,RUC05,
15300,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,090,,RUC05,
15300,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,090,,RUC05,
15300,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,RUC05,
15300,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,090,,RUC05,
15300,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,090,,RUC05,
15300,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,RUC05,
15300,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,RUC05,
15300,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,,090,,RUC05,
15300,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,090,,RUC05,
15301,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
15320,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,090,,RUC05,
15320,RUC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,5,,090,,RUC05,
15320,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,,090,,RUC05,
15320,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,,090,,RUC05,
15320,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,090,,RUC05,
15320,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,090,,RUC05,
15320,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,090,,RUC05,
15320,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,090,,RUC05,
15320,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,RUC05,
15320,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,090,,RUC05,
15320,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,090,,RUC05,
15320,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,RUC05,
15320,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,RUC05,
15320,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,,090,,RUC05,
15320,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,090,,RUC05,
15321,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
15330,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,090,,RUC05,
15330,RUC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,5,,090,,RUC05,
15330,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,,090,,RUC05,
15330,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,,090,,RUC05,
15330,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,090,,RUC05,
15330,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,090,,RUC05,
15330,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,090,,RUC05,
15330,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,090,,RUC05,
15330,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,RUC05,
15330,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,090,,RUC05,
15330,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,090,,RUC05,
15330,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,RUC05,
15330,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,RUC05,
15330,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,,090,,RUC05,
15330,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,090,,RUC05,
15331,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
15335,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,090,,RUC05,
15335,RUC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,5,,090,,RUC05,
15335,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,,090,,RUC05,
15335,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,,090,,RUC05,
15335,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,090,,RUC05,
15335,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,090,,RUC05,
15335,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,090,,RUC05,
15335,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,090,,RUC05,
15335,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,RUC05,
15335,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,090,,RUC05,
15335,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,090,,RUC05,
15335,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,RUC05,
15335,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,RUC05,
15335,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,,090,,RUC05,
15335,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,090,,RUC05,
15336,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
15340,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,010,,RUC05,
15340,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,3,2,010,,RUC05,
15340,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,010,,RUC05,
15340,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,RUC05,
15340,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,0,010,,RUC05,
15340,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,010,,RUC05,
15340,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,010,,RUC05,
15340,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,010,,RUC05,
15340,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,RUC05,
15340,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,RUC05,
15340,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,RUC05,
15340,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,010,,RUC05,
15340,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,RUC05,
15340,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,47420,RUC05,
15340,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,0,010,,RUC05,
15341,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,0,ZZZ,,RUC05,
15341,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,ZZZ,,RUC05,
15341,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,ZZZ,,RUC05,
15341,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,5,0,ZZZ,,RUC05,
15360,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,RUC05,
15360,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,RUC05,
15360,RUC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,5,0,090,,RUC05,
15360,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,5,4,090,,RUC05,
15360,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,RUC05,
15360,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,RUC05,
15360,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,RUC05,
15360,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,RUC05,
15360,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,RUC05,
15360,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,RUC05,
15360,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,RUC05,
15360,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,RUC05,
15360,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,RUC05,
15360,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,RUC05,
15360,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,RUC05,
15360,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,0,090,,RUC05,
15360,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,88171,RUC05,
15361,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,ZZZ,,RUC05,
15365,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,RUC05,
15365,RUC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,5,0,090,,RUC05,
15365,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,5,4,090,,RUC05,
15365,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,RUC05,
15365,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,RUC05,
15365,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,RUC05,
15365,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,RUC05,
15365,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,RUC05,
15365,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,RUC05,
15365,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,RUC05,
15365,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,RUC05,
15365,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,RUC05,
15365,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,RUC05,
15365,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,RUC05,
15365,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,0,090,,RUC05,
15365,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,88171,RUC05,
15366,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,ZZZ,,RUC05,
15400,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,RUC05,
15400,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,4,0,090,,RUC05,
15400,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,RUC05,
15400,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,RUC05,
15400,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,RUC05,
15400,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,RUC05,
15400,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,5,4,090,,RUC05,
15400,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,RUC05,
15400,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,RUC05,
15400,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,RUC05,
15400,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,RUC05,
15400,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,RUC05,
15400,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,RUC05,
15400,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,RUC05,
15400,RUC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,5,0,090,,RUC05,
15400,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,RUC05,
15401,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,ZZZ,,RUC05,
15401,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,ZZZ,,RUC05,
15401,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,ZZZ,,RUC05,
15420,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,RUC05,
15420,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,RUC05,
15420,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,RUC05,
15420,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,RUC05,
15420,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,RUC05,
15420,RUC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,RUC05,
15420,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,5,4,090,,RUC05,
15420,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,RUC05,
15420,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,RUC05,
15420,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,RUC05,
15420,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,RUC05,
15420,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,RUC05,
15420,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,RUC05,
15420,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,RUC05,
15420,RUC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,5,0,090,,RUC05,
15420,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,RUC05,
15421,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,ZZZ,,RUC05,
15421,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,ZZZ,,RUC05,
15421,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,ZZZ,,RUC05,
15430,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,RUC05,
15430,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,RUC05,
15430,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,RUC05,
15430,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,9,8,090,,RUC05,
15430,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,RUC05,
15430,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,RUC05,
15430,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,RUC05,
15430,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,10,9,090,,RUC05,
15431,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,ZZZ,,RUC05,
15570,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15570,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15570,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15570,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15570,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
15570,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,3,0,090,,Aug03,6
15570,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Aug03,6
15570,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15570,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15570,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15570,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15570,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15570,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Oct08,ss
15570,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15570,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
15570,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
15570,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
15570,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15570,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15570,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15570,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,4,3,090,,Aug03,6
15572,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15572,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15572,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15572,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15572,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
15572,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
15572,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
15572,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15572,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15572,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15572,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15572,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15572,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Oct08,ss
15572,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15572,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
15572,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
15572,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
15572,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15572,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15572,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15572,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,4,3,090,,Aug03,6
15574,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15574,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15574,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15574,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15574,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
15574,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
15574,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
15574,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15574,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15574,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15574,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15574,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15574,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Oct08,ss
15574,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15574,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
15574,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
15574,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
15574,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15574,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15574,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15574,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,5,4,090,,Aug03,6
15576,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15576,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15576,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15576,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15576,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
15576,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
15576,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
15576,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15576,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15576,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15576,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15576,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15576,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Oct08,ss
15576,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15576,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
15576,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
15576,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
15576,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15576,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15576,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15576,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,4,3,090,,Aug03,6
15600,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15600,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15600,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15600,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15600,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
15600,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
15600,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
15600,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15600,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15600,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15600,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15600,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,6
15600,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15600,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
15600,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
15600,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
15600,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15600,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15600,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15600,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,3,2,090,,Aug03,6
15610,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15610,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15610,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15610,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15610,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
15610,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
15610,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
15610,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15610,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15610,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15610,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15610,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15610,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,6
15610,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15610,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
15610,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
15610,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
15610,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15610,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15610,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15610,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,3,2,090,,Aug03,6
15620,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15620,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15620,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15620,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15620,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
15620,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
15620,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
15620,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15620,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15620,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15620,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15620,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15620,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,6
15620,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15620,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
15620,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
15620,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
15620,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15620,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15620,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15620,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,3.5,2.5,090,,Aug03,6
15630,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15630,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15630,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15630,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15630,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
15630,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
15630,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
15630,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15630,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15630,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15630,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15630,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15630,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,6
15630,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15630,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
15630,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
15630,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
15630,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15630,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15630,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15630,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,3.5,2.5,090,,Aug03,6
15650,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15650,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15650,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15650,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15650,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
15650,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
15650,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
15650,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15650,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15650,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15650,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15650,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15650,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,6
15650,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15650,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
15650,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
15650,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
15650,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15650,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15650,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15650,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,3.5,2.5,090,,Aug03,6
15731,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,0,090,,CPT07,
15731,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,090,,CPT07,
15731,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,CPT07,
15731,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,0,090,,CPT07,
15731,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,CPT07,
15731,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,0,090,,CPT07,
15731,RUC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,0,090,,CPT07,
15731,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,CPT07,
15731,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,090,,CPT07,
15731,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,090,,CPT07,
15731,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,CPT07,
15731,RUC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,0,090,,CPT07,
15731,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,CPT07,
15731,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,CPT07,
15731,RUC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,CPT07,
15731,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,CPT07,
15731,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,CPT07,
15731,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,CPT07,
15731,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,090,,CPT07,
15731,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,CPT07,
15731,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,0,090,,CPT07,
15731,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,CPT07,
15731,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,CPT07,
15731,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,CPT07,
15731,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,CPT07,
15732,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,,
15732,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,,
15732,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,,
15732,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,,
15732,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,,
15732,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,,
15732,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,,
15732,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,090,,,
15732,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,,
15732,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,0,090,,,
15732,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,,
15732,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,,
15732,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,,
15732,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,2,0,090,,,
15732,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,0,090,,,
15732,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,090,,,
15732,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,,
15732,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,0,090,,,
15732,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,,
15732,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,,
15732,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,4,090,,,
15732,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,0,090,,,
15732,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,4,090,,,
15732,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,4,090,,,
15732,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,0,090,,,
15732,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,090,,,
15734,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,,
15734,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,,
15734,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,,
15734,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,,
15734,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,,
15734,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,,
15734,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,,
15734,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,090,,,
15734,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,,
15734,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,0,090,,,
15734,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,,
15734,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,,
15734,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,,
15734,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,2,0,090,,,
15734,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,0,090,,,
15734,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,090,,,
15734,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,,
15734,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,0,090,,,
15734,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,,
15734,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,,
15734,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,4,090,,,
15734,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,0,090,,,
15734,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,4,090,,,
15734,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,4,090,,,
15734,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,0,090,,,
15734,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,090,,,
15736,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,,
15736,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,,
15736,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,,
15736,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,,
15736,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,,
15736,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,,
15736,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,,
15736,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,090,,,
15736,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,,
15736,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,0,090,,,
15736,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,,
15736,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,,
15736,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,,
15736,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,2,0,090,,,
15736,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,0,090,,,
15736,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,090,,,
15736,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,,
15736,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,0,090,,,
15736,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,,
15736,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,,
15736,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,4,090,,,
15736,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,0,090,,,
15736,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,4,090,,,
15736,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,4,090,,,
15736,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,0,090,,,
15736,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,090,,,
15738,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,,
15738,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,,
15738,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,,
15738,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,,
15738,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,,
15738,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,,
15738,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,,
15738,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,090,,,
15738,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,,
15738,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,0,090,,,
15738,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,,
15738,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,,
15738,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,,
15738,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,2,0,090,,,
15738,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,0,090,,,
15738,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,090,,,
15738,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,,
15738,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,0,090,,,
15738,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,,
15738,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,,
15738,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,0,090,,,
15738,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,0,090,,,
15738,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,4,090,,,
15738,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,4,090,,,
15738,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,0,090,,,
15738,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,090,,,
15740,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15740,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15740,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15740,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15740,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
15740,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
15740,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15740,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Aug03,6
15740,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,090,,Aug03,6
15740,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,090,,Aug03,6
15740,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15740,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15740,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15740,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15740,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,6
15740,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15740,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
15740,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,1,090,,Aug03,6
15740,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,090,,Aug03,6
15740,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Aug03,6
15740,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,0,090,,Aug03,6
15740,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
15740,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15740,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15740,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15740,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,0,090,,Aug03,6
15740,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,090,,Aug03,6
15740,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,4,3,090,,Aug03,6
15740,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
15740,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,090,,Aug03,6
15740,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,6
15750,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
15750,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
15750,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,,
15750,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,5,090,,,
15750,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,5,090,,,
15750,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,,
15756,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,15755,,
15756,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
15756,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,70,090,15755,,
15756,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,7,090,15755,,
15756,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,7,090,15755,,
15756,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,15755,,
15757,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,15755,,
15757,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
15757,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,70,090,15755,,
15757,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,7,090,15755,,
15757,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,7,090,15755,,
15757,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,15755,,
15758,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,15755,,
15758,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
15758,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,70,090,15755,,
15758,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,7,090,15755,,
15758,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,7,090,15755,,
15758,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,15755,,
15760,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15760,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15760,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15760,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15760,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
15760,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
15760,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
15760,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15760,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15760,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15760,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15760,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15760,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,6
15760,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15760,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
15760,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
15760,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
15760,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15760,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15760,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15760,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,4.5,3.5,090,,Aug03,6
15770,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,,,
15770,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
15770,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,,
15770,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,5,090,,,
15770,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,5,090,,,
15770,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,,
15775,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,000,,Feb05,
15775,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,Feb05,
15775,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Feb05,
15775,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Feb05,
15775,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,Feb05,
15775,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,Feb05,Feb05,
15775,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,000,,Feb05,
15775,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,000,,Feb05,
15775,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,Feb05,
15775,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,Feb05,
15775,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,Feb05,
15775,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,000,,Feb05,
15775,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,Feb05,Feb05,
15775,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,0,000,,Feb05,
15775,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,Feb05,
15775,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,000,Feb05,Feb05,
15775,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,000,,Feb05,
15775,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,000,,Feb05,
15775,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,Feb05,
15775,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,000,,Feb05,
15775,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Feb05,
15775,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,000,,Feb05,
15775,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,000,,Feb05,
15775,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,000,,Feb05,
15775,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Feb05,
15775,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,Feb05,
15776,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,Feb05,
15776,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Feb05,
15776,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,Feb05,
15776,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,Feb05,
15776,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Feb05,
15776,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,000,,Feb05,
15776,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Feb05,
15776,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,Feb05,
15776,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,Feb05,Feb05,
15776,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,000,,Feb05,
15776,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,Feb05,
15776,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,000,,Feb05,
15776,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,2,0,000,,Feb05,
15776,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,000,,Feb05,
15776,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,000,,Feb05,
15776,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,000,,Feb05,
15776,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,2,0,000,,Feb05,
15776,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,000,,Feb05,
15776,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,Feb05,Feb05,
15776,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,Feb05,Feb05,
15776,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Feb05,
15776,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,000,,Feb05,
15776,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,3,0,000,,Feb05,
15776,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,Feb05,
15776,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,Feb05,
15776,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,000,,Feb05,
15780,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Mar04,P
15780,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Mar04,P
15780,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar04,P
15780,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar04,P
15780,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Mar04,P
15780,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Mar04,P
15780,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,2,0,090,,Mar04,P
15780,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,60,0,090,,Mar04,P
15780,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar04,P
15780,PEAC,"Pharmacy, Rx",SH089,skin refrigerant-anesthetic spray (Frigiderm),oz,5,16,0,090,,Mar04,P
15780,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,6,3,090,,Mar04,P
15780,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,4,2,090,,Mar04,P
15780,PEAC,"Wound Care, Dressings",SG038,"dressing, 4in x 4in (Vigilon)",item,4.371,16,8,090,,Mar04,P
15781,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Mar04,P
15781,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Mar04,P
15781,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar04,P
15781,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar04,P
15781,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Mar04,P
15781,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Mar04,P
15781,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,0,090,,Mar04,P
15781,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar04,P
15781,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar04,P
15781,PEAC,"Pharmacy, Rx",SH089,skin refrigerant-anesthetic spray (Frigiderm),oz,5,8,0,090,,Mar04,P
15781,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,1,090,,Mar04,P
15781,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,2,090,,Mar04,P
15781,PEAC,"Wound Care, Dressings",SG038,"dressing, 4in x 4in (Vigilon)",item,4.371,6,3,090,,Mar04,P
15782,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Mar04,P
15782,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Mar04,P
15782,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar04,P
15782,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar04,P
15782,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Mar04,P
15782,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Mar04,P
15782,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,2,0,090,,Mar04,P
15782,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,60,0,090,,Mar04,P
15782,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar04,P
15782,PEAC,"Pharmacy, Rx",SH089,skin refrigerant-anesthetic spray (Frigiderm),oz,5,8,0,090,,Mar04,P
15782,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,1,090,,Mar04,P
15782,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,2,090,,Mar04,P
15782,PEAC,"Wound Care, Dressings",SG038,"dressing, 4in x 4in (Vigilon)",item,4.371,24,12,090,,Mar04,P
15783,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Mar04,P
15783,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Mar04,P
15783,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar04,P
15783,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar04,P
15783,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Mar04,P
15783,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Mar04,P
15783,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,0,090,,Mar04,P
15783,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar04,P
15783,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar04,P
15783,PEAC,"Pharmacy, Rx",SH089,skin refrigerant-anesthetic spray (Frigiderm),oz,5,8,0,090,,Mar04,P
15783,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,1,090,,Mar04,P
15783,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,2,090,,Mar04,P
15783,PEAC,"Wound Care, Dressings",SG038,"dressing, 4in x 4in (Vigilon)",item,4.371,6,3,090,,Mar04,P
15786,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,010,,Mar04,P
15786,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,010,,Mar04,P
15786,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,P
15786,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,P
15786,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,010,,Mar04,P
15786,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,010,,Mar04,P
15786,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,0,010,,Mar04,P
15786,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,0,010,,Mar04,P
15786,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,P
15786,PEAC,"Pharmacy, Rx",SH089,skin refrigerant-anesthetic spray (Frigiderm),oz,5,8,0,010,,Mar04,P
15786,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,010,,Mar04,P
15786,PEAC,"Wound Care, Dressings",SG038,"dressing, 4in x 4in (Vigilon)",item,4.371,4,0,010,,Mar04,P
15787,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,ZZZ,,Mar04,P
15787,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,0,ZZZ,,Mar04,P
15787,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,0,ZZZ,,Mar04,P
15787,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,ZZZ,,Mar04,P
15787,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,ZZZ,,Mar04,P
15787,PEAC,"Wound Care, Dressings",SG038,"dressing, 4in x 4in (Vigilon)",item,4.371,4,0,ZZZ,,Mar04,P
15788,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15788,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Aug03,6
15788,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
15788,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
15788,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15788,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,6
15788,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,2,0,090,,Aug03,6
15788,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,60,0,090,,Aug03,6
15788,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,0,090,,Aug03,6
15788,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
15788,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15788,PEAC,"Pharmacy, Rx",SH083,Jessner's soln,ml,0.2396,1,0,090,,Aug03,6
15788,PEAC,"Pharmacy, Rx",SH089,skin refrigerant-anesthetic spray (Frigiderm),oz,5,16,0,090,,Aug03,6
15788,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,4,2,090,,Aug03,6
15788,PEAC,"Wound Care, Dressings",SG038,"dressing, 4in x 4in (Vigilon)",item,4.371,16,8,090,,Aug03,6
15788,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Aug03,6
15789,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15789,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Aug03,6
15789,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
15789,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
15789,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15789,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,6
15789,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,0,090,,Aug03,6
15789,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Aug03,6
15789,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,0,090,,Aug03,6
15789,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
15789,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15789,PEAC,"Pharmacy, Rx",SH088,"phenol, liquified, USP",ml,0.1354,1,0,090,,Aug03,6
15789,PEAC,"Pharmacy, Rx",SH089,skin refrigerant-anesthetic spray (Frigiderm),oz,5,8,0,090,,Aug03,6
15789,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,2,090,,Aug03,6
15789,PEAC,"Wound Care, Dressings",SG038,"dressing, 4in x 4in (Vigilon)",item,4.371,6,3,090,,Aug03,6
15789,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Aug03,6
15792,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15792,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Aug03,6
15792,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
15792,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
15792,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15792,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,6
15792,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,2,0,090,,Aug03,6
15792,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,60,0,090,,Aug03,6
15792,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,0,090,,Aug03,6
15792,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
15792,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15792,PEAC,"Pharmacy, Rx",SH083,Jessner's soln,ml,0.2396,1,0,090,,Aug03,6
15792,PEAC,"Pharmacy, Rx",SH089,skin refrigerant-anesthetic spray (Frigiderm),oz,5,8,0,090,,Aug03,6
15792,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,2,090,,Aug03,6
15792,PEAC,"Wound Care, Dressings",SG038,"dressing, 4in x 4in (Vigilon)",item,4.371,24,12,090,,Aug03,6
15792,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Aug03,6
15793,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15793,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Aug03,6
15793,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
15793,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
15793,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15793,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,6
15793,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,0,090,,Aug03,6
15793,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Aug03,6
15793,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,0,090,,Aug03,6
15793,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
15793,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15793,PEAC,"Pharmacy, Rx",SH088,"phenol, liquified, USP",ml,0.1354,1,0,090,,Aug03,6
15793,PEAC,"Pharmacy, Rx",SH089,skin refrigerant-anesthetic spray (Frigiderm),oz,5,8,0,090,,Aug03,6
15793,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,2,090,,Aug03,6
15793,PEAC,"Wound Care, Dressings",SG038,"dressing, 4in x 4in (Vigilon)",item,4.371,6,3,090,,Aug03,6
15793,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Aug03,6
15819,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,,,
15819,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
15819,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
15819,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
15819,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,4,090,,,
15819,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
15820,PEAC,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,1,,090,,,
15820,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,4.5,3.5,090,ok,Apr06,J
15820,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,,
15820,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,20,090,,,
15820,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,20,090,,,
15820,PEAC,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,1,,090,,,
15820,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,30,,090,,,
15820,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,090,,,
15820,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,22,6,090,,,
15820,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,3,1,090,,,
15820,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,12,090,,,
15821,PEAC,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,1,,090,,,
15821,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,4.5,3.5,090,ok,,
15821,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
15821,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,20,090,,,
15821,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,20,090,,,
15821,PEAC,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,1,,090,,,
15821,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,30,,090,,,
15821,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,090,,,
15821,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,22,6,090,,,
15821,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,3,1,090,,,
15821,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,12,090,,,
15822,PEAC,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,1,,090,,,
15822,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,4.5,3.5,090,ok,Apr06,J
15822,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
15822,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,20,090,,,
15822,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,20,090,,,
15822,PEAC,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,1,,090,,,
15822,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,30,,090,,,
15822,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,090,,,
15822,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,22,6,090,,,
15822,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,3,1,090,,,
15822,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,12,090,,,
15823,PEAC,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,1,,090,,,
15823,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,5,4,090,ok,Apr06,J
15823,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
15823,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,20,090,,,
15823,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,20,090,,,
15823,PEAC,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,1,,090,,,
15823,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,30,,090,,,
15823,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,090,,,
15823,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,22,6,090,,,
15823,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,3,1,090,,,
15823,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,12,090,,,
15824,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,000,,,
15825,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,000,,,
15826,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,000,,,
15828,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,000,,,
15829,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,000,,,
15830,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,CPT07,
15830,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT07,
15832,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,,,
15832,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
15832,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
15832,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
15832,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,4,090,,,
15832,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
15833,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,,,
15833,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
15833,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
15833,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
15833,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,4,090,,,
15833,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
15834,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,,,
15834,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
15834,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
15834,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
15834,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,4,090,,,
15834,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
15835,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,6
15835,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
15836,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,,,
15836,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
15836,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
15836,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
15836,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,4,090,,,
15836,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
15837,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15837,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15837,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15837,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15837,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
15837,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
15837,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
15837,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15837,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15837,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15837,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15837,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15837,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,6
15837,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15837,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
15837,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
15837,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
15837,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15837,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15837,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15837,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,4.5,3.5,090,,Aug03,6
15838,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,,,
15838,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
15838,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
15838,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
15838,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,4,090,,,
15838,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
15839,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
15839,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
15839,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
15839,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
15839,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
15839,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
15839,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
15839,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
15839,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
15839,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
15839,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
15839,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
15839,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,6
15839,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
15839,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
15839,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
15839,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
15839,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
15839,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
15839,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
15839,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,4.5,3.5,090,,Aug03,6
15840,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,,,
15840,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
15840,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
15840,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
15840,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,6,090,,,
15840,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
15841,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,,,
15841,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
15841,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
15841,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
15841,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,6,090,,,
15841,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
15842,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,5,090,,,
15842,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Apr06,J
15842,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,70,090,,,
15842,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,7,090,,,
15842,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,7,090,,,
15842,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,,
15845,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
15845,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
15845,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
15845,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,3,090,,,
15845,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,3,090,,,
15845,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,,
15847,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,ZZZ,,CPT07,
15850,CPEP,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,XXX,,,
15850,CPEP,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,XXX,,,
15850,CPEP,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,XXX,,,
15850,CPEP,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,XXX,,,
15850,CPEP,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,XXX,,,
15850,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
15850,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
15850,CPEP,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,XXX,,,
15850,CPEP,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
15850,CPEP,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,XXX,,,
15850,CPEP,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,XXX,,,
15850,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,,XXX,,,
15850,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,XXX,,,
15850,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,XXX,,,
15850,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
15850,CPEP,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,XXX,,,
15850,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,XXX,,,
15850,CPEP,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,6,,XXX,,,
15850,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,XXX,,,
15851,CPEP,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,000,,,
15851,CPEP,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
15851,CPEP,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,000,,,
15851,CPEP,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
15851,CPEP,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
15851,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
15851,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
15851,CPEP,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,000,,,
15851,CPEP,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
15851,CPEP,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
15851,CPEP,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,,
15851,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,,000,,,
15851,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
15851,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,000,,,
15851,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
15851,CPEP,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,,
15851,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,000,,,
15851,CPEP,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,6,,000,,,
15851,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
15852,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Feb05,
15860,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Aug03,6
15876,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,000,,,
15877,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,000,,,
15878,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,000,,,
15879,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,000,,,
15920,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,5,090,,,
15920,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
15920,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,,
15920,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,5,090,,,
15920,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,5,090,,,
15920,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,,
15920,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,5,090,,,
15922,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,,,
15922,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
15922,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
15922,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
15922,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,6,090,,,
15922,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
15931,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,,,
15931,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
15931,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
15931,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
15931,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,4,090,,,
15931,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
15931,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
15933,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,6,090,,,
15933,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
15933,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
15933,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
15933,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,6,090,,,
15933,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
15933,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,6,090,,,
15934,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,,,
15934,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
15934,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
15934,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
15934,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,6,090,,,
15934,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
15935,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,,,
15935,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Apr06,J
15935,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
15935,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
15935,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,6,090,,,
15935,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
15936,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,,,
15936,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
15936,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
15936,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
15936,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,6,090,,,
15936,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
15937,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,,,
15937,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
15937,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
15937,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
15937,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,6,090,,,
15937,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
15940,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,3,090,,,
15940,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
15940,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
15940,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,3,090,,,
15940,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,3,090,,,
15940,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,,
15940,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
15941,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,6,090,,,
15941,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
15941,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
15941,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
15941,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,6,090,,,
15941,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
15941,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,6,090,,,
15944,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,,,
15944,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
15944,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
15944,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
15944,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,6,090,,,
15944,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
15945,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,,,
15945,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
15945,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
15945,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
15945,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,6,090,,,
15945,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
15946,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,,,
15946,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
15946,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
15946,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
15946,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,6,090,,,
15946,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
15950,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,,,
15950,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
15950,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
15950,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
15950,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,4,090,,,
15950,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
15950,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
15951,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,6,090,,,
15951,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
15951,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
15951,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
15951,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,6,090,,,
15951,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
15951,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,6,090,,,
15952,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,,,
15952,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
15952,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
15952,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
15952,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,4,090,,,
15952,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
15953,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,,,
15953,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
15953,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
15953,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
15953,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,6,090,,,
15953,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
15956,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,,,
15956,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Apr06,J
15956,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
15956,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
15956,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,6,090,,,
15956,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
15958,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,,,
15958,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Apr06,J
15958,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
15958,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
15958,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,6,090,,,
15958,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
15999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
16000,CPEP,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,000,,,
16000,CPEP,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
16000,CPEP,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
16000,CPEP,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
16000,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
16000,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
16000,CPEP,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,000,,,
16000,CPEP,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
16000,CPEP,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
16000,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,,000,,,
16000,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
16000,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,000,,,
16000,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
16000,CPEP,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,,000,,,
16000,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,000,,,
16000,CPEP,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,6,,000,,,
16000,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
16020,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,000,,RUC05,
16020,RUC,"Kit, Pack, Tray",SA029,"kit, sharp debridement",kit,4.114,1,,000,,RUC05,
16020,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,000,,RUC05,
16020,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,RUC05,
16020,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,,000,,RUC05,
16020,RUC,"Pharmacy, Rx",SH064,silver sulfadiazene cream (Silvadene),gm,0.161,1,,000,,RUC05,
16020,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,RUC05,
16020,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,RUC05,
16020,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,,000,,RUC05,
16020,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,RUC05,
16020,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,RUC05,
16020,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,,000,,RUC05,
16025,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,000,,RUC05,
16025,RUC,"Kit, Pack, Tray",SA029,"kit, sharp debridement",kit,4.114,1,,000,,RUC05,
16025,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,000,,RUC05,
16025,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,4,,000,,RUC05,
16025,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,000,,RUC05,
16025,RUC,"Pharmacy, Rx",SH064,silver sulfadiazene cream (Silvadene),gm,0.161,1,,000,,RUC05,
16025,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,RUC05,
16025,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,RUC05,
16025,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,,000,,RUC05,
16025,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,RUC05,
16025,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,RUC05,
16025,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,,000,,RUC05,
16025,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,000,,RUC05,
16030,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,48,,000,,RUC05,
16030,RUC,"Kit, Pack, Tray",SA029,"kit, sharp debridement",kit,4.114,1,,000,,RUC05,
16030,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,8,,000,,RUC05,
16030,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,8,,000,,RUC05,
16030,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,4,,000,,RUC05,
16030,RUC,"Pharmacy, Rx",SH064,silver sulfadiazene cream (Silvadene),gm,0.161,1,,000,,RUC05,
16030,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,40,,000,,RUC05,
16030,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,RUC05,
16030,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,,000,,RUC05,
16030,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,RUC05,
16030,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,RUC05,
16030,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,000,,RUC05,
16030,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,2,,000,,RUC05,
16035,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,090,,,
16036,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
17000,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,8,,010,,,
17000,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17000,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
17000,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17000,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17000,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,,010,,,
17000,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17000,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17000,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17000,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,10,,010,,,
17000,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
17003,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,8,,ZZZ,,,
17003,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,3,,ZZZ,,,
17003,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,,ZZZ,,,
17003,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,ZZZ,,,
17003,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,10,,ZZZ,,,
17003,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,ZZZ,,,
17004,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,90,,010,,,
17004,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17004,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
17004,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17004,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17004,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,,010,,,
17004,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,62,,010,,,
17004,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,24,,010,,,
17004,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,6,,010,,,
17004,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,10,,010,,,
17004,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,42,,010,,,
17106,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,,
17106,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,,
17106,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,090,,,
17106,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
17106,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,,
17106,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,,
17106,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,090,,,
17106,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Oct08,hi
17106,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,,090,,,
17106,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,090,,,
17106,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,090,,,
17106,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,090,,,
17106,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,090,,,
17106,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,090,,,
17106,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,090,,,
17106,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,090,,,
17107,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,,
17107,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,,
17107,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,090,,,
17107,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
17107,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,,
17107,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,,
17107,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,090,,,
17107,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Oct08,hi
17107,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,,090,,,
17107,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,090,,,
17107,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,090,,,
17107,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,090,,,
17107,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,090,,,
17107,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,090,,,
17107,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,090,,,
17107,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,090,,,
17107,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,090,,,
17108,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,090,,,
17108,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,,
17108,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,,
17108,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,090,,,
17108,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
17108,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,,
17108,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,090,,,
17108,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,090,,,
17108,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Oct08,hi
17108,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,2,,090,,,
17108,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,090,,,
17108,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,090,,,
17108,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,090,,,
17108,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,090,,,
17108,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,090,,,
17108,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,090,,,
17108,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,090,,,
17108,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,090,,,
17110,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,27,,010,,,
17110,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17110,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17110,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17110,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17110,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17110,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17110,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17110,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,010,,,
17110,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17110,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,2,,010,,,
17110,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17110,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17110,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17110,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17110,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
17110,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17110,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
17110,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
17110,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,010,,,
17111,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,40,,010,,,
17111,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17111,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17111,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17111,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17111,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17111,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17111,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17111,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,4,,010,,,
17111,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17111,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,3,,010,,,
17111,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17111,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17111,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17111,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17111,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
17111,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17111,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,010,,,
17111,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
17111,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,,010,,,
17250,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,000,,,
17250,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,0,000,,,
17250,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,,
17250,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,,,
17250,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,,
17250,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,000,,,
17250,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,,
17250,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,000,,,
17250,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,5,0,000,,,
17250,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
17250,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,3,0,000,,,
17250,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,,
17250,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,,
17250,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,5,0,000,,,
17250,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,,
17250,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,000,,,
17250,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,0,000,,,
17250,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,,
17250,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,3,0,000,,,
17250,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,0,000,,,
17260,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,20,,010,,,
17260,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17260,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17260,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17260,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17260,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17260,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17260,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17260,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
17260,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17260,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,,010,,,
17260,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17260,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17260,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17260,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17260,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,010,,,
17260,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
17260,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
17260,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
17261,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,20,,010,,,
17261,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17261,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17261,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17261,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17261,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17261,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17261,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17261,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
17261,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17261,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,,010,,,
17261,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17261,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17261,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17261,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17261,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
17261,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17261,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
17261,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
17261,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
17262,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,27,,010,,,
17262,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
17262,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17262,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17262,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17262,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17262,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17262,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17262,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17262,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,010,,,
17262,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17262,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,2,,010,,,
17262,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17262,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17262,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17262,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17262,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
17262,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17262,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
17262,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
17262,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,010,,,
17263,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,27,,010,,,
17263,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
17263,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17263,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17263,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17263,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17263,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17263,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17263,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17263,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,010,,,
17263,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17263,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,2,,010,,,
17263,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17263,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17263,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17263,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17263,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
17263,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17263,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,010,,,
17263,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
17263,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,010,,,
17264,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,40,,010,,,
17264,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
17264,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17264,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17264,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17264,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17264,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17264,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17264,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17264,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,4,,010,,,
17264,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17264,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,3,,010,,,
17264,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17264,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17264,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17264,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17264,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
17264,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17264,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,010,,,
17264,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
17264,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,,010,,,
17266,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,80,,010,,,
17266,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
17266,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17266,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17266,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17266,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17266,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17266,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17266,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17266,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,5,,010,,,
17266,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17266,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,3,,010,,,
17266,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17266,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17266,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17266,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17266,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
17266,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17266,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,010,,,
17266,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,3,,010,,,
17266,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,,010,,,
17270,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,20,,010,,,
17270,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17270,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17270,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17270,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17270,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17270,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17270,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17270,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
17270,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17270,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,,010,,,
17270,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17270,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17270,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17270,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17270,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,010,,,
17270,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17270,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
17270,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
17270,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
17271,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,20,,010,,,
17271,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17271,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17271,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17271,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17271,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17271,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17271,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17271,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
17271,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17271,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,,010,,,
17271,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17271,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17271,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17271,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17271,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
17271,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17271,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
17271,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
17271,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
17272,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,27,,010,,,
17272,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
17272,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17272,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17272,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17272,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17272,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17272,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17272,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17272,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,010,,,
17272,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17272,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,2,,010,,,
17272,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17272,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17272,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17272,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17272,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
17272,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17272,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
17272,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
17272,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,010,,,
17273,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,27,,010,,,
17273,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
17273,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17273,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17273,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17273,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17273,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17273,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17273,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17273,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,010,,,
17273,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17273,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,2,,010,,,
17273,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17273,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17273,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17273,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17273,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
17273,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17273,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
17273,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
17273,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,010,,,
17274,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,40,,010,,,
17274,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
17274,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17274,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17274,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17274,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17274,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17274,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17274,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17274,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,4,,010,,,
17274,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17274,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,3,,010,,,
17274,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17274,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17274,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17274,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17274,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
17274,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17274,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,010,,,
17274,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
17274,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,,010,,,
17276,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,80,,010,,,
17276,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
17276,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17276,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17276,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17276,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17276,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17276,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17276,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17276,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,5,,010,,,
17276,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17276,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,3,,010,,,
17276,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17276,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17276,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17276,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17276,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
17276,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17276,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,010,,,
17276,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,3,,010,,,
17276,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,,010,,,
17280,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,20,,010,,,
17280,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17280,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17280,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17280,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17280,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17280,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17280,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17280,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
17280,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17280,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,,010,,,
17280,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17280,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17280,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17280,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17280,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,010,,,
17280,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17280,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
17280,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
17280,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
17281,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,20,,010,,,
17281,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17281,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17281,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17281,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17281,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17281,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17281,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17281,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
17281,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17281,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,,010,,,
17281,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17281,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17281,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17281,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17281,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
17281,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17281,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
17281,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
17281,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
17282,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,27,,010,,,
17282,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
17282,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17282,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17282,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17282,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17282,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17282,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17282,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17282,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,010,,,
17282,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17282,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,2,,010,,,
17282,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17282,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17282,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17282,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17282,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
17282,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17282,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
17282,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
17282,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,010,,,
17283,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,27,,010,,,
17283,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
17283,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17283,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17283,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17283,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17283,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17283,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17283,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17283,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,3,,010,,,
17283,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17283,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,2,,010,,,
17283,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17283,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17283,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17283,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17283,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
17283,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17283,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,010,,,
17283,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
17283,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,010,,,
17284,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,40,,010,,,
17284,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
17284,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17284,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17284,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17284,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17284,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17284,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17284,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17284,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,4,,010,,,
17284,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17284,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,3,,010,,,
17284,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17284,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17284,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17284,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17284,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
17284,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17284,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,010,,,
17284,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
17284,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,,010,,,
17286,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,80,,010,,,
17286,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
17286,PEAC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,,010,,,
17286,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
17286,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
17286,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
17286,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
17286,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
17286,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
17286,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,5,,010,,,
17286,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
17286,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,3,,010,,,
17286,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,,010,,,
17286,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
17286,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
17286,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
17286,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,010,,,
17286,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,010,,,
17286,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,010,,,
17286,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,3,,010,,,
17286,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,,010,,,
17311,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,000,,CPT07,
17311,RUC,"Wound Care, Dressings",SG078,"tape, surgical occlusive 1in (Blenderm)",inch,0.007,60,0,000,,CPT07,
17311,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,000,,CPT07,
17311,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,000,,CPT07,
17311,RUC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,0,000,,CPT07,
17311,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,CPT07,
17311,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,000,,CPT07,
17311,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,0,000,,CPT07,
17311,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,0,000,,CPT07,
17311,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,CPT07,
17311,RUC,"Cutters, Closures, Cautery",SF010,"blade, surgical hair clipper",item,5.036,1,0,000,,CPT07,
17311,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,CPT07,
17311,RUC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,0,000,,CPT07,
17311,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,000,,CPT07,
17311,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,000,,CPT07,
17311,RUC,"Wound Care, Dressings",SG088,"tape, foam, elastic, 2in (Microfoam)",inch,0.0026,8,0,000,,CPT07,
17311,RUC,"Wound Care, Dressings",SG043,"dressing, eye pad (Opticlude)",item,0.328,2,0,000,,CPT07,
17311,RUC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,000,,CPT07,
17311,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,CPT07,
17311,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,CPT07,
17311,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT07,
17311,RUC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,1,0,000,,CPT07,
17311,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,0,000,,CPT07,
17311,RUC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,000,,CPT07,
17311,RUC,"Accessory, Procedure",SD133,"tubing, suction, non-latex (6ft) with Poole tip (1)",item,3.759,1,0,000,,CPT07,
17311,RUC,"Wound Care, Dressings",SG004,adhesive liquid (Mastisol) (0.67ml uou),item,2.166,1,0,000,,CPT07,
17311,RUC,Lab,SL078,histology freezing spray (Freeze-It),oz,1.443,1,0,000,,CPT07,
17311,RUC,"Office Supply, Grocery",SK002,anatomical drawings (for treatment recording),item,1.75,1,0,000,,CPT07,
17311,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,000,,CPT07,
17311,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,000,,CPT07,
17311,RUC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,000,,CPT07,
17311,RUC,Lab,SL120,slide container (for 20 microscope slides),item,6.652,1,0,000,,CPT07,
17311,RUC,"Office Supply, Grocery",SK047,"map, Moh's surgery (per sheet)",item,0.005,1,0,000,,CPT07,
17311,RUC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,0,000,,CPT07,
17311,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,0,000,,CPT07,
17311,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,30,0,000,,CPT07,
17311,RUC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,0.4,0,000,,CPT07,
17311,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,CPT07,
17311,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,000,,CPT07,
17311,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,3,0,000,,CPT07,
17311,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,000,,CPT07,
17311,RUC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,0,000,,CPT07,
17311,RUC,Lab,SL134,"stain, frozen section, H&E (1ml per slide)",ml,0.567,10,0,000,,CPT07,
17311,RUC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,20,0,000,,CPT07,
17311,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,CPT07,
17311,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT07,
17311,RUC,Lab,SL030,"cover slip, glass",item,0.079,10,0,000,,CPT07,
17311,RUC,Lab,SL095,mounting media (Histomount),ml,0.035,1,0,000,,CPT07,
17311,RUC,Lab,SL097,OCT Tissue-Tek,ml,0.06,8,0,000,,CPT07,
17311,RUC,Lab,SL122,"slide, microscope",item,0.055,10,0,000,,CPT07,
17312,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,000,,CPT07,
17312,RUC,"Wound Care, Dressings",SG078,"tape, surgical occlusive 1in (Blenderm)",inch,0.007,60,0,000,,CPT07,
17312,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,000,,CPT07,
17312,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,000,,CPT07,
17312,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,CPT07,
17312,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT07,
17312,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,CPT07,
17312,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,0,000,,CPT07,
17312,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,CPT07,
17312,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,CPT07,
17312,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,000,,CPT07,
17312,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,000,,CPT07,
17312,RUC,"Wound Care, Dressings",SG088,"tape, foam, elastic, 2in (Microfoam)",inch,0.0026,8,0,000,,CPT07,
17312,RUC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,000,,CPT07,
17312,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,CPT07,
17312,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,CPT07,
17312,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT07,
17312,RUC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,1,0,000,,CPT07,
17312,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,0,000,,CPT07,
17312,RUC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,000,,CPT07,
17312,RUC,"Accessory, Procedure",SD133,"tubing, suction, non-latex (6ft) with Poole tip (1)",item,3.759,1,0,000,,CPT07,
17312,RUC,"Wound Care, Dressings",SG004,adhesive liquid (Mastisol) (0.67ml uou),item,2.166,1,0,000,,CPT07,
17312,RUC,Lab,SL078,histology freezing spray (Freeze-It),oz,1.443,0.6,0,000,,CPT07,
17312,RUC,"Office Supply, Grocery",SK002,anatomical drawings (for treatment recording),item,1.75,1,0,000,,CPT07,
17312,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,000,,CPT07,
17312,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,000,,CPT07,
17312,RUC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,000,,CPT07,
17312,RUC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,0,000,,CPT07,
17312,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,0,000,,CPT07,
17312,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,20,0,000,,CPT07,
17312,RUC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,0.4,0,000,,CPT07,
17312,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,CPT07,
17312,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,CPT07,
17312,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,CPT07,
17312,RUC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,0,000,,CPT07,
17312,RUC,Lab,SL134,"stain, frozen section, H&E (1ml per slide)",ml,0.567,6,0,000,,CPT07,
17312,RUC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,20,0,000,,CPT07,
17312,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,CPT07,
17312,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT07,
17312,RUC,Lab,SL030,"cover slip, glass",item,0.079,6,0,000,,CPT07,
17312,RUC,Lab,SL095,mounting media (Histomount),ml,0.035,1,0,000,,CPT07,
17312,RUC,Lab,SL097,OCT Tissue-Tek,ml,0.06,8,0,000,,CPT07,
17312,RUC,Lab,SL122,"slide, microscope",item,0.055,10,0,000,,CPT07,
17313,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,000,,CPT07,
17313,RUC,"Wound Care, Dressings",SG078,"tape, surgical occlusive 1in (Blenderm)",inch,0.007,60,0,000,,CPT07,
17313,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,000,,CPT07,
17313,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,000,,CPT07,
17313,RUC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,0,000,,CPT07,
17313,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,CPT07,
17313,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,000,,CPT07,
17313,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,0,000,,CPT07,
17313,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,0,000,,CPT07,
17313,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,CPT07,
17313,RUC,"Cutters, Closures, Cautery",SF010,"blade, surgical hair clipper",item,5.036,1,0,000,,CPT07,
17313,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,CPT07,
17313,RUC,"Cutters, Closures, Cautery",SF024,"curette, dermal",item,1.373,1,0,000,,CPT07,
17313,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,000,,CPT07,
17313,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,000,,CPT07,
17313,RUC,"Wound Care, Dressings",SG088,"tape, foam, elastic, 2in (Microfoam)",inch,0.0026,8,0,000,,CPT07,
17313,RUC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,000,,CPT07,
17313,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,CPT07,
17313,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,CPT07,
17313,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT07,
17313,RUC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,1,0,000,,CPT07,
17313,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,0,000,,CPT07,
17313,RUC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,000,,CPT07,
17313,RUC,"Accessory, Procedure",SD133,"tubing, suction, non-latex (6ft) with Poole tip (1)",item,3.759,1,0,000,,CPT07,
17313,RUC,"Wound Care, Dressings",SG004,adhesive liquid (Mastisol) (0.67ml uou),item,2.166,1,0,000,,CPT07,
17313,RUC,Lab,SL078,histology freezing spray (Freeze-It),oz,1.443,1,0,000,,CPT07,
17313,RUC,"Office Supply, Grocery",SK002,anatomical drawings (for treatment recording),item,1.75,1,0,000,,CPT07,
17313,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,000,,CPT07,
17313,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,000,,CPT07,
17313,RUC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,000,,CPT07,
17313,RUC,Lab,SL120,slide container (for 20 microscope slides),item,6.652,1,0,000,,CPT07,
17313,RUC,"Office Supply, Grocery",SK047,"map, Moh's surgery (per sheet)",item,0.005,1,0,000,,CPT07,
17313,RUC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,0,000,,CPT07,
17313,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,0,000,,CPT07,
17313,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,30,0,000,,CPT07,
17313,RUC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,0.4,0,000,,CPT07,
17313,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,CPT07,
17313,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,000,,CPT07,
17313,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,3,0,000,,CPT07,
17313,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,000,,CPT07,
17313,RUC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,0,000,,CPT07,
17313,RUC,Lab,SL134,"stain, frozen section, H&E (1ml per slide)",ml,0.567,10,0,000,,CPT07,
17313,RUC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,20,0,000,,CPT07,
17313,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,CPT07,
17313,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT07,
17313,RUC,Lab,SL030,"cover slip, glass",item,0.079,10,0,000,,CPT07,
17313,RUC,Lab,SL095,mounting media (Histomount),ml,0.035,1,0,000,,CPT07,
17313,RUC,Lab,SL097,OCT Tissue-Tek,ml,0.06,8,0,000,,CPT07,
17313,RUC,Lab,SL122,"slide, microscope",item,0.055,10,0,000,,CPT07,
17314,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,000,,CPT07,
17314,RUC,"Wound Care, Dressings",SG078,"tape, surgical occlusive 1in (Blenderm)",inch,0.007,60,0,000,,CPT07,
17314,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,000,,CPT07,
17314,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,000,,CPT07,
17314,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,CPT07,
17314,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT07,
17314,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,CPT07,
17314,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,0,000,,CPT07,
17314,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,CPT07,
17314,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,CPT07,
17314,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,000,,CPT07,
17314,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,000,,CPT07,
17314,RUC,"Wound Care, Dressings",SG088,"tape, foam, elastic, 2in (Microfoam)",inch,0.0026,8,0,000,,CPT07,
17314,RUC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,000,,CPT07,
17314,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,CPT07,
17314,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,CPT07,
17314,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT07,
17314,RUC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,1,0,000,,CPT07,
17314,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,0,000,,CPT07,
17314,RUC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,000,,CPT07,
17314,RUC,"Accessory, Procedure",SD133,"tubing, suction, non-latex (6ft) with Poole tip (1)",item,3.759,1,0,000,,CPT07,
17314,RUC,"Wound Care, Dressings",SG004,adhesive liquid (Mastisol) (0.67ml uou),item,2.166,1,0,000,,CPT07,
17314,RUC,Lab,SL078,histology freezing spray (Freeze-It),oz,1.443,0.6,0,000,,CPT07,
17314,RUC,"Office Supply, Grocery",SK002,anatomical drawings (for treatment recording),item,1.75,1,0,000,,CPT07,
17314,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,000,,CPT07,
17314,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,000,,CPT07,
17314,RUC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,000,,CPT07,
17314,RUC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,0,000,,CPT07,
17314,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,0,000,,CPT07,
17314,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,20,0,000,,CPT07,
17314,RUC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,0.4,0,000,,CPT07,
17314,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,CPT07,
17314,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,CPT07,
17314,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,CPT07,
17314,RUC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,0,000,,CPT07,
17314,RUC,Lab,SL134,"stain, frozen section, H&E (1ml per slide)",ml,0.567,6,0,000,,CPT07,
17314,RUC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,20,0,000,,CPT07,
17314,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,CPT07,
17314,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT07,
17314,RUC,Lab,SL030,"cover slip, glass",item,0.079,6,0,000,,CPT07,
17314,RUC,Lab,SL095,mounting media (Histomount),ml,0.035,1,0,000,,CPT07,
17314,RUC,Lab,SL097,OCT Tissue-Tek,ml,0.06,8,0,000,,CPT07,
17314,RUC,Lab,SL122,"slide, microscope",item,0.055,10,0,000,,CPT07,
17315,RUC,Lab,SL134,"stain, frozen section, H&E (1ml per slide)",ml,0.567,2,0,000,,CPT07,
17315,RUC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,5,0,000,,CPT07,
17315,RUC,Lab,SL030,"cover slip, glass",item,0.079,2,0,000,,CPT07,
17315,RUC,Lab,SL095,mounting media (Histomount),ml,0.035,1,0,000,,CPT07,
17315,RUC,Lab,SL097,OCT Tissue-Tek,ml,0.06,6,0,000,,CPT07,
17315,RUC,Lab,SL122,"slide, microscope",item,0.055,2,0,000,,CPT07,
17340,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,010,,,
17360,PEAC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,1,0,010,,Feb05,
17360,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,0,010,,Feb05,
17360,PEAC,"Office Supply, Grocery",SK041,ice (per cup),item,0.05,1,0,010,,Feb05,
17360,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Feb05,
17360,PEAC,Lab,SL193,"glycolic acid, 20-50%",ml,0.156,1,0,010,,Feb05,
17360,PEAC,"Pharmacy, NonRx",SJ072,"brush, disposable applicator",item,0.276,1,0,010,,Feb05,
17360,PEAC,Lab,SL200,"sodium bicarbonate spray, 8 oz",item,9.5,1,0,010,,Feb05,
17360,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,010,,Feb05,
17360,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,010,,Feb05,
17360,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Feb05,
17360,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,010,,Feb05,
17360,PEAC,"Pharmacy, NonRx",SJ026,Eucerin cream,oz,0.954,1,0,010,,Feb05,
17360,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Feb05,
17360,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,010,,Feb05,
17360,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,3,0,010,,Feb05,
17380,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,000,,,
17999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
19000,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,0,000,,Feb05,
19000,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,Feb05,
19000,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,Feb05,
19000,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,000,,Feb05,
19000,PEAC,"Kit, Pack, Tray",SA046,"pack, drapes, laparotomy (chest-abdomen)",pack,26.118,1,0,000,,Feb05,
19000,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Feb05,
19000,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,Feb05,
19000,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,Feb05,
19000,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,Feb05,
19000,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,4,0,000,,Feb05,
19000,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,000,,Feb05,
19000,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,Feb05,
19000,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,Feb05,
19000,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,000,,Feb05,
19001,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,ZZZ,,Mar04,R
19001,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,ZZZ,,Mar04,R
19001,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,ZZZ,,Mar04,R
19001,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,ZZZ,,Mar04,R
19001,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,ZZZ,,Mar04,R
19020,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Mar03,7
19020,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Mar03,7
19020,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Mar03,7
19020,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,7
19020,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar03,7
19020,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,7
19020,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Mar03,7
19020,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,7
19020,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,7
19020,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,7
19020,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,1,090,,Mar03,7
19020,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,7
19020,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Mar03,7
19020,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,5,0,090,,Mar03,7
19020,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,5,1,090,,Mar03,7
19020,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,7
19020,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,7
19020,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,7
19020,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Mar03,7
19020,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,2,1,090,,Mar03,7
19020,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Mar03,7
19020,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Mar03,7
19020,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,Mar03,7
19020,PEAC,"Kit, Pack, Tray",SA046,"pack, drapes, laparotomy (chest-abdomen)",pack,26.118,1,0,090,,Mar03,7
19020,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Mar03,7
19020,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,7
19020,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,7
19020,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,2,1,090,,Mar03,7
19020,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,7
19020,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Mar03,7
19020,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,7
19020,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,090,,Mar03,7
19020,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,2,1,090,,Mar03,7
19020,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,090,,Mar03,7
19020,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,7
19020,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,7
19030,PEAC,"Accessory, Procedure",SD042,"dilator, ductal, galactography",item,8,1,0,000,,Mar04,R
19030,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,Mar04,R
19030,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,000,,Mar04,R
19030,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Mar04,R
19030,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,000,,Mar04,R
19030,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,Mar04,R
19030,PEAC,"Hypodermic, IV",SC047,sialography infusion unit,item,24,1,0,000,,Mar04,R
19030,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,000,,Mar04,R
19030,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,0,000,,Mar04,R
19030,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,000,,Mar04,R
19030,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,,Mar04,R
19030,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,Mar04,R
19100,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,,
19100,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
19100,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
19100,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,000,,,
19100,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
19100,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
19100,PEAC,"Hypodermic, IV",SC025,"needle, 14-20g, biopsy",item,8.375,1,,000,,,
19100,PEAC,"Hypodermic, IV",SC032,"needle, biopsy for breast-prostate core sample",item,28.42,1,,000,,,
19100,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
19100,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
19100,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,,
19100,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,,
19100,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
19100,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,90,,000,,,
19101,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
19101,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,1,,010,,,
19101,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
19101,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
19101,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
19101,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
19101,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
19101,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
19101,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,010,,,
19101,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,1,010,,,
19101,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
19101,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,010,,,
19101,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,010,,,
19101,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
19101,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,010,,,
19101,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,010,,,
19101,PEAC,"Kit, Pack, Tray",SA046,"pack, drapes, laparotomy (chest-abdomen)",pack,26.118,1,,010,,,
19101,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
19101,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
19101,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,010,,,
19101,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,15,15,010,,,
19101,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,,010,,,
19101,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,4,4,010,,,
19101,PEAC,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,7,,010,,,
19101,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
19101,PEAC,"Wound Care, Dressings",SG076,"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)",item,3.422,1,,010,,,
19101,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,186,60,010,,,
19102,RUC,"Accessory, Procedure",SD087,"guide, needle, for localization",item,10.75,1,,000,,,
19102,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
19102,RUC,"Gown, Drape",SB018,"drape-sleeve, sterile, for handpiece",item,0.089,1,,000,,,
19102,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,,000,,,
19102,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
19102,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
19102,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
19102,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
19102,RUC,"Hypodermic, IV",SC032,"needle, biopsy for breast-prostate core sample",item,28.42,1,,000,,,
19102,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,000,,,
19102,RUC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,000,,,
19102,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,000,,,
19102,RUC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,,000,,,
19102,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,000,,,
19102,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,,
19102,RUC,"Pharmacy, Rx",SH063,Sensorcaine 0.5% inj,ml,0.363,1,,000,,,
19102,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,,000,,,
19102,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
19102,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
19102,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,,
19102,RUC,"Wound Care, Dressings",SG076,"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)",item,3.422,1,,000,,,
19103,RUC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,1,,000,,,
19103,RUC,"Accessory, Procedure",SD087,"guide, needle, for localization",item,10.75,1,,000,,,
19103,RUC,"Accessory, Procedure",SD094,Mammotome probe,item,200,1,,000,,,
19103,RUC,"Accessory, Procedure",SD135,"tubing, vacuum (for Mammotome device)",item,16,1,,000,,,
19103,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
19103,RUC,"Gown, Drape",SB018,"drape-sleeve, sterile, for handpiece",item,0.089,1,,000,,,
19103,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,,000,,,
19103,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
19103,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
19103,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
19103,RUC,"Hypodermic, IV",SC022,Mammotome probe guide,item,7,1,,000,,,
19103,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
19103,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,000,,,
19103,RUC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,000,,,
19103,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,000,,,
19103,RUC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,,000,,,
19103,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,000,,,
19103,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,,
19103,RUC,"Pharmacy, Rx",SH063,Sensorcaine 0.5% inj,ml,0.363,1,,000,,,
19103,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,,000,,,
19103,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,000,,,
19103,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
19103,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,,
19103,RUC,"Wound Care, Dressings",SG076,"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)",item,3.422,1,,000,,,
19105,RUC,"Wound Care, Dressings",SG076,"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)",item,3.422,1,,000,,CPT07,
19105,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,CPT07,
19105,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT07,
19105,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,000,,CPT07,
19105,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,CPT07,
19105,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,000,,CPT07,
19105,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,CPT07,
19105,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,CPT07,
19105,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,CPT07,
19105,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,,000,,CPT07,
19105,RUC,"Gown, Drape",SB018,"drape-sleeve, sterile, for handpiece",item,0.089,1,,000,,CPT07,
19105,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,CPT07,
19105,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,000,,CPT07,
19105,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,CPT07,
19105,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,,000,,CPT07,
19105,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,000,,CPT07,
19105,RUC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,000,,CPT07,
19105,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,000,,CPT07,
19105,RUC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,50,,000,,CPT07,
19105,RUC,"Accessory, Procedure",SD079,"gas, helium",cu ft,0.25,55,,000,,CPT07,
19105,RUC,"Gown, Drape",SB017,"drape-sleeve, sterile (4in x 8ft)",item,0.159,2,,000,,CPT07,
19105,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,000,,CPT07,
19105,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,000,,CPT07,
19105,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,000,,CPT07,
19105,RUC,Lab,SL157,"cup, sterile, 8 oz",item,0.542,1,,000,,CPT07,
19105,RUC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,000,,CPT07,
19105,RUC,"Accessory, Procedure",SD232,"probe, cryoablation (Visica ICE 30 or 40)",item,1589,1,0,000,,CPT07,
19105,RUC,"Accessory, Procedure",SD227,"gas, argon",cu ft,0.25,144,0,000,,CPT07,
19110,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,7
19110,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar03,7
19110,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,7
19110,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Mar03,7
19110,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,7
19110,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,7
19110,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,7
19110,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,1,090,,Mar03,7
19110,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,7
19110,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Mar03,7
19110,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,5,0,090,,Mar03,7
19110,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,5,1,090,,Mar03,7
19110,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,7
19110,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,7
19110,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,7
19110,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Mar03,7
19110,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Mar03,7
19110,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,Mar03,7
19110,PEAC,"Kit, Pack, Tray",SA046,"pack, drapes, laparotomy (chest-abdomen)",pack,26.118,1,0,090,,Mar03,7
19110,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Mar03,7
19110,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,7
19110,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,7
19110,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Mar03,7
19110,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,7
19110,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,7
19110,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,090,,Mar03,7
19110,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,090,,Mar03,7
19110,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,090,,Mar03,7
19110,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,7
19110,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,7
19112,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,7
19112,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar03,7
19112,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,7
19112,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Mar03,7
19112,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,7
19112,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,7
19112,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,7
19112,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,1,090,,Mar03,7
19112,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,7
19112,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Mar03,7
19112,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,5,0,090,,Mar03,7
19112,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,5,1,090,,Mar03,7
19112,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,7
19112,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,7
19112,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,7
19112,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Mar03,7
19112,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Mar03,7
19112,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,Mar03,7
19112,PEAC,"Kit, Pack, Tray",SA046,"pack, drapes, laparotomy (chest-abdomen)",pack,26.118,1,0,090,,Mar03,7
19112,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Mar03,7
19112,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,7
19112,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,7
19112,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Mar03,7
19112,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,7
19112,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,7
19112,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,090,,Mar03,7
19112,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,090,,Mar03,7
19112,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,090,,Mar03,7
19112,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,7
19112,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,7
19120,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,090,,,
19120,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,090,,,
19120,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,090,,,
19120,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,090,,,
19120,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,,
19120,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,090,,,
19120,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,090,,,
19120,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,090,,,
19120,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,090,,,
19120,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,090,,,
19120,PEAC,Infection Control,SM011,"cleaning brush, instruments",item,1.95,1,,090,,,
19120,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,,
19120,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,090,,,
19120,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,090,,,
19120,PEAC,Lab,SL072,formalin,ml,0.009,10,,090,,,
19120,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,15,,090,,,
19120,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,60,,090,,,
19120,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,4,,090,,,
19120,PEAC,"Wound Care, Dressings",SG013,"bandage, elastic wrap 6in (Ace)",item,1.539,2,,090,,,
19120,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,,090,,,
19125,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,090,,,
19125,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,090,,,
19125,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,090,,,
19125,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,090,,,
19125,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,,
19125,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,090,,,
19125,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,090,,,
19125,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,090,,,
19125,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,090,,,
19125,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,090,,,
19125,PEAC,Infection Control,SM011,"cleaning brush, instruments",item,1.95,1,,090,,,
19125,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,,
19125,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,090,,,
19125,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,090,,,
19125,PEAC,Lab,SL072,formalin,ml,0.009,10,,090,,,
19125,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,090,,,
19125,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,15,,090,,,
19125,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,60,,090,,,
19125,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,4,,090,,,
19125,PEAC,"Wound Care, Dressings",SG013,"bandage, elastic wrap 6in (Ace)",item,1.539,2,,090,,,
19125,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,,090,,,
19126,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
19260,PEAC,"Accessory, Procedure",SD110,"reservoir, drain (Jackson-Pratt)",item,22,,3,090,,,
19260,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3.5,090,,,
19260,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
19260,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
19260,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,480,090,,,
19260,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,,3,090,,,
19260,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
19260,PEAC,"Wound Care, Dressings",SG076,"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)",item,3.422,,3,090,,,
19271,PEAC,"Accessory, Procedure",SD110,"reservoir, drain (Jackson-Pratt)",item,22,,5,090,,,
19271,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6.5,090,,,
19271,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,,
19271,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
19271,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,600,090,,,
19271,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,,5,090,,,
19271,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
19271,PEAC,"Wound Care, Dressings",SG076,"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)",item,3.422,,5,090,,,
19272,PEAC,"Accessory, Procedure",SD110,"reservoir, drain (Jackson-Pratt)",item,22,,5,090,,,
19272,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,7,090,,,
19272,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,,
19272,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
19272,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,600,090,,,
19272,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,,5,090,,,
19272,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
19272,PEAC,"Wound Care, Dressings",SG076,"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)",item,3.422,,5,090,,,
19290,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
19290,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,,000,,,
19290,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
19290,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
19290,PEAC,"Hypodermic, IV",SC045,needle-wire for localization,item,15,1,,000,,,
19290,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,,000,,,
19290,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,,000,,,
19290,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
19290,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,,
19290,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,000,,,
19291,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,ZZZ,,Mar04,R
19291,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,ZZZ,,Mar04,R
19291,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,ZZZ,,Mar04,R
19291,PEAC,"Hypodermic, IV",SC045,needle-wire for localization,item,15,1,0,ZZZ,,Mar04,R
19291,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,ZZZ,,Mar04,R
19291,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,ZZZ,,Mar04,R
19291,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,ZZZ,,Mar04,R
19291,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,ZZZ,,Mar04,R
19291,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,ZZZ,,Mar04,R
19295,PEAC,"Accessory, Procedure",SD037,"clip, tissue marker",item,75,1,0,ZZZ,,Mar04,R
19296,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,000,,,
19296,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,,
19296,RUC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,0,000,,,
19296,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,,
19296,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,000,,,
19296,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,,
19296,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,,
19296,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,000,,,
19296,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,,
19296,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,000,,,
19296,RUC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,0,000,,,
19296,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,000,,,
19296,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
19296,RUC,"Kit, Pack, Tray",SA087,"tray, RTS applicator (MammoSite)",item,2550,1,0,000,,,
19296,RUC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,5,0,000,,,
19296,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,000,,,
19296,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,000,,,
19296,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,,
19296,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,240,0,000,,,
19296,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,000,,,
19296,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,000,,,
19296,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,000,,,
19296,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,,
19296,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,,
19297,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
19298,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,000,,,
19298,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,,
19298,RUC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,0,000,,,
19298,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,,
19298,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,000,,,
19298,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,,
19298,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,,
19298,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,000,,,
19298,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,,
19298,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,000,,,
19298,RUC,"Hypodermic, IV",SC073,"implant catheter, button-end, single leader",item,18.5,30,0,000,,,
19298,RUC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,0,000,,,
19298,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,000,,,
19298,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,,
19298,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
19298,RUC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,5,0,000,,,
19298,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,000,,,
19298,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,000,,,
19298,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,,
19298,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,240,0,000,,,
19298,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,000,,,
19298,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,000,,,
19298,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,000,,,
19298,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,,
19298,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,,
19300,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,090,,,
19300,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,090,,,
19300,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,090,,,
19300,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,090,,,
19300,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,2,,090,,,
19300,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,090,,,
19300,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,,
19300,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,090,,,
19300,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,090,,,
19300,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,090,,,
19300,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,3.5,3.5,090,,,
19300,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,,
19300,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,6,,090,,,
19300,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,090,,,
19300,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,090,,,
19300,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,090,,,
19300,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,1,090,,,
19300,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,1,090,,,
19300,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,1,090,,,
19300,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,2,1,090,,,
19300,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,3,,090,,,
19300,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,,cs
19300,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,090,,,
19300,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,090,,,
19300,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,1,090,,,
19300,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,15,,090,,,
19300,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,10,090,,,cs
19300,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,1,090,,,
19300,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,52,2,090,,,
19300,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,4,,090,,,
19300,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,1,090,,,
19300,PEAC,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,7,,090,,,
19300,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,14,4,090,,,
19300,PEAC,"Wound Care, Dressings",SG076,"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)",item,3.422,1,,090,,,
19300,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,090,,,
19301,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2.5,090,,,
19301,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,,1,090,,,
19301,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,,1,090,,,
19301,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
19301,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,1,090,,,
19301,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
19301,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
19301,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,1,090,,,
19301,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,10,090,,,
19301,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,1,090,,,
19301,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,,2,090,,,
19301,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,1,090,,,
19301,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
19302,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3.5,090,,,
19302,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,,2,090,,,
19302,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,,2,090,,,
19302,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,2,090,,,
19302,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
19302,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
19302,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
19302,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,,
19302,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
19302,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
19302,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,,4,090,,,
19302,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
19302,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
19303,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
19303,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,,2,090,,,
19303,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,,2,090,,,
19303,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,2,090,,,
19303,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
19303,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
19303,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
19303,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,,
19303,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
19303,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
19303,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,,4,090,,,
19303,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
19303,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
19304,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4.5,090,,,
19304,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,,2,090,,,
19304,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,,2,090,,,
19304,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,2,090,,,
19304,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
19304,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
19304,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
19304,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,,
19304,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
19304,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
19304,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,,4,090,,,
19304,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
19304,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
19305,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,,1,090,,,
19305,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,,1,090,,,
19305,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4.5,090,,,
19305,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,,2,090,,,
19305,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,,2,090,,,
19305,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,2,090,,,
19305,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
19305,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
19305,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
19305,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,,
19305,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
19305,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
19305,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,,8,090,,,
19305,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,,
19305,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
19306,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,,1,090,,,
19306,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,,1,090,,,
19306,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,5.5,090,,,
19306,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,,2,090,,,
19306,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,,2,090,,,
19306,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,2,090,,,
19306,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
19306,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
19306,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
19306,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,,
19306,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
19306,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
19306,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,,8,090,,,
19306,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,,
19306,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
19307,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,,1,090,,,
19307,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,,1,090,,,
19307,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,5.5,090,,,
19307,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,,2,090,,,
19307,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,,2,090,,,
19307,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,2,090,,,
19307,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
19307,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
19307,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
19307,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,,
19307,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
19307,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
19307,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,,8,090,,,
19307,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,,
19307,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
19316,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,,,
19316,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
19316,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
19316,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
19316,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,4,090,,,
19316,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
19318,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
19318,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,2,090,,,
19324,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,,,
19324,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
19324,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
19324,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,3,090,,,
19324,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,3,090,,,
19324,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,,
19325,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,,,
19325,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
19325,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
19325,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
19325,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,4,090,,,
19325,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
19328,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,,,
19328,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
19328,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
19328,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,3,090,,,
19328,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,3,090,,,
19328,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,,
19330,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
19330,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
19330,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,,
19330,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
19330,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,2,090,,,
19330,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
19340,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Oct09,
19340,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Oct09,
19342,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
19342,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
19342,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
19342,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,3,090,,,
19342,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,3,090,,,
19342,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,,
19350,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
19350,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
19350,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
19350,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
19350,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
19350,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
19350,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
19350,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
19350,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
19350,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
19350,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
19350,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
19350,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
19350,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
19350,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
19350,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
19350,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
19350,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
19350,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
19350,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
19350,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,5,0,090,,Aug03,6
19355,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
19355,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
19355,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
19355,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
19355,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
19355,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,6
19355,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
19355,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
19355,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
19355,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
19355,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
19355,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
19355,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,6
19355,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
19355,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
19355,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
19355,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
19355,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
19355,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
19355,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
19355,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,4,0,090,,Aug03,6
19357,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,10,090,,CPT11,46
19357,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,0,1,090,,CPT11,46
19357,RUC,"Kit, Pack, Tray",SA108,"kit, tissue expansion",item,8.313,0,8,090,,CPT11,46
19361,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,090,,,
19361,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,CPT07,
19361,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT07,
19364,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,2,090,,,
19364,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,5,090,,,
19364,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
19364,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,5,090,,,
19364,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
19364,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,,
19364,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
19364,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
19366,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,090,,,
19367,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,2,090,,,
19367,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,4,090,,,
19367,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
19367,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
19367,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
19367,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,,
19367,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
19367,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
19368,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,2,090,,,
19368,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,5,090,,,
19368,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
19368,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,8,090,,,
19368,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
19368,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,,
19368,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
19368,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
19369,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,2,090,,,
19369,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,5,090,,,
19369,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
19369,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,8,090,,,
19369,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
19369,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,,
19369,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
19369,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
19370,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,,,
19370,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
19370,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
19370,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,3,090,,,
19370,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,3,090,,,
19370,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,,
19371,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,,,
19371,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
19371,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
19371,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
19371,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,4,090,,,
19371,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
19380,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,,,
19380,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
19380,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
19380,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
19380,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,4,090,,,
19380,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
19396,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Feb05,
19396,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,Feb05,
19396,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Feb05,
19396,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,Feb05,
19396,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,000,Feb05,Feb05,
19396,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,14,0,000,Feb05,Feb05,
19396,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,0,000,Feb05,Feb05,
19396,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,4,0,000,Feb05,Feb05,
19396,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,000,93000,Feb05,
19396,PEAC,"Kit, Pack, Tray",SA090,"kit, moulage (implantech)",kit,75,1,0,000,,Feb05,
19499,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
90945,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,0,,000,,,
20005,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
20005,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
20005,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,6
20005,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
20005,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,6
20005,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
20005,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
20005,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
20005,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
20005,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
20005,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Mar03,6
20005,PEAC,Lab,SL146,tubed culture media,item,0.849,1,0,010,,Mar03,6
20005,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,6
20005,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,6
20005,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar03,6
20005,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
20005,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
20005,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
20005,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
20100,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,Mar04,U
20100,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,Mar04,U
20101,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,010,,Mar03,7
20101,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,010,,Mar03,7
20101,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,010,,Mar03,7
20101,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Mar03,7
20101,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,7
20101,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,7
20101,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,010,,Mar03,7
20101,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,010,,Mar03,7
20101,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,Mar03,7
20101,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar03,7
20101,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar03,7
20101,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,7
20101,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,010,,Mar03,7
20101,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,7
20101,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,4,0,010,,Mar03,7
20101,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,30,0,010,,Mar03,7
20101,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar03,7
20101,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,010,,Mar03,7
20101,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,010,,Mar03,7
20101,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,7
20101,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,010,,Mar03,7
20101,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Mar03,7
20101,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,7
20101,PEAC,"Kit, Pack, Tray",SA046,"pack, drapes, laparotomy (chest-abdomen)",pack,26.118,1,0,010,,Mar03,7
20101,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,7
20101,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,7
20101,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,7
20101,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,7
20101,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,7
20101,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,120,0,010,,Mar03,7
20101,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar03,7
20101,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,0,010,,Mar03,7
20101,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,010,,Mar03,7
20101,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,7
20101,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Mar03,7
20102,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,010,,Mar03,7
20102,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,010,,Mar03,7
20102,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,010,,Mar03,7
20102,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Mar03,7
20102,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,7
20102,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,7
20102,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,010,,Mar03,7
20102,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,010,,Mar03,7
20102,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,Mar03,7
20102,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar03,7
20102,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar03,7
20102,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,7
20102,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,010,,Mar03,7
20102,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,7
20102,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,4,0,010,,Mar03,7
20102,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,30,0,010,,Mar03,7
20102,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar03,7
20102,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,010,,Mar03,7
20102,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,010,,Mar03,7
20102,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,7
20102,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,010,,Mar03,7
20102,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,010,,Mar03,7
20102,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,7
20102,PEAC,"Kit, Pack, Tray",SA046,"pack, drapes, laparotomy (chest-abdomen)",pack,26.118,1,0,010,,Mar03,7
20102,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,7
20102,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,7
20102,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,7
20102,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,7
20102,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,7
20102,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,120,0,010,,Mar03,7
20102,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar03,7
20102,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,0,010,,Mar03,7
20102,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,010,,Mar03,7
20102,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,7
20102,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Mar03,7
20103,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
20103,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
20103,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,010,,Mar03,6
20103,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
20103,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,6
20103,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
20103,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,6
20103,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
20103,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
20103,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
20103,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
20103,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,010,,Mar03,6
20103,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,010,,Mar03,6
20103,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
20103,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,6
20103,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,6
20103,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,6
20103,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
20103,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
20103,PEAC,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,5,0,010,,Mar03,6
20103,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,010,,Mar03,6
20103,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
20103,PEAC,"Wound Care, Dressings",SG068,plaster bandage (4in x 5yd uou),item,1.862,3,0,010,,Mar03,6
20103,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,108,0,010,,Mar03,6
20150,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Jan04,5
20150,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Jan04,5
20200,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,000,,,
20200,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,000,,,
20200,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,000,,,
20200,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,000,,,
20200,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,000,,,
20200,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,,
20200,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,000,,,
20200,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,,000,,,
20200,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,,000,,,
20200,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,000,,,
20200,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,5,,000,,,
20200,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,,000,,,
20200,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
20200,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,000,,,
20200,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
20200,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
20200,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
20200,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,000,,,
20200,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
20200,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
20200,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
20200,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,,
20200,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,,
20200,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
20200,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
20205,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,000,,,
20205,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,000,,,
20205,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,000,,,
20205,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,000,,,
20205,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,000,,,
20205,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,,
20205,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,000,,,
20205,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,,000,,,
20205,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,,000,,,
20205,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,000,,,
20205,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,5,,000,,,
20205,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,,000,,,
20205,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
20205,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,000,,,
20205,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
20205,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
20205,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
20205,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,000,,,
20205,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
20205,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
20205,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
20205,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
20205,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,,
20205,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,,
20205,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
20205,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
20206,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,Jan04,5
20206,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,000,,Jan04,5
20206,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,Jan04,5
20206,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,Jan04,5
20206,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,000,,Jan04,5
20206,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Jan04,5
20206,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,Jan04,5
20206,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Jan04,5
20206,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,000,,Jan04,5
20206,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,5
20206,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,Jan04,5
20206,PEAC,"Hypodermic, IV",SC033,"needle, biopsy, spring-loaded",item,19,1,0,000,,Jan04,5
20206,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,Jan04,5
20206,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Jan04,5
20206,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,000,,Jan04,5
20206,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,000,,Jan04,5
20206,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,000,,Jan04,5
20206,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,000,,Jan04,5
20206,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,Jan04,5
20220,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,000,,Jan04,5
20220,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,Jan04,5
20220,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,Jan04,5
20220,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,000,,Jan04,5
20220,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Jan04,5
20220,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,Jan04,5
20220,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Jan04,5
20220,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,000,,Jan04,5
20220,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,5
20220,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,Jan04,5
20220,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Jan04,5
20220,PEAC,"Kit, Pack, Tray",SA062,"tray, bone marrow biopsy-aspiration",tray,24.271,1,0,000,,Jan04,5
20220,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,000,,Jan04,5
20220,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,000,,Jan04,5
20220,PEAC,"Pharmacy, NonRx",SJ017,DuraPrep surgical soln (26ml uou),item,7.95,1,0,000,,Jan04,5
20220,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,0,000,,Jan04,5
20220,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,Jan04,5
20225,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,Jan04,5
20225,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,000,,Jan04,5
20225,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,Jan04,5
20225,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,Jan04,5
20225,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,000,,Jan04,5
20225,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Jan04,5
20225,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,Jan04,5
20225,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Jan04,5
20225,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,000,,Jan04,5
20225,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,5
20225,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,000,,Jan04,5
20225,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,Jan04,5
20225,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,Jan04,5
20225,PEAC,"Hypodermic, IV",SC077,"needle, bone biopsy",item,65,1,0,000,,Jan04,5
20225,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Jan04,5
20225,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,000,,Jan04,5
20225,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,000,,Jan04,5
20225,PEAC,"Pharmacy, NonRx",SJ017,DuraPrep surgical soln (26ml uou),item,7.95,1,0,000,,Jan04,5
20225,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,000,,Jan04,5
20225,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,Jan04,5
20240,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,Mar03,6
20240,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,Mar03,6
20245,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,010,,Mar03,6
20245,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,Mar03,6
20250,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,Jan04,5
20250,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,Jan04,5
20251,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,Jan04,5
20251,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,Jan04,5
20500,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,010,,Sep04,
20500,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Sep04,
20500,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Sep04,
20500,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Sep04,
20500,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,Sep04,
20500,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,20,0,010,,Sep04,
20500,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Sep04,
20500,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,0,010,,Sep04,
20500,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,010,,Sep04,
20500,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Sep04,
20500,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Sep04,
20501,PEAC,"Accessory, Procedure",SD029,"catheter, red rubber",item,0.973,1,,000,,,
20501,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
20501,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,,000,,,
20501,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
20501,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
20501,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
20501,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,,
20501,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,000,,,
20501,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
20501,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
20520,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,6
20520,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
20520,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,Mar03,6
20520,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,Mar03,6
20520,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,6
20520,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
20520,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
20520,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
20520,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
20520,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
20520,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,6
20520,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,6
20520,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar03,6
20520,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
20520,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
20520,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
20520,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
20525,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
20525,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
20525,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,010,,Mar03,6
20525,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
20525,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,6
20525,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
20525,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,6
20525,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
20525,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
20525,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
20525,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
20525,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,010,,Mar03,6
20525,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,010,,Mar03,6
20525,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
20525,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,6
20525,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,6
20525,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,6
20525,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
20525,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
20525,PEAC,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,5,0,010,,Mar03,6
20525,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,010,,Mar03,6
20525,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
20525,PEAC,"Wound Care, Dressings",SG068,plaster bandage (4in x 5yd uou),item,1.862,3,0,010,,Mar03,6
20525,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,108,0,010,,Mar03,6
20526,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
20526,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
20526,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
20526,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
20526,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
20526,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,,000,,,
20526,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,000,,,
20526,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
20550,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
20550,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
20550,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
20550,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
20550,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
20550,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,,000,,,
20550,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,000,,,
20550,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
20551,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
20551,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
20551,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
20551,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
20551,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
20551,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,,000,,,
20551,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,000,,,
20551,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
20552,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
20552,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
20552,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
20552,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
20552,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
20552,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,,000,,,
20552,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,000,,,
20552,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
20553,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
20553,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
20553,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
20553,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
20553,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
20553,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,,000,,,
20553,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,000,,,
20553,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
20555,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,CPT08,2
20600,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
20600,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
20600,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
20600,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
20600,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
20600,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
20600,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,,000,,,
20600,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
20605,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
20605,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
20605,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
20605,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
20605,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
20605,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
20605,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,,000,,,
20605,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
20610,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
20610,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
20610,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
20610,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,000,,,
20610,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
20610,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
20610,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,,000,,,
20610,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
20612,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
20612,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
20612,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,,000,,,
20612,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,,000,,,
20612,RUC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
20612,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
20612,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,,000,,,
20612,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,000,,,
20612,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
20615,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,6
20615,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
20615,PEAC,"Kit, Pack, Tray",SA062,"tray, bone marrow biopsy-aspiration",tray,24.271,1,0,010,,Mar03,6
20615,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar03,6
20615,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
20650,PEAC,"Cutters, Closures, Cautery",SF042,"wire, Kirschner 7.5in",item,4.807,1,0,010,,Mar03,6
20650,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,0,010,,Mar03,6
20650,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,6
20650,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,Mar03,6
20650,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,010,,Mar03,6
20650,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,6
20650,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
20650,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
20650,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar03,6
20650,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
20650,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
20660,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,CPT08,
20661,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
20661,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
20662,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
20663,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
20664,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,20661,,
20664,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
20665,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
20665,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
20665,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,010,,,
20665,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
20665,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,,010,,,
20665,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,5,,010,,,
20665,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,010,,,
20665,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,,010,,,
20665,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,4,,010,,,
20670,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,3,0,010,,Mar04,D
20670,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,010,,Mar04,D
20670,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar04,D
20670,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar04,D
20670,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,0,010,,Mar04,D
20670,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,D
20670,PEAC,"Gown, Drape",SB013,"drape, sterile, hand-upper extremity",item,18.076,1,0,010,,Mar04,D
20670,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,0,010,,Mar04,D
20670,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,010,,Mar04,D
20670,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar04,D
20670,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,0,010,,Mar04,D
20670,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,010,,Mar04,D
20670,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,0,010,,Mar04,D
20670,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,D
20670,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,010,,Mar04,D
20670,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,010,,Mar04,D
20670,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar04,D
20670,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar04,D
20670,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,D
20670,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,D
20670,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar04,D
20670,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar04,D
20670,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar04,D
20670,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar04,D
20670,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar04,D
20670,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,Mar04,D
20670,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar04,D
20670,PEAC,"Wound Care, Dressings",SG015,"bandage, Esmarch-Martin, sterile 3in x 9ft",item,5.645,1,0,010,,Mar04,D
20670,PEAC,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,5,0,010,,Mar04,D
20670,PEAC,"Wound Care, Dressings",SG028,"cast, stockinette 6in",yd,0.669,3,0,010,,Mar04,D
20670,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,010,,Mar04,D
20670,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,D
20670,PEAC,"Wound Care, Dressings",SG068,plaster bandage (4in x 5yd uou),item,1.862,3,0,010,,Mar04,D
20670,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,0,010,,Mar04,D
20680,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
20680,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
20680,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
20680,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
20680,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
20680,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
20680,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
20680,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
20680,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
20680,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,5
20680,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
20680,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
20680,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
20680,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
20680,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
20680,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
20680,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
20680,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
20680,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
20680,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
20680,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
20680,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
20680,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
20690,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT08,4*
20692,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,CPT08,4*
20693,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
20693,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
20694,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
20694,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
20694,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
20694,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
20694,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
20694,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,090,,Aug03,5
20694,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,090,,Aug03,5
20694,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
20694,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
20694,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
20694,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
20694,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
20694,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
20694,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,2,0,090,,Aug03,5
20694,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
20694,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Aug03,5
20694,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,5
20696,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,CPT09,3
20697,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,CPT09,3
20697,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,CPT09,3
20697,RUC,"Accessory, Procedure",SD240,"strut, replacement, dynamic external fixation",item,1151,1,0,000,,CPT09,3
20802,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,,
20802,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
20805,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Apr06,J
20805,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
20808,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Apr06,J
20808,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
20816,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
20816,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
20822,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
20822,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
20824,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
20824,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
20827,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
20827,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
20838,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
20838,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Apr06,J
20838,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
20838,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
20838,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
20900,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,000,,Apr08,ss
20900,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,000,,Apr08,ss
20900,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,000,,Apr08,ss
20900,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,000,,Apr08,ss
20900,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,000,,Apr08,ss
20900,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,000,,Apr08,ss
20900,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,Apr08,ss
20900,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,Apr08,ss
20900,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,Apr08,ss
20900,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Apr08,ss
20900,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,0,000,,Apr08,ss
20900,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,000,,Apr08,ss
20900,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,000,,Apr08,ss
20900,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,000,,Apr08,ss
20900,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,000,,Apr08,ss
20900,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Apr08,ss
20900,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,000,,Apr08,ss
20900,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Apr08,ss
20900,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Apr08,ss
20900,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,000,,Apr08,ss
20900,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,000,,Apr08,ss
20900,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,Apr08,ss
20900,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,Apr08,ss
20902,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Apr08,ss
20910,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,5
20910,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,5
20912,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
20912,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
20920,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
20920,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
20922,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
20922,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
20922,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
20922,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
20922,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
20922,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
20922,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,6
20922,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
20922,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
20922,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
20922,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
20922,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
20922,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,6
20922,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
20922,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
20922,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
20922,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
20922,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
20922,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
20922,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
20922,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,6
20924,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
20924,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
20926,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
20926,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
20930,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
20931,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,20690,,
20936,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
20937,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,20690,,
20938,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,20690,,
20950,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Mar03,6
20950,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,6
20950,PEAC,"Kit, Pack, Tray",SA078,"kit, slit catheter (for compartment pressure monitor)",kit,73.75,1,0,000,,Mar03,6
20950,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,Mar03,6
20950,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,Mar03,6
20950,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,Mar03,6
20955,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
20955,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
20956,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,20955,,
20956,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,20955,,
20957,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,8,090,20955,,
20957,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,20955,,
20962,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,8,090,,,
20962,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
20969,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
20969,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
20970,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
20970,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
20972,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Aug03,5
20972,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,5
20973,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
20973,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
20974,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,6
20975,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
20979,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
20982,RUC,"Accessory, Procedure",SD109,"probe, radiofrequency, 3 array (StarBurstSDE)",item,1995,1,0,000,,,
20982,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,000,,,
20982,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
20982,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
20982,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,,000,,,
20982,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,000,,,
20982,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
20982,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,000,,,
20982,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
20982,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
20982,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
20982,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
20982,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
20982,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,,
20982,RUC,"Kit, Pack, Tray",SA026,"kit, radiofrequency introducer",kit,50,1,,000,,,
20982,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
20982,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
20982,RUC,"Kit, Pack, Tray",SA061,"tray, biopsy procedure",tray,14.65,1,,000,,,
20982,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,,
20982,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,000,,,
20982,RUC,Lab,SL038,"cup-container, sterile, graduated 1000ml",item,1.14,1,,000,,,
20982,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,,000,,,
20982,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,000,,,
20982,RUC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,1,,000,,,
20982,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,,
20982,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,000,,,
20982,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,,000,,,
20982,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,,000,,,
20982,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,,
20982,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
20985,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,CPT08,5*
20986,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,ZZZ,,CPT08,5*
20987,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,ZZZ,,CPT08,5*
20999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
21010,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
21010,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,4,090,,Apr06,J
21011,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,CPT10,27
21011,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,090,,CPT10,27
21011,RUC,"Cutters, Closures, Cautery",SF010,"blade, surgical hair clipper",item,5.036,0.5,0,090,,CPT10,27
21011,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,CPT10,27
21011,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,CPT10,27
21011,RUC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,CPT10,27
21011,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,CPT10,27
21011,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,CPT10,27
21011,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,CPT10,27
21011,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,090,,CPT10,27
21011,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,CPT10,27
21011,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,CPT10,27
21011,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,CPT10,27
21011,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,CPT10,27
21011,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,CPT10,27
21011,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,CPT10,27
21011,RUC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,090,,CPT10,27
21011,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,CPT10,27
21011,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,CPT10,27
21011,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,CPT10,27
21011,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,CPT10,27
21011,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,CPT10,27
21011,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,090,,CPT10,27
21011,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,CPT10,27
21011,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,CPT10,27
21011,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,CPT10,27
21011,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,0,090,,CPT10,27
21011,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,CPT10,27
21011,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,CPT10,27
21011,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,CPT10,27
21012,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
21012,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT10,27
21013,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,CPT10,27
21013,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,090,,CPT10,27
21013,RUC,"Cutters, Closures, Cautery",SF010,"blade, surgical hair clipper",item,5.036,0.5,0,090,,CPT10,27
21013,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,CPT10,27
21013,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,CPT10,27
21013,RUC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,CPT10,27
21013,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,CPT10,27
21013,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,CPT10,27
21013,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,CPT10,27
21013,RUC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,CPT10,27
21013,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,090,,CPT10,27
21013,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,CPT10,27
21013,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,CPT10,27
21013,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,CPT10,27
21013,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,CPT10,27
21013,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,CPT10,27
21013,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,CPT10,27
21013,RUC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,090,,CPT10,27
21013,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,CPT10,27
21013,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,CPT10,27
21013,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,CPT10,27
21013,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,CPT10,27
21013,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,CPT10,27
21013,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,090,,CPT10,27
21013,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,CPT10,27
21013,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,CPT10,27
21013,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,CPT10,27
21013,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,0,090,,CPT10,27
21013,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,CPT10,27
21013,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,CPT10,27
21013,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,CPT10,27
21013,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,CPT10,27
21014,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
21014,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,27
21015,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
21015,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
21016,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,27
21016,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
21025,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,5,4,090,,Mar03,9
21025,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,5,4,090,,Mar03,9
21025,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,5,4,090,,Mar03,9
21025,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,9
21025,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,9
21025,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar03,9
21025,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,9
21025,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,090,,Mar03,9
21025,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,9
21025,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,9
21025,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,9
21025,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,9
21025,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,9
21025,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Mar03,9
21025,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Mar03,9
21025,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,9
21025,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,9
21025,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Mar03,9
21025,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,9
21025,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,9
21025,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,9
21025,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar03,9
21025,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,9
21025,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Mar03,9
21025,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar03,9
21025,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,090,,Mar03,9
21025,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,090,,Mar03,9
21025,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Mar03,9
21026,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,5,4,090,,Mar03,9
21026,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,5,4,090,,Mar03,9
21026,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,5,4,090,,Mar03,9
21026,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,9
21026,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,9
21026,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar03,9
21026,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,9
21026,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,090,,Mar03,9
21026,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,9
21026,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,9
21026,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,9
21026,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,9
21026,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,9
21026,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Mar03,9
21026,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Mar03,9
21026,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,9
21026,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,9
21026,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Mar03,9
21026,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,9
21026,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,9
21026,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,9
21026,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar03,9
21026,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,9
21026,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Mar03,9
21026,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar03,9
21026,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,090,,Mar03,9
21026,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,090,,Mar03,9
21026,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Mar03,9
21029,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,4,3,090,,Mar03,9
21029,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,3,090,,Mar03,9
21029,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,4,3,090,,Mar03,9
21029,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,9
21029,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,9
21029,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar03,9
21029,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,9
21029,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,090,,Mar03,9
21029,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,9
21029,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,9
21029,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,9
21029,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,9
21029,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,9
21029,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Mar03,9
21029,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Mar03,9
21029,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,9
21029,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,9
21029,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Mar03,9
21029,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,9
21029,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,9
21029,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,9
21029,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar03,9
21029,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,9
21029,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Mar03,9
21029,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar03,9
21029,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,090,,Mar03,9
21029,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,090,,Mar03,9
21029,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Mar03,9
21030,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,4,3,090,,Mar03,9
21030,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,3,090,,Mar03,9
21030,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,4,3,090,,Mar03,9
21030,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,9
21030,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,9
21030,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar03,9
21030,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,9
21030,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,090,,Mar03,9
21030,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,9
21030,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,9
21030,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,9
21030,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,9
21030,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,9
21030,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Mar03,9
21030,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Mar03,9
21030,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,9
21030,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,9
21030,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Mar03,9
21030,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,9
21030,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,9
21030,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,9
21030,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar03,9
21030,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,9
21030,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Mar03,9
21030,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar03,9
21030,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,090,,Mar03,9
21030,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,090,,Mar03,9
21030,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Mar03,9
21031,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,090,,Mar03,9
21031,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,3,2,090,,Mar03,9
21031,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,3,2,090,,Mar03,9
21031,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,9
21031,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,9
21031,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar03,9
21031,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,9
21031,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,090,,Mar03,9
21031,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,9
21031,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,9
21031,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,9
21031,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,9
21031,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,9
21031,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Mar03,9
21031,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Mar03,9
21031,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,9
21031,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,9
21031,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Mar03,9
21031,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,9
21031,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,9
21031,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,9
21031,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar03,9
21031,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,9
21031,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Mar03,9
21031,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar03,9
21031,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,090,,Mar03,9
21031,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,090,,Mar03,9
21031,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Mar03,9
21032,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,090,,Mar03,9
21032,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,3,2,090,,Mar03,9
21032,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,3,2,090,,Mar03,9
21032,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,9
21032,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,9
21032,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar03,9
21032,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,9
21032,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,090,,Mar03,9
21032,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,9
21032,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,9
21032,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,9
21032,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,9
21032,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,9
21032,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Mar03,9
21032,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Mar03,9
21032,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,9
21032,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,9
21032,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Mar03,9
21032,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,9
21032,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,9
21032,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,9
21032,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar03,9
21032,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,9
21032,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Mar03,9
21032,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar03,9
21032,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,090,,Mar03,9
21032,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,090,,Mar03,9
21032,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Mar03,9
21034,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,5,4,090,,Mar03,9
21034,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,5,4,090,,Mar03,9
21034,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,5,4,090,,Mar03,9
21034,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,9
21034,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,9
21034,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar03,9
21034,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,9
21034,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,090,,Mar03,9
21034,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,9
21034,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,9
21034,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,9
21034,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,9
21034,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,9
21034,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Mar03,9
21034,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Mar03,9
21034,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,9
21034,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,9
21034,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Mar03,9
21034,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,9
21034,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,9
21034,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,9
21034,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar03,9
21034,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,9
21034,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Mar03,9
21034,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar03,9
21034,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,090,,Mar03,9
21034,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,090,,Mar03,9
21034,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Mar03,9
21040,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,4,3,090,,Mar03,9
21040,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,3,090,,Mar03,9
21040,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,4,3,090,,Mar03,9
21040,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,9
21040,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,9
21040,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar03,9
21040,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,9
21040,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,090,,Mar03,9
21040,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,9
21040,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,9
21040,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,9
21040,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,9
21040,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,9
21040,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Mar03,9
21040,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Mar03,9
21040,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,9
21040,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,9
21040,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Mar03,9
21040,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,9
21040,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,9
21040,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,9
21040,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar03,9
21040,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,9
21040,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Mar03,9
21040,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar03,9
21040,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,090,,Mar03,9
21040,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,090,,Mar03,9
21040,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Mar03,9
21044,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar03,9
21044,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar03,9
21044,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3,090,,Mar03,9
21044,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar03,9
21044,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar03,9
21045,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar03,9
21045,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar03,9
21045,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,4,090,,Mar03,9
21045,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Mar03,9
21045,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar03,9
21046,RUC,"Accessory, Procedure",SD006,bite block,item,1.5,,2,090,,,
21046,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,,
21046,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3,090,,,
21046,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,6,090,,,
21046,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
21046,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
21046,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,6,090,,,
21046,RUC,"Gown, Drape",SB038,safety glasses,item,2.902,,6,090,,,
21046,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,,6,090,,,
21046,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,3,090,,,
21046,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,3,090,,,
21046,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
21046,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
21046,RUC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,18,090,,,
21046,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,18,090,,,
21046,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,,3,090,,,
21046,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,,24,090,,,
21046,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,24,090,,,
21046,RUC,"Wound Care, Dressings",SG065,"packing, gauze w-iodoform 1in (5 yd uou)",item,5.215,,4.5,090,,,
21047,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
21047,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
21048,RUC,"Accessory, Procedure",SD006,bite block,item,1.5,,2,090,,,
21048,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,,
21048,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3,090,,,
21048,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,6,090,,,
21048,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
21048,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
21048,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,6,090,,,
21048,RUC,"Gown, Drape",SB038,safety glasses,item,2.902,,6,090,,,
21048,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,,6,090,,,
21048,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,3,090,,,
21048,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,3,090,,,
21048,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
21048,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
21048,RUC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,18,090,,,
21048,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,18,090,,,
21048,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,,3,090,,,
21048,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,,24,090,,,
21048,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,24,090,,,
21048,RUC,"Wound Care, Dressings",SG065,"packing, gauze w-iodoform 1in (5 yd uou)",item,5.215,,4.5,090,,,
21049,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
21049,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
21050,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar03,9
21050,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar03,9
21050,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,4,090,,Mar03,9
21050,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Mar03,9
21050,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar03,9
21060,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar03,9
21060,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar03,9
21060,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3,090,,Mar03,9
21060,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar03,9
21060,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar03,9
21070,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar03,9
21070,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar03,9
21070,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3,090,,Mar03,9
21070,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar03,9
21070,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar03,9
21073,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,CPT08,6
21073,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,CPT08,6
21073,RUC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,CPT08,6
21073,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,5,4,090,,CPT08,6
21073,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,54,0,090,,CPT08,6
21073,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,6,0,090,,CPT08,6
21073,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,090,,CPT08,6
21073,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,090,,CPT08,6
21073,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,5,4,090,,CPT08,6
21073,RUC,"Accessory, Procedure",SD006,bite block,item,1.5,2,0,090,,CPT08,6
21073,RUC,"Accessory, Procedure",SD142,"bur, surgical, sterile (drill)",item,4.792,1,0,090,,CPT08,6
21073,RUC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,090,,CPT08,6
21073,RUC,"Office Supply, Grocery",SK109,"paper, articulating",item,0.029,,0,090,,CPT08,6
21073,RUC,,,"ruler, stainless steel",,,,0,090,,CPT08,6
21073,RUC,,,disposable aspirating syringe,,,,0,090,,CPT08,6
21073,RUC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,5,4,090,,CPT08,6
21073,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,5,4,090,,CPT08,6
21076,CMS,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,010,21079,Final,06
21076,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,14,,010,21079,Final,06
21076,CMS,"Gown, Drape",SB037,pillow case,item,0.307,6,,010,21079,Final,06
21076,CMS,Lab,SL046,dental impression tray,item,0.446,1,,010,21079,Final,06
21076,CMS,Lab,SL047,dental stone powder,lb,1.598,1,,010,21079,Final,06
21076,CMS,Lab,SL081,"impression material, alginate (dental)",lb,7.5,0.18,,010,21079,Final,06
21076,CMS,Lab,SL150,"wax, bite registration wafer",item,0.323,1,,010,21079,Final,06
21076,CMS,"Pharmacy, NonRx",SJ038,petroleum jelly,oz,0.281,1,,010,21079,Final,06
21076,CMS,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,010,21079,Final,06
21076,CMS,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,14,,010,21079,Final,06
21076,CMS,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,010,21079,Final,06
21076,CMS,"Office Supply, Grocery",SK024,"film, dental",item,0.959,1,,010,,Final,06
21076,CMS,Lab,SL236,"reline material, Trusoft",gm,,45,,010,,Final,06
21076,CMS,"Pharmacy, NonRx",SJ082,"paste, registration",gm,,16,,010,,Final,06
21076,CMS,"Office Supply, Grocery",SK109,"paper, articulating",item,0.029,3,,010,,Final,06
21076,CMS,Lab,SL208,"alloy framework, laboratory processing",item,,1,,010,,Final,06
21076,CMS,"Pharmacy, NonRx",SJ081,"paste, pressure indicator",gm,1.04,24,,010,,Final,06
21076,CMS,"Pharmacy, NonRx",SJ087,"wax, boxing",gm,,45,,010,,Final,06
21076,CMS,"Pharmacy, NonRx",SJ085,triad tray material,item,,2,,010,,Final,06
21076,CMS,"Cutters, Closures, Cautery",SF054,"wire, orthodontic",item,,1,,010,,Final,06
21076,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,010,,,
21077,CMS,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,090,21088,Final,06
21077,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,14,,090,21088,Final,06
21077,CMS,"Gown, Drape",SB037,pillow case,item,0.307,6,,090,21088,Final,06
21077,CMS,Lab,SL046,dental impression tray,item,0.446,1,,090,21088,Final,06
21077,CMS,Lab,SL047,dental stone powder,lb,1.598,1,,090,21088,Final,06
21077,CMS,Lab,SL081,"impression material, alginate (dental)",lb,7.5,0.18,,090,21088,Final,06
21077,CMS,Lab,SL150,"wax, bite registration wafer",item,0.323,1,,090,21088,Final,06
21077,CMS,"Pharmacy, NonRx",SJ038,petroleum jelly,oz,0.281,1,,090,21088,Final,06
21077,CMS,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,090,21088,Final,06
21077,CMS,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,14,,090,21088,Final,06
21077,CMS,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,090,21088,Final,06
21077,CMS,Lab,SL205,"acylic, dental",gm,,45,,090,,Final,06
21077,CMS,Lab,SL237,silicone,gm,,57,,090,,Final,06
21077,CMS,"Pharmacy, NonRx",SJ079,"adhesive, facial",ml,3,30,,090,,Final,06
21077,CMS,"Pharmacy, NonRx",SJ086,"wax, baseplate",gm,,45,,090,,Final,06
21077,CMS,Lab,SL230,"impression material, final",ml,,6,,090,,Final,06
21077,CMS,"Pharmacy, NonRx",SJ080,monoplex eye,item,0.42,1,,090,,Final,06
21077,CMS,"Pharmacy, NonRx",SJ083,polyurethane sheets (quantity as rolls),roll,,0.05,,090,,Final,06
21077,CMS,"Hypodermic, IV",SC092,"syringe, impression",item,18,1,,090,,Final,06
21077,CMS,"Pharmacy, NonRx",SJ087,"wax, boxing",gm,,45,,090,,Final,06
21077,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,010,,,
21079,CMS,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,090,,Final,06
21079,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,14,,090,,Final,06
21079,CMS,"Gown, Drape",SB037,pillow case,item,0.307,6,,090,,Final,06
21079,CMS,Lab,SL046,dental impression tray,item,0.446,1,,090,,Final,06
21079,CMS,Lab,SL047,dental stone powder,lb,1.598,0.75,,090,,Final,06
21079,CMS,Lab,SL081,"impression material, alginate (dental)",lb,7.5,0.18,,090,,Final,06
21079,CMS,Lab,SL150,"wax, bite registration wafer",item,0.323,1,,090,,Final,06
21079,CMS,"Pharmacy, NonRx",SJ038,petroleum jelly,oz,0.281,1,,090,,Final,06
21079,CMS,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,090,,Final,06
21079,CMS,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,14,,090,,Final,06
21079,CMS,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,090,,Final,06
21079,CMS,"Office Supply, Grocery",SK024,"film, dental",item,0.959,1,,090,,Final,06
21079,CMS,Lab,SL205,"acylic, dental",gm,,45,,090,,Final,06
21079,CMS,"Pharmacy, NonRx",SJ084,teeth set,item,,1,,090,,Final,06
21079,CMS,Lab,SL236,"reline material, Trusoft",gm,,45,,090,,Final,06
21079,CMS,"Pharmacy, NonRx",SJ086,"wax, baseplate",gm,,45,,090,,Final,06
21079,CMS,"Pharmacy, NonRx",SJ082,"paste, registration",gm,,8,,090,,Final,06
21079,CMS,"Office Supply, Grocery",SK109,"paper, articulating",item,0.029,6,,090,,Final,06
21079,CMS,Lab,SL208,"alloy framework, laboratory processing",item,,1,,090,,Final,06
21079,CMS,"Hypodermic, IV",SC092,"syringe, impression",item,18,1,,090,,Final,06
21079,CMS,"Cutters, Closures, Cautery",SF053,"burs, dental",item,0.73,2,,090,,Final,06
21079,CMS,"Pharmacy, NonRx",SJ081,"paste, pressure indicator",gm,1.04,24,,090,,Final,06
21079,CMS,"Pharmacy, NonRx",SJ087,"wax, boxing",gm,,45,,090,,Final,06
21079,CMS,"Cutters, Closures, Cautery",SF054,"wire, orthodontic",item,,1,,090,,Final,06
21079,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,0,010,,,
21080,CMS,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,090,,Final,06
21080,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,14,,090,,Final,06
21080,CMS,"Gown, Drape",SB037,pillow case,item,0.307,6,,090,,Final,06
21080,CMS,Lab,SL046,dental impression tray,item,0.446,1,,090,,Final,06
21080,CMS,Lab,SL047,dental stone powder,lb,1.598,0.75,,090,,Final,06
21080,CMS,Lab,SL081,"impression material, alginate (dental)",lb,7.5,0.18,,090,,Final,06
21080,CMS,Lab,SL150,"wax, bite registration wafer",item,0.323,1,,090,,Final,06
21080,CMS,"Pharmacy, NonRx",SJ038,petroleum jelly,oz,0.281,1,,090,,Final,06
21080,CMS,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,090,,Final,06
21080,CMS,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,14,,090,,Final,06
21080,CMS,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,090,,Final,06
21080,CMS,"Pharmacy, NonRx",SJ087,"wax, boxing",gm,,45,,090,,Final,06
21080,CMS,"Office Supply, Grocery",SK024,"film, dental",item,0.959,1,,090,,Final,06
21080,CMS,Lab,SL205,"acylic, dental",gm,,45,,090,,Final,06
21080,CMS,"Pharmacy, NonRx",SJ084,teeth set,item,,1,,090,,Final,06
21080,CMS,"Pharmacy, NonRx",SJ086,"wax, baseplate",gm,,45,,090,,Final,06
21080,CMS,Lab,SL228,Greenstick compound,item,,5,,090,,Final,06
21080,CMS,Lab,SL230,"impression material, final",ml,,6,,090,,Final,06
21080,CMS,"Pharmacy, NonRx",SJ082,"paste, registration",gm,,8,,090,,Final,06
21080,CMS,"Hypodermic, IV",SC092,"syringe, impression",item,18,1,,090,,Final,06
21080,CMS,"Cutters, Closures, Cautery",SF053,"burs, dental",item,0.73,2,,090,,Final,06
21080,CMS,"Pharmacy, NonRx",SJ081,"paste, pressure indicator",gm,1.04,24,,090,,Final,06
21080,CMS,"Cutters, Closures, Cautery",SF054,"wire, orthodontic",item,,1,,090,,Final,06
21080,CMS,Lab,SL208,"alloy framework, laboratory processing",item,,1,,090,,Final,06
21080,CMS,"Office Supply, Grocery",SK109,"paper, articulating",item,0.029,6,,090,,Final,06
21080,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,0,010,,,
21081,CMS,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,090,,Final,06
21081,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,14,,090,,Final,06
21081,CMS,"Gown, Drape",SB037,pillow case,item,0.307,6,,090,,Final,06
21081,CMS,Lab,SL046,dental impression tray,item,0.446,1,,090,,Final,06
21081,CMS,Lab,SL047,dental stone powder,lb,1.598,0.75,,090,,Final,06
21081,CMS,Lab,SL081,"impression material, alginate (dental)",lb,7.5,0.18,,090,,Final,06
21081,CMS,Lab,SL150,"wax, bite registration wafer",item,0.323,1,,090,,Final,06
21081,CMS,"Pharmacy, NonRx",SJ038,petroleum jelly,oz,0.281,1,,090,,Final,06
21081,CMS,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,090,,Final,06
21081,CMS,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,14,,090,,Final,06
21081,CMS,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,090,,Final,06
21081,CMS,"Office Supply, Grocery",SK024,"film, dental",item,0.959,2,,090,,Final,06
21081,CMS,Lab,SL205,"acylic, dental",gm,,45,,090,,Final,06
21081,CMS,"Pharmacy, NonRx",SJ084,teeth set,item,,1,,090,,Final,06
21081,CMS,Lab,SL236,"reline material, Trusoft",gm,,45,,090,,Final,06
21081,CMS,"Pharmacy, NonRx",SJ086,"wax, baseplate",gm,,45,,090,,Final,06
21081,CMS,Lab,SL228,Greenstick compound,item,,5,,090,,Final,06
21081,CMS,Lab,SL230,"impression material, final",ml,,6,,090,,Final,06
21081,CMS,"Pharmacy, NonRx",SJ082,"paste, registration",gm,,8,,090,,Final,06
21081,CMS,"Office Supply, Grocery",SK109,"paper, articulating",item,0.029,6,,090,,Final,06
21081,CMS,Lab,SL208,"alloy framework, laboratory processing",item,,1,,090,,Final,06
21081,CMS,"Hypodermic, IV",SC092,"syringe, impression",item,18,1,,090,,Final,06
21081,CMS,"Cutters, Closures, Cautery",SF053,"burs, dental",item,0.73,2,,090,,Final,06
21081,CMS,"Pharmacy, NonRx",SJ081,"paste, pressure indicator",gm,1.04,24,,090,,Final,06
21081,CMS,"Pharmacy, NonRx",SJ087,"wax, boxing",gm,,45,,090,,Final,06
21081,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,0,010,,Final,06
21082,CMS,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,090,,Final,06
21082,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,14,,090,,Final,06
21082,CMS,"Gown, Drape",SB037,pillow case,item,0.307,6,,090,,Final,06
21082,CMS,Lab,SL046,dental impression tray,item,0.446,1,,090,,Final,06
21082,CMS,Lab,SL047,dental stone powder,lb,1.598,0.75,,090,,Final,06
21082,CMS,Lab,SL081,"impression material, alginate (dental)",lb,7.5,0.18,,090,,Final,06
21082,CMS,Lab,SL150,"wax, bite registration wafer",item,0.323,1,,090,,Final,06
21082,CMS,"Pharmacy, NonRx",SJ038,petroleum jelly,oz,0.281,1,,090,,Final,06
21082,CMS,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,090,,Final,06
21082,CMS,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,14,,090,,Final,06
21082,CMS,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,090,,Final,06
21082,CMS,"Office Supply, Grocery",SK024,"film, dental",item,0.959,1,,090,,Final,06
21082,CMS,Lab,SL205,"acylic, dental",gm,,45,,090,,Final,06
21082,CMS,Lab,SL236,"reline material, Trusoft",gm,,45,,090,,Final,06
21082,CMS,"Pharmacy, NonRx",SJ086,"wax, baseplate",gm,,45,,090,,Final,06
21082,CMS,Lab,SL228,Greenstick compound,item,,1,,090,,Final,06
21082,CMS,Lab,SL230,"impression material, final",ml,,6,,090,,Final,06
21082,CMS,"Pharmacy, NonRx",SJ082,"paste, registration",gm,,8,,090,,Final,06
21082,CMS,"Office Supply, Grocery",SK109,"paper, articulating",item,0.029,6,,090,,Final,06
21082,CMS,Lab,SL208,"alloy framework, laboratory processing",item,,1,,090,,Final,06
21082,CMS,"Hypodermic, IV",SC092,"syringe, impression",item,18,1,,090,,Final,06
21082,CMS,"Cutters, Closures, Cautery",SF053,"burs, dental",item,0.73,2,,090,,Final,06
21082,CMS,"Pharmacy, NonRx",SJ081,"paste, pressure indicator",gm,1.04,24,,090,,Final,06
21082,CMS,"Pharmacy, NonRx",SJ087,"wax, boxing",gm,,45,,090,,Final,06
21082,CMS,"Pharmacy, NonRx",SJ085,triad tray material,item,,3,,090,,Final,06
21082,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,0,010,,,
21083,CMS,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,090,,Final,06
21083,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,14,,090,,Final,06
21083,CMS,"Gown, Drape",SB037,pillow case,item,0.307,6,,090,,Final,06
21083,CMS,Lab,SL046,dental impression tray,item,0.446,1,,090,,Final,06
21083,CMS,Lab,SL047,dental stone powder,lb,1.598,0.75,,090,,Final,06
21083,CMS,Lab,SL081,"impression material, alginate (dental)",lb,7.5,0.18,,090,,Final,06
21083,CMS,Lab,SL150,"wax, bite registration wafer",item,0.323,1,,090,,Final,06
21083,CMS,"Pharmacy, NonRx",SJ038,petroleum jelly,oz,0.281,1,,090,,Final,06
21083,CMS,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,090,,Final,06
21083,CMS,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,14,,090,,Final,06
21083,CMS,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,090,,Final,06
21083,CMS,"Office Supply, Grocery",SK024,"film, dental",item,0.959,1,,090,,Final,06
21083,CMS,Lab,SL205,"acylic, dental",gm,,45,,090,,Final,06
21083,CMS,Lab,SL236,"reline material, Trusoft",gm,,45,,090,,Final,06
21083,CMS,"Pharmacy, NonRx",SJ086,"wax, baseplate",gm,,45,,090,,Final,06
21083,CMS,Lab,SL228,Greenstick compound,item,,1,,090,,Final,06
21083,CMS,Lab,SL230,"impression material, final",ml,,6,,090,,Final,06
21083,CMS,"Pharmacy, NonRx",SJ082,"paste, registration",gm,,8,,090,,Final,06
21083,CMS,"Office Supply, Grocery",SK109,"paper, articulating",item,0.029,6,,090,,Final,06
21083,CMS,Lab,SL208,"alloy framework, laboratory processing",item,,1,,090,,Final,06
21083,CMS,"Hypodermic, IV",SC092,"syringe, impression",item,18,1,,090,,Final,06
21083,CMS,"Cutters, Closures, Cautery",SF053,"burs, dental",item,0.73,2,,090,,Final,06
21083,CMS,"Pharmacy, NonRx",SJ081,"paste, pressure indicator",gm,1.04,24,,090,,Final,06
21083,CMS,"Pharmacy, NonRx",SJ087,"wax, boxing",gm,,45,,090,,Final,06
21083,CMS,"Pharmacy, NonRx",SJ085,triad tray material,item,,2,,090,,Final,06
21083,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,0,010,,,
21084,CMS,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,090,,Final,06
21084,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,14,,090,,Final,06
21084,CMS,"Gown, Drape",SB037,pillow case,item,0.307,6,,090,,Final,06
21084,CMS,Lab,SL046,dental impression tray,item,0.446,1,,090,,Final,06
21084,CMS,Lab,SL047,dental stone powder,lb,1.598,0.75,,090,,Final,06
21084,CMS,Lab,SL081,"impression material, alginate (dental)",lb,7.5,0.18,,090,,Final,06
21084,CMS,Lab,SL150,"wax, bite registration wafer",item,0.323,1,,090,,Final,06
21084,CMS,"Pharmacy, NonRx",SJ038,petroleum jelly,oz,0.281,1,,090,,Final,06
21084,CMS,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,090,,Final,06
21084,CMS,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,14,,090,,Final,06
21084,CMS,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,090,,Final,06
21084,CMS,"Office Supply, Grocery",SK024,"film, dental",item,0.959,1,,090,,Final,06
21084,CMS,Lab,SL205,"acylic, dental",gm,,45,,090,,Final,06
21084,CMS,Lab,SL236,"reline material, Trusoft",gm,,45,,090,,Final,06
21084,CMS,"Pharmacy, NonRx",SJ086,"wax, baseplate",gm,,45,,090,,Final,06
21084,CMS,Lab,SL228,Greenstick compound,item,,1,,090,,Final,06
21084,CMS,Lab,SL230,"impression material, final",ml,,6,,090,,Final,06
21084,CMS,"Pharmacy, NonRx",SJ082,"paste, registration",gm,,8,,090,,Final,06
21084,CMS,"Office Supply, Grocery",SK109,"paper, articulating",item,0.029,3,,090,,Final,06
21084,CMS,Lab,SL208,"alloy framework, laboratory processing",item,,1,,090,,Final,06
21084,CMS,"Hypodermic, IV",SC092,"syringe, impression",item,18,1,,090,,Final,06
21084,CMS,"Cutters, Closures, Cautery",SF053,"burs, dental",item,0.73,2,,090,,Final,06
21084,CMS,"Pharmacy, NonRx",SJ081,"paste, pressure indicator",gm,1.04,24,,090,,Final,06
21084,CMS,"Pharmacy, NonRx",SJ087,"wax, boxing",gm,,45,,090,,Final,06
21084,CMS,"Pharmacy, NonRx",SJ085,triad tray material,item,,2,,090,,Final,06
21084,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,0,010,,,
21085,CMS,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,010,,Final,06
21085,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,14,,010,,Final,06
21085,CMS,"Gown, Drape",SB037,pillow case,item,0.307,6,,010,,Final,06
21085,CMS,Lab,SL046,dental impression tray,item,0.446,1,,010,,Final,06
21085,CMS,Lab,SL047,dental stone powder,lb,1.598,0.75,,010,,Final,06
21085,CMS,Lab,SL081,"impression material, alginate (dental)",lb,7.5,0.18,,010,,Final,06
21085,CMS,Lab,SL150,"wax, bite registration wafer",item,0.323,1,,010,,Final,06
21085,CMS,"Pharmacy, NonRx",SJ038,petroleum jelly,oz,0.281,1,,010,,Final,06
21085,CMS,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,010,,Final,06
21085,CMS,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,14,,010,,Final,06
21085,CMS,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,010,,Final,06
21085,CMS,"Office Supply, Grocery",SK024,"film, dental",item,0.959,1,,010,,Final,06
21085,CMS,Lab,SL205,"acylic, dental",gm,,45,,010,,Final,06
21085,CMS,"Pharmacy, NonRx",SJ086,"wax, baseplate",gm,,45,,010,,Final,06
21085,CMS,Lab,SL228,Greenstick compound,item,,1,,010,,Final,06
21085,CMS,Lab,SL230,"impression material, final",ml,,6,,010,,Final,06
21085,CMS,"Pharmacy, NonRx",SJ082,"paste, registration",gm,,8,,010,,Final,06
21085,CMS,"Office Supply, Grocery",SK109,"paper, articulating",item,0.029,3,,010,,Final,06
21085,CMS,Lab,SL208,"alloy framework, laboratory processing",item,,1,,010,,Final,06
21085,CMS,"Hypodermic, IV",SC092,"syringe, impression",item,18,1,,010,,Final,06
21085,CMS,"Cutters, Closures, Cautery",SF053,"burs, dental",item,0.73,2,,010,,Final,06
21085,CMS,"Pharmacy, NonRx",SJ081,"paste, pressure indicator",gm,1.04,24,,010,,Final,06
21085,CMS,"Pharmacy, NonRx",SJ087,"wax, boxing",gm,,45,,010,,Final,06
21085,CMS,"Cutters, Closures, Cautery",SF054,"wire, orthodontic",item,,1,,010,,Final,06
21085,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,010,,,
21086,CMS,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,090,,Final,06
21086,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,14,,090,,Final,06
21086,CMS,"Gown, Drape",SB037,pillow case,item,0.307,6,,090,,Final,06
21086,CMS,Lab,SL046,dental impression tray,item,0.446,1,,090,,Final,06
21086,CMS,Lab,SL047,dental stone powder,lb,1.598,0.75,,090,,Final,06
21086,CMS,Lab,SL081,"impression material, alginate (dental)",lb,7.5,0.18,,090,,Final,06
21086,CMS,Lab,SL150,"wax, bite registration wafer",item,0.323,1,,090,,Final,06
21086,CMS,"Pharmacy, NonRx",SJ038,petroleum jelly,oz,0.281,1,,090,,Final,06
21086,CMS,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,090,,Final,06
21086,CMS,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,14,,090,,Final,06
21086,CMS,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,090,,Final,06
21086,CMS,Lab,SL205,"acylic, dental",gm,,45,,090,,Final,06
21086,CMS,Lab,SL237,silicone,gm,,57,,090,,Final,06
21086,CMS,"Pharmacy, NonRx",SJ079,"adhesive, facial",ml,3,30,,090,,Final,06
21086,CMS,"Pharmacy, NonRx",SJ086,"wax, baseplate",gm,,45,,090,,Final,06
21086,CMS,Lab,SL230,"impression material, final",ml,,6,,090,,Final,06
21086,CMS,"Pharmacy, NonRx",SJ083,polyurethane sheets (quantity as rolls),roll,,0.5,,090,,Final,06
21086,CMS,"Hypodermic, IV",SC092,"syringe, impression",item,18,1,,090,,Final,06
21086,CMS,"Pharmacy, NonRx",SJ087,"wax, boxing",gm,,45,,090,,Final,06
21086,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,010,,,
21087,CMS,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,090,,Final,06
21087,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,14,,090,,Final,06
21087,CMS,"Gown, Drape",SB037,pillow case,item,0.307,6,,090,,Final,06
21087,CMS,Lab,SL046,dental impression tray,item,0.446,1,,090,,Final,06
21087,CMS,Lab,SL047,dental stone powder,lb,1.598,0.75,,090,,Final,06
21087,CMS,Lab,SL081,"impression material, alginate (dental)",lb,7.5,0.18,,090,,Final,06
21087,CMS,Lab,SL150,"wax, bite registration wafer",item,0.323,1,,090,,Final,06
21087,CMS,"Pharmacy, NonRx",SJ038,petroleum jelly,oz,0.281,1,,090,,Final,06
21087,CMS,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,090,,Final,06
21087,CMS,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,14,,090,,Final,06
21087,CMS,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,090,,Final,06
21087,CMS,Lab,SL205,"acylic, dental",gm,,45,,090,,Final,06
21087,CMS,Lab,SL237,silicone,gm,,57,,090,,Final,06
21087,CMS,"Pharmacy, NonRx",SJ079,"adhesive, facial",ml,3,30,,090,,Final,06
21087,CMS,"Pharmacy, NonRx",SJ086,"wax, baseplate",gm,,45,,090,,Final,06
21087,CMS,Lab,SL230,"impression material, final",ml,,6,,090,,Final,06
21087,CMS,"Pharmacy, NonRx",SJ083,polyurethane sheets (quantity as rolls),roll,,0.5,,090,,Final,06
21087,CMS,"Hypodermic, IV",SC092,"syringe, impression",item,18,1,,090,,Final,06
21087,CMS,"Pharmacy, NonRx",SJ087,"wax, boxing",gm,,45,,090,,Final,06
21087,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,010,,,
21088,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,090,,,
21088,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,14,,090,,,
21088,CPEP,"Gown, Drape",SB037,pillow case,item,0.307,6,,090,,,
21088,CPEP,Lab,SL046,dental impression tray,item,0.446,1,,090,,,
21088,CPEP,Lab,SL047,dental stone powder,lb,1.598,0.75,,090,,,
21088,CPEP,Lab,SL081,"impression material, alginate (dental)",lb,7.5,0.18,,090,,,
21088,CPEP,Lab,SL150,"wax, bite registration wafer",item,0.323,1,,090,,,
21088,CPEP,"Pharmacy, NonRx",SJ038,petroleum jelly,oz,0.281,1,,090,,,
21088,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,090,,,
21088,CPEP,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,14,,090,,,
21088,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,090,,,
21089,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,090,,,
21100,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
21100,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
21100,PEAC,"Accessory, Procedure",SD200,"screw, surgical, self-tapping, 1.5-2.0mm",item,27,6,0,090,,Aug03,6
21100,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
21100,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
21100,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
21100,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,3,0,090,,Aug03,6
21100,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21100,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,6,5,090,,Aug03,6
21100,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
21100,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21100,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
21100,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
21100,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21100,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21100,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Aug03,6
21100,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
21100,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
21100,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
21100,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21100,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,6
21100,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
21100,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,12,10,090,,Aug03,6
21100,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,6,5,090,,Aug03,6
21100,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,50,50,090,,Aug03,6
21100,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,15,0,090,,Aug03,6
21100,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,090,,Aug03,6
21100,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,090,,Aug03,6
21100,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
21100,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
21100,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
21110,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,6,5,090,,Aug03,6
21110,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,6,5,090,,Aug03,6
21110,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,6,5,090,,Aug03,6
21110,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,6,5,090,,Aug03,6
21110,PEAC,"Cutters, Closures, Cautery",SF001,arch bar,inch,0.66,12,0,090,,Aug03,6
21110,PEAC,"Cutters, Closures, Cautery",SF025,dental elastics,item,0.008,120,90,090,,Aug03,6
21110,PEAC,"Cutters, Closures, Cautery",SF043,"wire, surgical steel",foot,0.128,12,0,090,,Aug03,6
21110,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21110,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,6,5,090,,Aug03,6
21110,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,5,5,090,,Aug03,6
21110,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
21110,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21110,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,12,10,090,,Aug03,6
21110,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,12,10,090,,Aug03,6
21110,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21110,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21110,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,6,5,090,,Aug03,6
21110,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,2,1,090,,Aug03,6
21110,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,1,090,,Aug03,6
21110,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,6,5,090,,Aug03,6
21110,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21110,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,6
21110,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,6,5,090,,Aug03,6
21110,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,12,10,090,,Aug03,6
21110,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,20,10,090,,Aug03,6
21110,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,4,2,090,,Aug03,6
21110,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,6,5,090,,Aug03,6
21110,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,12,6,090,,Aug03,6
21110,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
21116,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,000,,Jan04,7
21116,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Jan04,7
21116,PEAC,"Kit, Pack, Tray",SA060,"tray, arthrogram",tray,18.83,1,0,000,,Jan04,7
21116,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,000,,Jan04,7
21120,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,4.5,3.5,090,,Mar04,I
21120,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4.5,3.5,090,,Mar04,I
21120,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,4.5,3.5,090,,Mar04,I
21120,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Mar04,I
21120,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar04,I
21120,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,0,090,,Mar04,I
21120,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,090,,Mar04,I
21120,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,090,,Mar04,I
21120,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4.5,2.5,090,,Mar04,I
21120,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,5.5,3.5,090,,Mar04,I
21120,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,5.5,3.5,090,,Mar04,I
21120,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,4.5,3.5,090,,Mar04,I
21120,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Mar04,I
21120,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,2,0,090,,Mar04,I
21120,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar04,I
21120,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Mar04,I
21120,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar04,I
21120,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,4,2,090,,Mar04,I
21120,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar04,I
21120,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,10,090,,Mar04,I
21120,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Mar04,I
21120,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar04,I
21120,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,1,0,090,,Mar04,I
21120,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Mar04,I
21120,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,1,090,,Mar04,I
21120,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,10,3,090,,Mar04,I
21120,PEAC,"Wound Care, Dressings",SG088,"tape, foam, elastic, 2in (Microfoam)",inch,0.0026,24,12,090,,Mar04,I
21121,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,4.5,3.5,090,,Mar04,I
21121,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4.5,3.5,090,,Mar04,I
21121,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,4.5,3.5,090,,Mar04,I
21121,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Mar04,I
21121,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar04,I
21121,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,0,090,,Mar04,I
21121,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,090,,Mar04,I
21121,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,090,,Mar04,I
21121,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4.5,2.5,090,,Mar04,I
21121,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,5.5,3.5,090,,Mar04,I
21121,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,5.5,3.5,090,,Mar04,I
21121,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,4.5,3.5,090,,Mar04,I
21121,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Mar04,I
21121,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,2,0,090,,Mar04,I
21121,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar04,I
21121,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Mar04,I
21121,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar04,I
21121,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,4,2,090,,Mar04,I
21121,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar04,I
21121,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,10,090,,Mar04,I
21121,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Mar04,I
21121,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar04,I
21121,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,1,0,090,,Mar04,I
21121,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Mar04,I
21121,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,1,090,,Mar04,I
21121,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,10,3,090,,Mar04,I
21121,PEAC,"Wound Care, Dressings",SG088,"tape, foam, elastic, 2in (Microfoam)",inch,0.0026,24,12,090,,Mar04,I
21122,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21122,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21122,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,4,090,,Mar04,I
21122,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
21122,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21122,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21122,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21122,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
21122,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
21122,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21122,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21122,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,1,090,,Mar04,I
21122,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,3,090,,Mar04,I
21122,PEAC,"Wound Care, Dressings",SG088,"tape, foam, elastic, 2in (Microfoam)",inch,0.0026,,12,090,,Mar04,I
21123,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21123,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21123,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,4,090,,Mar04,I
21123,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
21123,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21123,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21123,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21123,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
21123,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
21123,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21123,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21123,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,,1,090,,Mar04,I
21123,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,3,090,,Mar04,I
21123,PEAC,"Wound Care, Dressings",SG088,"tape, foam, elastic, 2in (Microfoam)",inch,0.0026,,12,090,,Mar04,I
21125,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,6,0,090,,Aug03,6
21125,PEAC,"Accessory, Procedure",SD110,"reservoir, drain (Jackson-Pratt)",item,22,1,0,090,,Aug03,6
21125,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
21125,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
21125,PEAC,"Accessory, Procedure",SD191,"plate, surgical, reconstruction, left, 5 x 16 hole",item,719,1,0,090,,Aug03,6
21125,PEAC,"Accessory, Procedure",SD192,"plate, surgical, reconstruction, template, 5 x 16 hole",item,50,1,0,090,,Aug03,6
21125,PEAC,"Accessory, Procedure",SD201,"screw, surgical, standard, 2.4mm x 14mm",item,42,16,0,090,,Aug03,6
21125,PEAC,"Accessory, Procedure",SD202,"screw, surgical, standard, 2.7mm x 12mm",item,47,4,0,090,,Aug03,6
21125,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
21125,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
21125,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
21125,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
21125,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
21125,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21125,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21125,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,2,090,,Aug03,6
21125,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21125,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,10,8,090,,Aug03,6
21125,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,10,8,090,,Aug03,6
21125,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21125,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21125,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Aug03,6
21125,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
21125,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,10,0,090,,Aug03,6
21125,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
21125,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21125,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
21125,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
21125,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,5,4,090,,Aug03,6
21125,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
21125,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
21125,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,20,0,090,,Aug03,6
21125,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Aug03,6
21125,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,1,0,090,,Aug03,6
21125,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
21125,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,0,090,,Aug03,6
21125,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
21127,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,6,0,090,,Aug03,6
21127,PEAC,"Accessory, Procedure",SD110,"reservoir, drain (Jackson-Pratt)",item,22,1,0,090,,Aug03,6
21127,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
21127,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
21127,PEAC,"Accessory, Procedure",SD191,"plate, surgical, reconstruction, left, 5 x 16 hole",item,719,1,0,090,,Aug03,6
21127,PEAC,"Accessory, Procedure",SD192,"plate, surgical, reconstruction, template, 5 x 16 hole",item,50,1,0,090,,Aug03,6
21127,PEAC,"Accessory, Procedure",SD199,"screw, surgical, locking, 2.4mm x 16mm",item,74,16,0,090,,Aug03,6
21127,PEAC,"Accessory, Procedure",SD202,"screw, surgical, standard, 2.7mm x 12mm",item,47,4,0,090,,Aug03,6
21127,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
21127,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,2,0,090,,Aug03,6
21127,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
21127,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
21127,PEAC,"Cutters, Closures, Cautery",SF034,"stapler, surgical",item,7.509,1,0,090,,Aug03,6
21127,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
21127,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
21127,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21127,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21127,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,8,2,090,,Aug03,6
21127,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,0,090,,Aug03,6
21127,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,10,8,090,,Aug03,6
21127,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,10,8,090,,Aug03,6
21127,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21127,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21127,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Aug03,6
21127,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,2,0,090,,Aug03,6
21127,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,20,0,090,,Aug03,6
21127,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
21127,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,090,,Aug03,6
21127,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21127,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
21127,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,1,1,090,,Aug03,6
21127,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,4,0,090,,Aug03,6
21127,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,5,4,090,,Aug03,6
21127,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,2,0,090,,Aug03,6
21127,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
21127,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,40,0,090,,Aug03,6
21127,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Aug03,6
21127,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
21127,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,2,0,090,,Aug03,6
21127,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,0,090,,Aug03,6
21127,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,6
21127,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Aug03,6
21127,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,0,090,,Aug03,6
21137,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
21137,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21137,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21137,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21137,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Mar04,I
21137,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,Mar04,I
21138,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
21138,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21138,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21138,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21138,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Mar04,I
21138,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,Mar04,I
21139,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
21139,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21139,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
21139,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
21139,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
21139,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
21139,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
21139,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
21139,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21139,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21139,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21139,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
21139,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
21139,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Mar04,I
21139,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,Mar04,I
21139,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
21141,CMS WALK: BOTH SITES,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,21144,,
21141,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,21144,,
21141,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
21141,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,1,090,21144,,
21141,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,360,090,21144,,
21141,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,12,090,21144,,
21141,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,21144,,
21141,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,6,090,21144,,
21141,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,12,090,21144,,
21141,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,24,090,21144,,
21141,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,2,090,21144,,
21141,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,18,090,21144,,
21142,CMS WALK: BOTH SITES,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,21141,,
21142,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,21141,,
21142,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
21142,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,1,090,21141,,
21142,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,360,090,21141,,
21142,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,12,090,21141,,
21142,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,6,090,21141,,
21142,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,12,090,21141,,
21142,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,24,090,21141,,
21142,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,2,090,21141,,
21142,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,18,090,21141,,
21143,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,090,,Mar04,I
21143,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,090,,Mar04,I
21143,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,Mar04,I
21143,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,090,,Mar04,I
21143,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,1,090,,Mar04,I
21143,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,1,090,,Mar04,I
21143,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Mar04,I
21143,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21143,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21143,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21145,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21145,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
21145,PERC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,6,090,,Apr06,J
21145,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,360,090,,Apr06,J
21145,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,6,090,,Apr06,J
21146,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21146,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Apr06,J
21146,PERC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,7,090,,,
21146,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,360,090,,Apr06,
21146,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,7,090,,,
21147,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21147,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,360,090,,Apr06,J
21147,PERC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,7,090,,Apr06,J
21147,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Apr06,J
21147,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21147,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,7,090,,Apr06,J
21150,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21150,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
21150,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21150,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
21150,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21150,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21150,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21150,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
21150,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21150,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21150,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21151,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21151,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
21151,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21151,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
21151,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21151,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21151,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21151,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
21151,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21151,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21151,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21154,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21154,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
21154,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21154,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
21154,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21154,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21154,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21154,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
21154,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21154,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21154,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21155,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21155,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
21155,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21155,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
21155,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21155,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21155,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21155,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
21155,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21155,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21155,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21159,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21159,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
21159,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21159,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
21159,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21159,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21159,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21159,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
21159,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21159,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21159,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21160,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21160,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
21160,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21160,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
21160,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21160,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21160,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21160,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
21160,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21160,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21160,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21172,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,7,090,,,
21172,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21172,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
21172,CPEP,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,1,090,,,
21172,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,420,090,,,
21172,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,ok,Apr06,J
21172,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,7,090,,,
21172,CPEP,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,14,090,,,
21172,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,28,090,,,
21172,CPEP,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,2,090,,,
21172,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,21,090,,,
21175,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,7,090,,,
21175,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21175,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
21175,CPEP,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,1,090,,,
21175,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,420,090,,,
21175,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,ok,Apr06,J
21175,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,7,090,,,
21175,CPEP,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,14,090,,,
21175,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,28,090,,,
21175,CPEP,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,2,090,,,
21175,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,21,090,,,
21179,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,7,090,,,
21179,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21179,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
21179,CPEP,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,1,090,,,
21179,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,420,090,,,
21179,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,14,090,,,
21179,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,7,090,,,
21179,CPEP,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,14,090,,,
21179,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,28,090,,,
21179,CPEP,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,2,090,,,
21179,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,21,090,,,
21180,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,7,090,,,
21180,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21180,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
21180,CPEP,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,1,090,,,
21180,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,420,090,,Apr06,J
21180,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,14,090,,,
21180,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,7,090,,,
21180,CPEP,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,14,090,,,
21180,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,28,090,,,
21180,CPEP,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,2,090,,,
21180,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,21,090,,,
21181,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21181,PERC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Apr06,J
21181,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Apr06,J
21181,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
21181,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,4,090,,Apr06,J
21182,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21182,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
21182,PERC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,Apr06,J
21182,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,360,090,,Apr06,J
21182,PERC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,Apr06,J
21183,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21183,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
21183,PERC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,Apr06,J
21183,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,360,090,,Apr06,J
21183,PERC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,Apr06,J
21184,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21184,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
21184,CPEP,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,Apr06,J
21184,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,360,090,,Apr06,J
21184,PERC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,Apr06,J
21188,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21188,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
21188,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21188,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
21188,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21188,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21188,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21188,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
21188,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21188,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21188,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21193,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21193,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
21193,PERC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,Apr06,J
21193,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,Apr06,J
21193,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,5,090,,Apr06,J
21193,PERC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,Apr06,J
21194,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21194,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
21194,PERC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,6,090,,Apr06,J
21194,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,360,090,,Apr06,J
21194,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,6,090,,Apr06,J
21194,PERC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,Apr06,J
21195,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21195,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
21195,PEAC,"Cutters, Closures, Cautery",SF025,dental elastics,item,0.008,,1,090,,Mar04,I
21195,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21195,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
21195,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21195,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21195,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21195,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,Mar04,I
21195,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,,2,090,,Mar04,I
21195,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5.5,090,,Mar04,I
21195,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21195,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21195,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21195,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,Mar04,I
21195,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,,10,090,,Mar04,I
21196,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21196,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
21196,PEAC,"Cutters, Closures, Cautery",SF025,dental elastics,item,0.008,,1,090,,Mar04,I
21196,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21196,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
21196,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21196,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21196,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21196,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,Mar04,I
21196,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,,2,090,,Mar04,I
21196,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5.5,090,,Mar04,I
21196,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21196,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21196,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21196,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,Mar04,I
21196,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,,10,090,,Mar04,I
21198,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21198,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
21198,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21198,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
21198,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21198,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21198,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21198,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4.5,090,,Mar04,I
21198,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21198,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21198,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21199,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,,3,090,,,
21199,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,3,090,,,
21199,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,3,090,,,
21206,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21206,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
21206,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21206,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
21206,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21206,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21206,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21206,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4.5,090,,Mar04,I
21206,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21206,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21206,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21208,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,6,0,090,,Aug03,6
21208,PEAC,"Accessory, Procedure",SD110,"reservoir, drain (Jackson-Pratt)",item,22,1,0,090,,Aug03,6
21208,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
21208,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
21208,PEAC,"Accessory, Procedure",SD189,"plate, surgical, mini-compression, 4 hole",item,226,1,0,090,,Aug03,6
21208,PEAC,"Accessory, Procedure",SD199,"screw, surgical, locking, 2.4mm x 16mm",item,74,4,0,090,,Aug03,6
21208,PEAC,"Accessory, Procedure",SD202,"screw, surgical, standard, 2.7mm x 12mm",item,47,1,0,090,,Aug03,6
21208,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
21208,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
21208,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
21208,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
21208,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
21208,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21208,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21208,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,2,090,,Aug03,6
21208,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21208,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,12,10,090,,Aug03,6
21208,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,12,10,090,,Aug03,6
21208,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21208,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21208,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Aug03,6
21208,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
21208,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,10,0,090,,Aug03,6
21208,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
21208,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21208,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,7,6,090,,Aug03,6
21208,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
21208,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,6,5,090,,Aug03,6
21208,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
21208,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
21208,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,20,0,090,,Aug03,6
21208,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Aug03,6
21208,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,1,0,090,,Aug03,6
21208,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
21208,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,0,090,,Aug03,6
21208,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
21209,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,6,0,090,,Aug03,6
21209,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
21209,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
21209,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
21209,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
21209,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
21209,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
21209,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
21209,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21209,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21209,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,2,090,,Aug03,6
21209,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21209,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,14,12,090,,Aug03,6
21209,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,14,12,090,,Aug03,6
21209,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21209,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21209,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Aug03,6
21209,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
21209,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,10,0,090,,Aug03,6
21209,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
21209,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21209,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,7,6,090,,Aug03,6
21209,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
21209,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,7,6,090,,Aug03,6
21209,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
21209,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
21209,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,20,0,090,,Aug03,6
21209,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Aug03,6
21209,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,1,0,090,,Aug03,6
21209,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
21209,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,0,090,,Aug03,6
21209,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
21210,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,6,0,090,,Aug03,6
21210,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
21210,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
21210,PEAC,"Accessory, Procedure",SD190,"plate, surgical, mini-i, 16mm",item,147,2,0,090,,Aug03,6
21210,PEAC,"Accessory, Procedure",SD196,"screw, surgical, auto-drive, 2.0mm x 4mm",item,37,16,0,090,,Aug03,6
21210,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
21210,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,2,0,090,,Aug03,6
21210,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
21210,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
21210,PEAC,"Cutters, Closures, Cautery",SF034,"stapler, surgical",item,7.509,1,0,090,,Aug03,6
21210,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
21210,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
21210,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21210,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21210,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,8,2,090,,Aug03,6
21210,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,0,090,,Aug03,6
21210,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,12,10,090,,Aug03,6
21210,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,12,10,090,,Aug03,6
21210,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21210,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21210,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Aug03,6
21210,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,2,0,090,,Aug03,6
21210,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,20,0,090,,Aug03,6
21210,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
21210,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,090,,Aug03,6
21210,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21210,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,7,6,090,,Aug03,6
21210,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,1,1,090,,Aug03,6
21210,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,4,0,090,,Aug03,6
21210,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,6,5,090,,Aug03,6
21210,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,2,0,090,,Aug03,6
21210,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
21210,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,40,0,090,,Aug03,6
21210,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Aug03,6
21210,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
21210,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,2,0,090,,Aug03,6
21210,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,0,090,,Aug03,6
21210,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,6
21210,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Aug03,6
21210,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,0,090,,Aug03,6
21215,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,6,0,090,,Aug03,6
21215,PEAC,"Accessory, Procedure",SD110,"reservoir, drain (Jackson-Pratt)",item,22,1,0,090,,Aug03,6
21215,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
21215,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
21215,PEAC,"Accessory, Procedure",SD191,"plate, surgical, reconstruction, left, 5 x 16 hole",item,719,1,0,090,,Aug03,6
21215,PEAC,"Accessory, Procedure",SD192,"plate, surgical, reconstruction, template, 5 x 16 hole",item,50,1,0,090,,Aug03,6
21215,PEAC,"Accessory, Procedure",SD199,"screw, surgical, locking, 2.4mm x 16mm",item,74,16,0,090,,Aug03,6
21215,PEAC,"Accessory, Procedure",SD202,"screw, surgical, standard, 2.7mm x 12mm",item,47,4,0,090,,Aug03,6
21215,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
21215,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,2,0,090,,Aug03,6
21215,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
21215,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
21215,PEAC,"Cutters, Closures, Cautery",SF034,"stapler, surgical",item,7.509,1,0,090,,Aug03,6
21215,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
21215,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
21215,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21215,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21215,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,8,2,090,,Aug03,6
21215,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,0,090,,Aug03,6
21215,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,12,10,090,,Aug03,6
21215,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,12,10,090,,Aug03,6
21215,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21215,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21215,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Aug03,6
21215,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,2,0,090,,Aug03,6
21215,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,20,0,090,,Aug03,6
21215,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
21215,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,090,,Aug03,6
21215,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21215,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,7,6,090,,Aug03,6
21215,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,1,1,090,,Aug03,6
21215,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,4,0,090,,Aug03,6
21215,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,6,5,090,,Aug03,6
21215,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,2,0,090,,Aug03,6
21215,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
21215,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,40,0,090,,Aug03,6
21215,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Aug03,6
21215,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
21215,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,2,0,090,,Aug03,6
21215,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,0,090,,Aug03,6
21215,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,6
21215,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Aug03,6
21215,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,0,090,,Aug03,6
21230,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21230,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
21230,PERC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Apr06,J
21230,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,Apr06,J
21230,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,3,090,,Apr06,J
21230,PERC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,Apr06,J
21235,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
21235,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
21235,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
21235,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
21235,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
21235,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
21235,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Aug03,6
21235,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
21235,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
21235,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
21235,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
21235,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21235,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,6
21235,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
21235,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
21235,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
21235,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
21235,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
21235,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
21235,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
21235,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,6
21240,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
21240,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21240,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,6,090,,Apr06,J
21240,PERC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,Apr06,J
21242,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
21242,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21242,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,6,090,,Apr06,J
21242,PERC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,Apr06,J
21243,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,10,090,,Apr06,J
21243,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21243,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,10,090,,Apr06,J
21243,PERC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,Apr06,J
21244,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21244,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
21244,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21244,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
21244,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21244,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21244,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21244,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
21244,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21244,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21244,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21245,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,6,0,090,,Aug03,6
21245,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
21245,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
21245,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
21245,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
21245,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
21245,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
21245,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,4,0,090,,Aug03,6
21245,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21245,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21245,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,2,090,,Aug03,6
21245,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21245,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,12,10,090,,Aug03,6
21245,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,12,10,090,,Aug03,6
21245,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21245,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21245,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Aug03,6
21245,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
21245,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,10,0,090,,Aug03,6
21245,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
21245,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21245,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,6
21245,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
21245,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,6,5,090,,Aug03,6
21245,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
21245,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
21245,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,20,0,090,,Aug03,6
21245,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Aug03,6
21245,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,1,0,090,,Aug03,6
21245,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
21245,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,0,090,,Aug03,6
21245,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
21246,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,6
21246,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
21247,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Apr06,J
21247,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21247,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,7,090,,Apr06,J
21247,PERC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,Apr06,J
21248,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,6,0,090,,Aug03,6
21248,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
21248,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
21248,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
21248,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
21248,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
21248,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
21248,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,4,0,090,,Aug03,6
21248,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21248,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21248,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,2,090,,Aug03,6
21248,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21248,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,10,8,090,,Aug03,6
21248,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,10,8,090,,Aug03,6
21248,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21248,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21248,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Aug03,6
21248,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
21248,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,10,0,090,,Aug03,6
21248,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
21248,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21248,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
21248,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
21248,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,5,4,090,,Aug03,6
21248,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
21248,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
21248,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,20,0,090,,Aug03,6
21248,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Aug03,6
21248,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,1,0,090,,Aug03,6
21248,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
21248,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,0,090,,Aug03,6
21248,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
21249,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,6,0,090,,Aug03,6
21249,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
21249,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
21249,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
21249,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
21249,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
21249,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
21249,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,4,0,090,,Aug03,6
21249,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21249,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21249,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,2,090,,Aug03,6
21249,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21249,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,10,8,090,,Aug03,6
21249,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,10,8,090,,Aug03,6
21249,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21249,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21249,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Aug03,6
21249,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
21249,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,10,0,090,,Aug03,6
21249,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
21249,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21249,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
21249,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
21249,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,5,4,090,,Aug03,6
21249,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
21249,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Aug03,6
21249,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,20,0,090,,Aug03,6
21249,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Aug03,6
21249,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,1,0,090,,Aug03,6
21249,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
21249,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,0,090,,Aug03,6
21249,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
21255,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21255,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
21255,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21255,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
21255,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21255,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21255,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21255,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Mar04,I
21255,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21255,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21255,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21255,PEAC,"Wound Care, Dressings",SG013,"bandage, elastic wrap 6in (Ace)",item,1.539,,1,090,,Mar04,I
21255,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Mar04,I
21256,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
21256,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21256,PERC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,Apr06,J
21260,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
21260,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Mar04,I
21260,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,1,090,,Mar04,I
21260,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21260,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
21260,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
21260,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
21260,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
21260,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
21260,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Mar04,I
21260,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
21260,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21260,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21260,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21260,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
21260,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
21260,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Mar04,I
21260,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,Mar04,I
21260,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
21261,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21261,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
21261,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,1,090,,Mar04,I
21261,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21261,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
21261,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21261,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21261,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21261,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
21261,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Mar04,I
21261,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
21261,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21261,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21261,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21261,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
21261,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
21261,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Mar04,I
21261,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,Mar04,I
21261,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
21263,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21263,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
21263,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,1,090,,Mar04,I
21263,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21263,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
21263,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21263,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21263,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21263,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
21263,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Mar04,I
21263,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
21263,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21263,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21263,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21263,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
21263,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
21263,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Mar04,I
21263,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,Mar04,I
21263,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
21267,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21267,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
21267,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,1,090,,Mar04,I
21267,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21267,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
21267,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21267,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21267,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21267,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
21267,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Mar04,I
21267,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Mar04,I
21267,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21267,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21267,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21267,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
21267,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
21267,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Mar04,I
21267,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,Mar04,I
21267,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
21268,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
21268,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
21268,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,1,090,,Mar04,I
21268,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21268,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
21268,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
21268,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
21268,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
21268,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
21268,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Mar04,I
21268,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
21268,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21268,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21268,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21268,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
21268,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
21268,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Mar04,I
21268,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,Mar04,I
21268,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
21270,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
21270,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
21270,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
21270,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
21270,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
21270,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
21270,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Aug03,6
21270,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
21270,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
21270,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
21270,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
21270,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21270,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,6
21270,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
21270,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
21270,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
21270,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
21270,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
21270,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
21270,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
21270,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,6
21275,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,5,090,,,
21275,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21275,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
21275,CPEP,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,1,090,,,
21275,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,300,090,,,
21275,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,10,090,,,
21275,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,5,090,,,
21275,CPEP,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,10,090,,,
21275,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,20,090,,,
21275,CPEP,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,2,090,,,
21275,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,15,090,,,
21280,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,,
21280,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21280,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
21280,CPEP,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,1,090,,,
21280,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
21280,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,8,090,,,
21280,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,4,090,,,
21280,CPEP,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,8,090,,,
21280,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,16,090,,,
21280,CPEP,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,2,090,,,
21280,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
21282,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,,
21282,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21282,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
21282,CPEP,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,1,090,,,
21282,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
21282,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,8,090,,,
21282,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,4,090,,,
21282,CPEP,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,8,090,,,
21282,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,16,090,,,
21282,CPEP,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,2,090,,,
21282,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
21295,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,I
21295,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21295,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21295,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21295,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Mar04,I
21295,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,Mar04,I
21296,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
21296,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21296,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
21296,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
21296,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
21296,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
21296,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
21296,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21296,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21296,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21296,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Mar04,I
21296,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,Mar04,I
21299,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
21310,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Feb05,
21310,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,000,,Feb05,
21310,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,Feb05,
21310,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Feb05,
21310,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,000,,Feb05,
21310,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,000,,Feb05,
21310,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,0,000,,Feb05,
21310,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,0,000,,Feb05,
21310,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,0,000,,Feb05,
21310,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,0,000,,Feb05,
21310,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,Feb05,
21310,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Feb05,
21310,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,2,0,000,,Feb05,
21310,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,Feb05,
21315,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Mar04,I
21315,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,010,,Mar04,I
21315,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,010,,Mar04,I
21315,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,010,,Mar04,I
21315,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,1,010,,Mar04,I
21315,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,1,010,,Mar04,I
21315,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,1,010,,Mar04,I
21315,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,010,,Mar04,I
21315,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar04,I
21315,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,2,0,010,,Mar04,I
21315,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,I
21315,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar04,I
21315,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,0,010,,Mar04,I
21315,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,I
21315,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,4,0,010,,Mar04,I
21315,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,010,,Mar04,I
21315,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,2,0,010,,Mar04,I
21315,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,010,,Mar04,I
21315,PEAC,"Wound Care, Dressings",SG073,"splint, adhesive nasal (Denver)",item,21.2,1,0,010,,Mar04,I
21315,PEAC,"Wound Care, Dressings",SG088,"tape, foam, elastic, 2in (Microfoam)",inch,0.0026,12,0,010,,Mar04,I
21320,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1.5,0.5,010,,Mar04,I
21320,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1.5,0.5,010,,Mar04,I
21320,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1.5,0.5,010,,Mar04,I
21320,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1.5,0,010,,Mar04,I
21320,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2.5,0.5,010,,Mar04,I
21320,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2.5,0.5,010,,Mar04,I
21320,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2.5,0.5,010,,Mar04,I
21320,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,010,,Mar04,I
21320,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar04,I
21320,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,2,0,010,,Mar04,I
21320,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1.5,0.5,010,,Mar04,I
21320,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,6,0,010,,Mar04,I
21320,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar04,I
21320,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,0,010,,Mar04,I
21320,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,I
21320,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,4,0,010,,Mar04,I
21320,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,010,,Mar04,I
21320,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,2,0,010,,Mar04,I
21320,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,I
21320,PEAC,"Wound Care, Dressings",SG066,"packing, gauze w-petrolatum, 0.5in (6yd uou)",item,2.027,1,0,010,,Mar04,I
21320,PEAC,"Wound Care, Dressings",SG073,"splint, adhesive nasal (Denver)",item,21.2,1,0,010,,Mar04,I
21325,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
21325,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21325,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,1,090,,Mar04,I
21325,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
21325,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
21325,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
21325,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
21325,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
21325,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
21325,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Mar04,I
21325,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
21325,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21325,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21325,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21325,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
21325,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
21325,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
21330,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
21330,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21330,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,1,090,,Mar04,I
21330,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
21330,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
21330,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
21330,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
21330,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
21330,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
21330,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Mar04,I
21330,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
21330,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21330,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21330,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21330,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
21330,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
21330,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
21335,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
21335,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21335,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,1,090,,Mar04,I
21335,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
21335,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
21335,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
21335,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
21335,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
21335,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
21335,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Mar04,I
21335,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
21335,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21335,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21335,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21335,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
21335,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
21335,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
21336,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
21336,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21336,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,1,090,,Mar04,I
21336,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
21336,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
21336,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
21336,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
21336,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
21336,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
21336,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Mar04,I
21336,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Mar04,I
21336,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21336,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21336,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21336,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
21336,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
21336,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
21337,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
21337,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
21337,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
21337,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
21337,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
21337,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
21337,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Aug03,6
21337,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
21337,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
21337,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
21337,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
21337,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21337,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,6
21337,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
21337,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
21337,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
21337,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
21337,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
21337,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
21337,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
21337,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,6
21338,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
21338,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21338,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,1,090,,Mar04,I
21338,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
21338,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
21338,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
21338,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
21338,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
21338,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,3,090,,Mar04,I
21338,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Mar04,I
21338,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
21338,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21338,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21338,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21338,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
21338,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
21338,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
21339,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
21339,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21339,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,1,090,,Mar04,I
21339,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
21339,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
21339,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
21339,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
21339,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
21339,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,3,090,,Mar04,I
21339,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Mar04,I
21339,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
21339,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21339,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21339,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21339,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
21339,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
21339,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
21340,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21340,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
21343,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
21343,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21343,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,1,090,,Mar04,I
21343,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
21343,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
21343,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
21343,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
21343,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
21343,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,2,090,,Mar04,I
21343,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Mar04,I
21343,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Mar04,I
21343,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21343,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21343,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21343,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
21343,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
21343,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
21344,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
21344,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21344,PEAC,"Cutters, Closures, Cautery",SF025,dental elastics,item,0.008,,4,090,,Mar04,I
21344,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,1,090,,Mar04,I
21344,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,2,090,,Mar04,I
21344,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,,4,090,,Mar04,I
21344,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,2,090,,Mar04,I
21344,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Mar04,I
21344,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
21344,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21344,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21344,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21344,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,Mar04,I
21344,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,,20,090,,Mar04,I
21345,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
21345,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
21345,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
21345,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
21345,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
21345,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
21345,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Aug03,6
21345,PEAC,"Cutters, Closures, Cautery",SF043,"wire, surgical steel",foot,0.128,3,0,090,,Aug03,6
21345,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
21345,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
21345,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
21345,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
21345,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21345,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,6
21345,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
21345,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
21345,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
21345,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
21345,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
21345,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
21345,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,090,,Aug03,6
21345,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,6
21346,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Aug03,6
21346,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Aug03,6
21346,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,4,090,,Aug03,6
21346,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,4,090,,Aug03,6
21346,PEAC,"Cutters, Closures, Cautery",SF025,dental elastics,item,0.008,,75,090,,Aug03,6
21346,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,,4,090,,Aug03,6
21346,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Aug03,6
21346,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Aug03,6
21346,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,,4,090,,Aug03,6
21346,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,,1,090,,Aug03,6
21346,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,Aug03,6
21346,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,,4,090,,Aug03,6
21346,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,6
21346,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
21346,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Aug03,6
21346,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,1,090,,Aug03,6
21346,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,,8,090,,Aug03,6
21346,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,10,090,,Aug03,6
21346,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Aug03,6
21346,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,,4,090,,Aug03,6
21346,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,6,090,,Aug03,6
21347,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
21347,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21347,PEAC,"Cutters, Closures, Cautery",SF025,dental elastics,item,0.008,,4,090,,Mar04,I
21347,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,1,090,,Mar04,I
21347,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,2,090,,Mar04,I
21347,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,,4,090,,Mar04,I
21347,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
21347,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Mar04,I
21347,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
21347,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21347,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21347,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21347,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,Mar04,I
21347,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,,20,090,,Mar04,I
21348,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21348,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
21348,PERC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,,
21348,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
21348,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,4,090,,,
21348,PERC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,Apr06,J
21355,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,010,,Mar04,I
21355,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,010,,Mar04,I
21355,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,010,,Mar04,I
21355,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,I
21355,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar04,I
21355,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,010,,Mar04,I
21355,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,I
21355,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,I
21355,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,4,0,010,,Mar04,I
21355,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,010,,Mar04,I
21355,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar04,I
21355,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,2,0,010,,Mar04,I
21355,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,I
21355,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,010,,Mar04,I
21355,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar04,I
21355,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,010,,Mar04,I
21355,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar04,I
21355,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,0,010,,Mar04,I
21355,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar04,I
21355,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,I
21355,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,010,,Mar04,I
21355,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,I
21355,PEAC,"Wound Care, Dressings",SG088,"tape, foam, elastic, 2in (Microfoam)",inch,0.0026,12,0,010,,Mar04,I
21356,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Mar04,I
21356,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,010,,Mar04,I
21356,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,010,,Mar04,I
21356,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,I
21356,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar04,I
21356,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,010,,Mar04,I
21356,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,1,010,,Mar04,I
21356,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,1,010,,Mar04,I
21356,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,4,0,010,,Mar04,I
21356,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,010,,Mar04,I
21356,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar04,I
21356,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,2,0,010,,Mar04,I
21356,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,I
21356,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,010,,Mar04,I
21356,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar04,I
21356,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,010,,Mar04,I
21356,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar04,I
21356,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,0,010,,Mar04,I
21356,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar04,I
21356,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,I
21356,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,010,,Mar04,I
21356,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,I
21356,PEAC,"Wound Care, Dressings",SG088,"tape, foam, elastic, 2in (Microfoam)",inch,0.0026,12,0,010,,Mar04,I
21360,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Aug03,6
21360,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
21365,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Mar04,I
21365,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21365,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21365,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21366,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21366,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
21366,PERC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Apr06,J
21366,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,300,090,,Apr06,J
21366,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,4,090,,Apr06,J
21366,PERC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,Apr06,J
21385,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
21385,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21385,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
21385,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
21385,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
21385,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
21385,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
21385,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
21385,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21386,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
21386,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21386,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21386,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21387,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
21387,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21387,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
21387,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
21387,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
21387,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
21387,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
21387,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
21387,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21387,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21387,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21390,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,,
21390,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21390,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
21390,CPEP,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,1,090,,,
21390,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
21390,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3,090,ok,Apr06,J
21390,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,4,090,,,
21390,CPEP,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,8,090,,,
21390,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,16,090,,,
21390,CPEP,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,2,090,,,
21390,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
21395,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,,
21395,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21395,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
21395,CPEP,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,1,090,,,
21395,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
21395,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3,090,ok,Apr06,J
21395,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,4,090,,,
21395,CPEP,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,8,090,,,
21395,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,16,090,,,
21395,CPEP,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,2,090,,,
21395,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
21400,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21400,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,6
21401,PEAC,"Accessory, Procedure",SD197,"screw, surgical, Carroll-Girard, 9cm x 3.75in",item,92,1,0,090,,Aug03,6
21401,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21401,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,6
21406,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,,
21406,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21406,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
21406,CPEP,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,1,090,,,
21406,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
21406,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,8,090,,,
21406,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,4,090,,,
21406,CPEP,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,8,090,,,
21406,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,16,090,,,
21406,CPEP,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,2,090,,,
21406,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
21407,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,,
21407,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21407,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
21407,CPEP,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,1,090,,,
21407,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
21407,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,8,090,,,
21407,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,4,090,,,
21407,CPEP,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,8,090,,,
21407,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,16,090,,,
21407,CPEP,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,2,090,,,
21407,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
21408,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,,
21408,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21408,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
21408,CPEP,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,1,090,,,
21408,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
21408,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,8,090,,,
21408,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,4,090,,,
21408,CPEP,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,8,090,,,
21408,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,16,090,,,
21408,CPEP,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,2,090,,,
21408,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
21421,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,6,5,090,,Mar04,J
21421,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,6,5,090,,Mar04,J
21421,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,6,5,090,,Mar04,J
21421,PEAC,"Cutters, Closures, Cautery",SF001,arch bar,inch,0.66,12,0,090,,Mar04,J
21421,PEAC,"Cutters, Closures, Cautery",SF025,dental elastics,item,0.008,120,90,090,,Mar04,J
21421,PEAC,"Cutters, Closures, Cautery",SF043,"wire, surgical steel",foot,0.128,13,0,090,,Mar04,J
21421,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar04,J
21421,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar04,J
21421,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,6,5,090,,Mar04,J
21421,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Mar04,J
21421,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar04,J
21421,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,12,10,090,,Mar04,J
21421,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,12,10,090,,Mar04,J
21421,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar04,J
21421,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Mar04,J
21421,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,6,5,090,,Mar04,J
21421,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,2,1,090,,Mar04,J
21421,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,1,090,,Mar04,J
21421,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,6,5,090,,Mar04,J
21421,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar04,J
21421,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Mar04,J
21421,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar04,J
21421,PEAC,Lab,SL152,acrylic tray-base material,oz,1.7746,1,0,090,,Mar04,J
21421,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,7,6,090,,Mar04,J
21421,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Mar04,J
21421,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,1,090,,Mar04,J
21421,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,14,12,090,,Mar04,J
21421,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,20,10,090,,Mar04,J
21421,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,4,2,090,,Mar04,J
21421,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,6,5,090,,Mar04,J
21421,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,12,6,090,,Mar04,J
21421,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar04,J
21422,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
21422,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21422,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
21422,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
21422,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
21422,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
21422,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
21422,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
21422,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21422,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21422,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21423,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
21423,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21423,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
21423,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
21423,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
21423,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
21423,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
21423,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
21423,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21423,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21423,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
21431,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Aug03,6
21431,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Aug03,6
21431,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,4,090,,Aug03,6
21431,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,4,090,,Aug03,6
21431,PEAC,"Cutters, Closures, Cautery",SF025,dental elastics,item,0.008,,75,090,,Aug03,6
21431,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,,4,090,,Aug03,6
21431,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Aug03,6
21431,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Aug03,6
21431,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,,4,090,,Aug03,6
21431,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,,1,090,,Aug03,6
21431,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,Aug03,6
21431,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,,4,090,,Aug03,6
21431,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,6
21431,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Aug03,6
21431,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,1,090,,Aug03,6
21431,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,,8,090,,Aug03,6
21431,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,10,090,,Aug03,6
21431,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Aug03,6
21431,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,,4,090,,Aug03,6
21431,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,6,090,,Aug03,6
21432,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
21432,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
21432,PEAC,"Cutters, Closures, Cautery",SF025,dental elastics,item,0.008,,1,090,,Mar04,I
21432,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,1,090,,Mar04,I
21432,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,Mar04,I
21432,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,,2,090,,Mar04,I
21432,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,2,090,,Mar04,I
21432,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Mar04,I
21432,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,I
21432,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21432,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
21432,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
21432,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,Mar04,I
21432,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,,10,090,,Mar04,I
21433,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21433,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
21433,PERC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,,
21433,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,360,090,,,
21433,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,4,090,,,
21435,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
21435,PERC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,,
21435,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,360,090,,,
21435,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,4,090,,,
21435,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21436,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21436,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
21436,PERC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,,
21436,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,360,090,,,
21436,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,5,090,,,
21436,PERC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,Apr06,J
21440,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,5,4,090,,Aug03,6
21440,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,5,4,090,,Aug03,6
21440,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,5,4,090,,Aug03,6
21440,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,5,4,090,,Aug03,6
21440,PEAC,"Cutters, Closures, Cautery",SF001,arch bar,inch,0.66,6,0,090,,Aug03,6
21440,PEAC,"Cutters, Closures, Cautery",SF043,"wire, surgical steel",foot,0.128,2,0,090,,Aug03,6
21440,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21440,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21440,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,4,4,090,,Aug03,6
21440,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
21440,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21440,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,10,8,090,,Aug03,6
21440,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,10,8,090,,Aug03,6
21440,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21440,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21440,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,5,4,090,,Aug03,6
21440,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
21440,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
21440,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,5,4,090,,Aug03,6
21440,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21440,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
21440,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,5,4,090,,Aug03,6
21440,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
21440,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,090,,Aug03,6
21440,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,10,8,090,,Aug03,6
21440,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
21440,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
21440,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,5,4,090,,Aug03,6
21440,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
21440,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
21445,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,5,4,090,,Aug03,6
21445,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,5,4,090,,Aug03,6
21445,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,5,4,090,,Aug03,6
21445,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,5,4,090,,Aug03,6
21445,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
21445,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
21445,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
21445,PEAC,"Cutters, Closures, Cautery",SF043,"wire, surgical steel",foot,0.128,2,0,090,,Aug03,6
21445,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21445,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21445,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,4,4,090,,Aug03,6
21445,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
21445,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21445,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,10,8,090,,Aug03,6
21445,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,10,8,090,,Aug03,6
21445,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21445,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21445,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,5,4,090,,Aug03,6
21445,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
21445,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
21445,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,5,4,090,,Aug03,6
21445,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21445,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
21445,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
21445,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,5,4,090,,Aug03,6
21445,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
21445,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,090,,Aug03,6
21445,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,10,8,090,,Aug03,6
21445,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
21445,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
21445,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,5,4,090,,Aug03,6
21445,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
21445,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
21450,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,5,4,090,,Aug03,6
21450,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,5,4,090,,Aug03,6
21450,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,5,4,090,,Aug03,6
21450,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,5,4,090,,Aug03,6
21450,PEAC,"Cutters, Closures, Cautery",SF001,arch bar,inch,0.66,12,0,090,,Aug03,6
21450,PEAC,"Cutters, Closures, Cautery",SF025,dental elastics,item,0.008,120,90,090,,Aug03,6
21450,PEAC,"Cutters, Closures, Cautery",SF043,"wire, surgical steel",foot,0.128,12,0,090,,Aug03,6
21450,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21450,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21450,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,4,4,090,,Aug03,6
21450,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
21450,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21450,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,10,8,090,,Aug03,6
21450,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,10,8,090,,Aug03,6
21450,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21450,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21450,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,5,4,090,,Aug03,6
21450,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,2,1,090,,Aug03,6
21450,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,1,090,,Aug03,6
21450,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,5,4,090,,Aug03,6
21450,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21450,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
21450,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,5,4,090,,Aug03,6
21450,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
21450,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,1,090,,Aug03,6
21450,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,10,8,090,,Aug03,6
21450,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,20,10,090,,Aug03,6
21450,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,4,2,090,,Aug03,6
21450,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,5,4,090,,Aug03,6
21450,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,12,6,090,,Aug03,6
21450,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
21451,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,6,5,090,,Aug03,6
21451,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,6,5,090,,Aug03,6
21451,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,6,5,090,,Aug03,6
21451,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,6,5,090,,Aug03,6
21451,PEAC,"Cutters, Closures, Cautery",SF001,arch bar,inch,0.66,12,0,090,,Aug03,6
21451,PEAC,"Cutters, Closures, Cautery",SF025,dental elastics,item,0.008,120,90,090,,Aug03,6
21451,PEAC,"Cutters, Closures, Cautery",SF043,"wire, surgical steel",foot,0.128,12,0,090,,Aug03,6
21451,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21451,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21451,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,5,5,090,,Aug03,6
21451,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
21451,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21451,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,12,10,090,,Aug03,6
21451,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,12,10,090,,Aug03,6
21451,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21451,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21451,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,6,5,090,,Aug03,6
21451,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,2,1,090,,Aug03,6
21451,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,1,090,,Aug03,6
21451,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,6,5,090,,Aug03,6
21451,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21451,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,6
21451,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,6,5,090,,Aug03,6
21451,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
21451,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,1,090,,Aug03,6
21451,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,12,10,090,,Aug03,6
21451,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,20,10,090,,Aug03,6
21451,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,4,2,090,,Aug03,6
21451,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,6,5,090,,Aug03,6
21451,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,12,6,090,,Aug03,6
21451,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
21452,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,4,3,090,,Aug03,6
21452,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,3,090,,Aug03,6
21452,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,4,3,090,,Aug03,6
21452,PEAC,"Accessory, Procedure",SD200,"screw, surgical, self-tapping, 1.5-2.0mm",item,27,3,0,090,,Aug03,6
21452,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,4,3,090,,Aug03,6
21452,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
21452,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
21452,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,6
21452,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21452,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21452,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,3,3,090,,Aug03,6
21452,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
21452,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21452,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,8,6,090,,Aug03,6
21452,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,8,6,090,,Aug03,6
21452,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21452,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21452,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,4,3,090,,Aug03,6
21452,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
21452,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
21452,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,4,3,090,,Aug03,6
21452,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21452,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,6
21452,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
21452,PEAC,Lab,SL152,acrylic tray-base material,oz,1.7746,5,0,090,,Aug03,6
21452,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,4,3,090,,Aug03,6
21452,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
21452,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Aug03,6
21452,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,090,,Aug03,6
21452,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,8,6,090,,Aug03,6
21452,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
21452,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
21452,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,4,3,090,,Aug03,6
21452,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
21452,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
21453,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,7,6,090,,Aug03,6
21453,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,7,6,090,,Aug03,6
21453,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,7,6,090,,Aug03,6
21453,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,7,6,090,,Aug03,6
21453,PEAC,"Cutters, Closures, Cautery",SF001,arch bar,inch,0.66,12,0,090,,Aug03,6
21453,PEAC,"Cutters, Closures, Cautery",SF025,dental elastics,item,0.008,120,90,090,,Aug03,6
21453,PEAC,"Cutters, Closures, Cautery",SF043,"wire, surgical steel",foot,0.128,12,0,090,,Aug03,6
21453,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21453,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21453,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,6,6,090,,Aug03,6
21453,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
21453,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21453,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,14,12,090,,Aug03,6
21453,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,14,12,090,,Aug03,6
21453,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21453,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21453,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,7,6,090,,Aug03,6
21453,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,2,1,090,,Aug03,6
21453,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,1,090,,Aug03,6
21453,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,7,6,090,,Aug03,6
21453,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21453,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,7,6,090,,Aug03,6
21453,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,7,6,090,,Aug03,6
21453,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
21453,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,1,090,,Aug03,6
21453,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,14,12,090,,Aug03,6
21453,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,20,10,090,,Aug03,6
21453,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,4,2,090,,Aug03,6
21453,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,7,6,090,,Aug03,6
21453,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,12,6,090,,Aug03,6
21453,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
21454,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21454,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
21454,CPEP,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,,
21454,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
21454,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,5,090,,,
21461,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,7,6,090,,Aug03,6
21461,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,7,6,090,,Aug03,6
21461,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,7,6,090,,Aug03,6
21461,PEAC,"Accessory, Procedure",SD193,"plate, surgical, rigid comminuted fracture",item,389,1,0,090,,Aug03,6
21461,PEAC,"Accessory, Procedure",SD194,"plate, surgical, rigid comminuted fracture, template",item,29,1,0,090,,Aug03,6
21461,PEAC,"Accessory, Procedure",SD198,"screw, surgical, lag, 2.4mm x 26mm",item,66,4,0,090,,Aug03,6
21461,PEAC,"Accessory, Procedure",SD202,"screw, surgical, standard, 2.7mm x 12mm",item,47,1,0,090,,Aug03,6
21461,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,7,6,090,,Aug03,6
21461,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
21461,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
21461,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
21461,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,6
21461,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
21461,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21461,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21461,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,6,6,090,,Aug03,6
21461,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
21461,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21461,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,14,12,090,,Aug03,6
21461,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,14,12,090,,Aug03,6
21461,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21461,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21461,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,7,6,090,,Aug03,6
21461,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
21461,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
21461,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,7,6,090,,Aug03,6
21461,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21461,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,7,6,090,,Aug03,6
21461,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
21461,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,7,6,090,,Aug03,6
21461,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
21461,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Aug03,6
21461,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,090,,Aug03,6
21461,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,14,12,090,,Aug03,6
21461,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
21461,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
21461,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,7,6,090,,Aug03,6
21461,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
21461,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
21462,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,7,6,090,,Aug03,6
21462,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,7,6,090,,Aug03,6
21462,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,7,6,090,,Aug03,6
21462,PEAC,"Accessory, Procedure",SD193,"plate, surgical, rigid comminuted fracture",item,389,1,0,090,,Aug03,6
21462,PEAC,"Accessory, Procedure",SD194,"plate, surgical, rigid comminuted fracture, template",item,29,1,0,090,,Aug03,6
21462,PEAC,"Accessory, Procedure",SD198,"screw, surgical, lag, 2.4mm x 26mm",item,66,4,0,090,,Aug03,6
21462,PEAC,"Accessory, Procedure",SD202,"screw, surgical, standard, 2.7mm x 12mm",item,47,1,0,090,,Aug03,6
21462,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,7,6,090,,Aug03,6
21462,PEAC,"Cutters, Closures, Cautery",SF001,arch bar,inch,0.66,12,0,090,,Aug03,6
21462,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
21462,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
21462,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
21462,PEAC,"Cutters, Closures, Cautery",SF025,dental elastics,item,0.008,90,90,090,,Aug03,6
21462,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,6
21462,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
21462,PEAC,"Cutters, Closures, Cautery",SF043,"wire, surgical steel",foot,0.128,12,0,090,,Aug03,6
21462,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21462,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21462,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,6,6,090,,Aug03,6
21462,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
21462,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21462,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,14,12,090,,Aug03,6
21462,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,14,12,090,,Aug03,6
21462,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21462,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21462,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,7,6,090,,Aug03,6
21462,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,2,1,090,,Aug03,6
21462,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,1,090,,Aug03,6
21462,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,7,6,090,,Aug03,6
21462,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21462,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,7,6,090,,Aug03,6
21462,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
21462,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,7,6,090,,Aug03,6
21462,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
21462,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Aug03,6
21462,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,1,090,,Aug03,6
21462,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,14,12,090,,Aug03,6
21462,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,20,10,090,,Aug03,6
21462,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,4,2,090,,Aug03,6
21462,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,7,6,090,,Aug03,6
21462,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,12,6,090,,Aug03,6
21462,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
21465,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21465,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
21465,PERC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,6,090,,Apr06,J
21465,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,Apr06,J
21465,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,6,090,,Apr06,J
21470,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21470,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
21470,PERC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,6,090,,Apr06,J
21470,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,Apr06,J
21470,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,6,090,,Apr06,J
21480,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,2,0,000,,Sep04,
21480,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,000,,Sep04,
21480,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Sep04,
21480,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,Sep04,
21480,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Sep04,
21480,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,Sep04,
21480,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,000,,Sep04,
21480,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,000,,Sep04,
21480,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,000,,Sep04,
21480,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,Sep04,
21480,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,Sep04,
21480,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,000,,Sep04,
21480,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Sep04,
21480,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,Sep04,
21485,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,6,5,090,,Aug03,6
21485,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,6,5,090,,Aug03,6
21485,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,6,5,090,,Aug03,6
21485,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,6,5,090,,Aug03,6
21485,PEAC,"Cutters, Closures, Cautery",SF001,arch bar,inch,0.66,12,0,090,,Aug03,6
21485,PEAC,"Cutters, Closures, Cautery",SF025,dental elastics,item,0.008,120,90,090,,Aug03,6
21485,PEAC,"Cutters, Closures, Cautery",SF043,"wire, surgical steel",foot,0.128,12,0,090,,Aug03,6
21485,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21485,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21485,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,5,5,090,,Aug03,6
21485,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
21485,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21485,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,12,10,090,,Aug03,6
21485,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,12,10,090,,Aug03,6
21485,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21485,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
21485,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,6,5,090,,Aug03,6
21485,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,2,1,090,,Aug03,6
21485,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,1,090,,Aug03,6
21485,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,6,5,090,,Aug03,6
21485,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21485,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,6
21485,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,6,5,090,,Aug03,6
21485,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
21485,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,1,090,,Aug03,6
21485,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,12,10,090,,Aug03,6
21485,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,20,10,090,,Aug03,6
21485,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,4,2,090,,Aug03,6
21485,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,6,5,090,,Aug03,6
21485,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,12,6,090,,Aug03,6
21485,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
21490,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
21490,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,6,090,,Apr06,J
21490,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21495,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,6,090,,Mar04,I
21495,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Mar04,I
21495,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,6,090,,Mar04,I
21495,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
21495,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,5,090,,Mar04,I
21495,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Mar04,I
21495,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Mar04,I
21495,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,6,090,,Mar04,I
21495,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
21495,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
21495,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
21495,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
21495,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Mar04,I
21495,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Mar04,I
21497,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,6,5,090,,Aug03,6
21497,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,6,5,090,,Aug03,6
21497,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,6,5,090,,Aug03,6
21497,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,6,5,090,,Aug03,6
21497,PEAC,"Cutters, Closures, Cautery",SF001,arch bar,inch,0.66,12,0,090,,Aug03,6
21497,PEAC,"Cutters, Closures, Cautery",SF025,dental elastics,item,0.008,120,90,090,,Aug03,6
21497,PEAC,"Cutters, Closures, Cautery",SF043,"wire, surgical steel",foot,0.128,12,0,090,,Aug03,6
21497,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
21497,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
21497,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,6,5,090,,Aug03,6
21497,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
21497,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
21497,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,12,10,090,,Aug03,6
21497,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,12,10,090,,Aug03,6
21497,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
21497,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,6,5,090,,Aug03,6
21497,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,2,1,090,,Aug03,6
21497,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,1,090,,Aug03,6
21497,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,6,5,090,,Aug03,6
21497,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
21497,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,6
21497,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,6,5,090,,Aug03,6
21497,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,1,090,,Aug03,6
21497,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,6,5,090,,Aug03,6
21497,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,20,10,090,,Aug03,6
21497,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,4,2,090,,Aug03,6
21497,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,6,5,090,,Aug03,6
21497,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,12,6,090,,Aug03,6
21499,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
21501,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Jan04,19
21501,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,0,090,,Jan04,19
21501,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Jan04,19
21501,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Jan04,19
21501,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Jan04,19
21501,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Jan04,19
21501,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Jan04,19
21501,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Jan04,19
21501,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Jan04,19
21501,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Jan04,19
21501,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,5,0,090,,Jan04,19
21501,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,0,090,,Jan04,19
21501,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Jan04,19
21501,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Jan04,19
21501,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Jan04,19
21501,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,090,,Jan04,19
21501,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,090,,Jan04,19
21501,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,Jan04,19
21501,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Jan04,19
21501,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Jan04,19
21501,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Jan04,19
21501,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Jan04,19
21501,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Jan04,19
21501,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Jan04,19
21501,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Jan04,19
21501,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,40,0,090,,Jan04,19
21501,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Jan04,19
21501,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,090,,Jan04,19
21501,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,090,,Jan04,19
21501,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,3,0,090,,Jan04,19
21501,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Jan04,19
21501,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,0,090,,Jan04,19
21501,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,0,090,,Jan04,19
21502,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
21502,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
21510,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
21510,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
21550,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
21550,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
21550,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,010,,,
21550,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
21550,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
21550,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
21550,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,1,010,,,
21550,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
21550,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,,010,,,
21550,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,,010,,,
21550,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,010,,,
21550,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,5,,010,,,
21550,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,5,1,010,,,
21550,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
21550,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
21550,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
21550,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
21550,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
21550,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,010,,,
21550,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
21550,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
21550,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
21550,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
21550,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
21550,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,010,,,
21550,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,3,,010,,,
21550,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
21550,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,010,,,
21552,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
21552,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT10,27
21554,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
21554,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,27
21555,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,CPT10,rv
21555,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,CPT10,rv
21555,PEAC,"Cutters, Closures, Cautery",SF010,"blade, surgical hair clipper",item,5.036,0.5,0,090,,CPT10,rv
21555,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,CPT10,rv
21555,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,CPT10,rv
21555,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,CPT10,rv
21555,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,CPT10,rv
21555,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,CPT10,rv
21555,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,CPT10,rv
21555,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,CPT10,rv
21555,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,090,,CPT10,rv
21555,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,CPT10,rv
21555,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,CPT10,rv
21555,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,CPT10,rv
21555,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,CPT10,rv
21555,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,CPT10,rv
21555,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,CPT10,rv
21555,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,090,,CPT10,rv
21555,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,CPT10,rv
21555,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,CPT10,rv
21555,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,CPT10,rv
21555,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,CPT10,rv
21555,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,CPT10,rv
21555,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,090,,CPT10,rv
21555,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,CPT10,rv
21555,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,CPT10,rv
21555,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,CPT10,rv
21555,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,0,090,,CPT10,rv
21555,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,CPT10,rv
21555,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,CPT10,rv
21555,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,CPT10,rv
21556,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
21556,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,rv
21557,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
21557,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
21558,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,27
21558,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
21600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
21600,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
21610,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
21610,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
21615,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
21615,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
21616,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
21616,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
21620,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
21620,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
21627,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
21627,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
21630,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
21630,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
21632,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
21632,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
21685,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,,
21685,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3,090,,,
21685,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,6,090,,,
21685,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,,
21685,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3,090,,,
21685,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
21685,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,,
21685,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,1,090,,,
21685,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
21685,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,4,090,,,
21685,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,,
21685,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,6,090,,,
21685,RUC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,,
21685,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,6,090,,,
21685,RUC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,12,090,,,
21700,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,U
21700,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,U
21705,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
21705,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
21720,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,U
21720,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,U
21725,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21725,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
21740,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
21740,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
21742,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,090,,,
21743,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,090,,,
21750,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,,
21750,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
21800,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,090,,Aug03,5
21805,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
21805,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
21810,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
21810,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
21820,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2.5,1.5,090,,Aug03,5
21825,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
21825,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
21899,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
21920,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
21920,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
21920,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,010,,,
21920,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
21920,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
21920,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
21920,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,1,010,,,
21920,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
21920,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,,010,,,
21920,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,,010,,,
21920,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,010,,,
21920,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,5,,010,,,
21920,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,5,1,010,,,
21920,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
21920,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
21920,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
21920,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
21920,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
21920,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,010,,,
21920,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
21920,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
21920,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
21920,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
21920,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
21920,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,010,,,
21920,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,3,,010,,,
21920,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
21920,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,010,,,
21925,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,5
21925,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,5
21925,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
21925,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
21925,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,5
21925,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,5
21925,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
21925,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,5
21925,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,5
21925,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,5
21925,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,5
21925,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
21925,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
21925,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
21925,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,5
21925,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,5
21925,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,5
21925,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,5
21925,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
21925,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,090,,Aug03,5
21925,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
21930,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,CPT10,rv
21930,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,CPT10,rv
21930,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,CPT10,rv
21930,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,CPT10,rv
21930,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,090,,CPT10,rv
21930,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,CPT10,rv
21930,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,CPT10,rv
21930,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,CPT10,rv
21930,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,CPT10,rv
21930,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,CPT10,rv
21930,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,090,,CPT10,rv
21930,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,CPT10,rv
21930,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,CPT10,rv
21930,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,CPT10,rv
21930,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,CPT10,rv
21930,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,CPT10,rv
21930,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,CPT10,rv
21930,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,090,,CPT10,rv
21930,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,CPT10,rv
21930,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,CPT10,rv
21930,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,CPT10,rv
21930,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,CPT10,rv
21930,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,CPT10,rv
21930,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,CPT10,rv
21930,PEAC,"Cutters, Closures, Cautery",SF010,"blade, surgical hair clipper",item,5.036,0.5,0,090,,CPT10,rv
21930,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,CPT10,rv
21930,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,CPT10,rv
21930,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,090,,CPT10,rv
21930,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,0,090,,CPT10,rv
21930,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,090,,CPT10,rv
21930,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,CPT10,rv
21930,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,090,,CPT10,rv
21930,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,0,090,,CPT10,rv
21931,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
21931,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT10,27
21932,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
21932,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,27
21933,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
21933,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,27
21935,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
21935,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
21936,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,27
21936,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
22010,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,RUC05,
22010,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
22015,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,RUC05,
22015,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
22100,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22100,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
22101,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22101,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
22102,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22102,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
22103,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,22585,,
22110,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22110,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
22112,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22112,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
22114,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22114,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
22116,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,22585,,
22206,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,8
22206,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT08,8
22207,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,8
22207,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT08,8
22208,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,CPT08,8
22210,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22210,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
22212,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22212,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
22214,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22214,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
22216,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,22230,,
22220,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22220,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
22222,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22222,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
22224,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22224,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
22226,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,22585,,
22305,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2.5,1.5,090,,Jan04,5
22310,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2.5,1.5,090,,Jan04,5
22315,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,090,,Jan04,5
22315,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,6,0,090,,Jan04,5
22315,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,0,090,,Jan04,5
22315,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Jan04,5
22315,PEAC,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,5,0,090,,Jan04,5
22318,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,63075,,
22318,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,63075,,
22319,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,22548,,
22319,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,22548,,
22325,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22325,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
22325,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
22326,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22326,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
22326,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
22327,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22327,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
22327,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
22328,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,22585,,
22505,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,010,,,
22520,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
22520,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,010,,,
22520,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,010,,,
22520,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
22520,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
22520,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,010,,,
22520,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,010,,,
22520,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,010,,,
22520,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
22520,PEAC,"Kit, Pack, Tray",SA039,"kit, vertebroplasty (LP2, CDO)",kit,696,1.5,,010,,,
22520,PEAC,"Kit, Pack, Tray",SA046,"pack, drapes, laparotomy (chest-abdomen)",pack,26.118,1,,010,,,
22520,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,cs
22520,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,010,,,
22520,PEAC,"Pharmacy, NonRx",SJ017,DuraPrep surgical soln (26ml uou),item,7.95,1,,010,,,
22520,PEAC,"Pharmacy, Rx",SH015,"barium sulfate, sterile (Biotrace) (6gm uou)",item,72.5,1,,010,,,
22520,PEAC,"Pharmacy, Rx",SH020,"bone cement (full dose pack uou) (Osteobond, Simplex)",item,75.645,1,,010,,,
22520,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,010,,,
22520,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
22520,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,010,,,
22520,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,CPT10,cs
22521,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
22521,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,010,,,
22521,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,010,,,
22521,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
22521,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
22521,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,010,,,
22521,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,010,,,
22521,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,010,,,
22521,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
22521,PEAC,"Kit, Pack, Tray",SA039,"kit, vertebroplasty (LP2, CDO)",kit,696,1.5,,010,,,
22521,PEAC,"Kit, Pack, Tray",SA046,"pack, drapes, laparotomy (chest-abdomen)",pack,26.118,1,,010,,,
22521,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,cs
22521,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,010,,,
22521,PEAC,"Pharmacy, NonRx",SJ017,DuraPrep surgical soln (26ml uou),item,7.95,1,,010,,,
22521,PEAC,"Pharmacy, Rx",SH015,"barium sulfate, sterile (Biotrace) (6gm uou)",item,72.5,1,,010,,,
22521,PEAC,"Pharmacy, Rx",SH020,"bone cement (full dose pack uou) (Osteobond, Simplex)",item,75.645,1,,010,,,
22521,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,010,,,
22521,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
22521,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,010,,,
22521,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,CPT10,cs
22522,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
22523,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,010,,RUC05,
22523,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,RUC05,
22524,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,010,,RUC05,
22524,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,RUC05,
22525,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
22526,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,CPT07,
22526,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,CPT07,
22526,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,CPT07,
22526,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,CPT07,
22526,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,CPT07,
22526,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,010,,Jan04,5
22526,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Jan04,5
22526,RUC,"Pharmacy, NonRx",SJ017,DuraPrep surgical soln (26ml uou),item,7.95,1,0,010,,Jan04,5
22526,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,010,,Jan04,5
22526,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Jan04,5
22526,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,0,010,,Jan04,5
22526,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,010,,Jan04,5
22526,RUC,"Kit, Pack, Tray",SA046,"pack, drapes, laparotomy (chest-abdomen)",pack,26.118,1,0,010,,,
22526,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,,
22526,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,,
22526,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,010,,,
22526,RUC,"Accessory, Procedure",SD222,"catheter, intradiscal (spineCATH)",item,1380,1,0,010,,,
22526,RUC,"Accessory, Procedure",SD231,"needle, introducer (spineCATH)",item,69,1,0,010,,,
22526,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,0,010,,,
22527,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,0,ZZZ,,,
22527,RUC,"Accessory, Procedure",SD222,"catheter, intradiscal (spineCATH)",item,1380,1,0,ZZZ,,,
22527,RUC,"Accessory, Procedure",SD231,"needle, introducer (spineCATH)",item,69,1,0,ZZZ,,,
22527,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,ZZZ,,Jan04,5
22532,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
22532,RUC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
22533,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
22533,RUC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
22534,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
22548,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
22548,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22551,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,3,090,22554,CPT11,26
22551,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,0,1,090,22554,CPT11,26
22554,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
22554,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22556,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
22556,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22558,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
22558,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22585,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
22590,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
22590,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22595,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
22595,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
22600,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22610,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
22610,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22612,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
22612,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22614,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,22650,,
22630,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
22630,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22632,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,22614,,
22800,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
22800,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22802,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
22802,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22804,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
22804,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22808,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
22808,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22810,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
22810,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22812,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
22812,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22818,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
22818,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22819,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
22819,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22830,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
22830,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
22840,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
22841,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
22842,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
22843,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,22845,,
22844,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,22845,,
22845,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
22846,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,22845,,
22847,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,22845,,
22848,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,22845,,
22849,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22849,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
22849,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
22850,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22850,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
22850,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
22851,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,22845,,
22852,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22852,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
22852,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
22855,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
22855,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
22855,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
22856,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT09,4
22856,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT09,4
22857,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT07,
22857,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
22861,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT09,4
22861,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT09,4
22862,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT07,
22862,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
22864,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT09,4
22864,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT09,4
22865,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT07,
22865,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
22899,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
22900,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
22900,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,rv
22901,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
22901,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,27
22902,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,CPT10,27
22902,RUC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,CPT10,27
22902,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,CPT10,27
22902,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,CPT10,27
22902,RUC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,090,,CPT10,27
22902,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,CPT10,27
22902,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,CPT10,27
22902,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,CPT10,27
22902,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,CPT10,27
22902,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,CPT10,27
22902,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,090,,CPT10,27
22902,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,CPT10,27
22902,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,CPT10,27
22902,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,CPT10,27
22902,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,CPT10,27
22902,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,CPT10,27
22902,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,CPT10,27
22902,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,090,,CPT10,27
22902,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,CPT10,27
22902,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,CPT10,27
22902,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,CPT10,27
22902,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,CPT10,27
22902,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,CPT10,27
22902,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,CPT10,27
22902,RUC,"Cutters, Closures, Cautery",SF010,"blade, surgical hair clipper",item,5.036,0.5,0,090,,CPT10,27
22902,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,CPT10,27
22902,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,CPT10,27
22902,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,090,,CPT10,27
22902,RUC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,0,090,,CPT10,27
22902,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,090,,CPT10,27
22902,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,CPT10,27
22902,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,090,,CPT10,27
22902,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,0,090,,CPT10,27
22903,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
22903,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT10,27
22904,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,27
22904,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
22905,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,27
22905,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
22999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
23000,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
23000,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
23000,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
23000,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
23000,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
23000,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
23000,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
23000,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
23000,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
23000,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
23000,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
23000,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
23000,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
23000,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
23000,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
23000,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
23000,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
23000,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
23000,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
23000,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
23000,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
23000,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,5
23020,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23020,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23030,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
23030,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
23030,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,010,,Mar03,6
23030,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
23030,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
23030,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,6
23030,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
23030,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
23030,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
23030,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
23030,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,010,,Mar03,6
23030,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,010,,Mar03,6
23030,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
23030,PEAC,Lab,SL146,tubed culture media,item,0.849,1,0,010,,Mar03,6
23030,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,6
23030,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,6
23030,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,6
23030,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
23030,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
23030,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
23030,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,010,,Mar03,6
23031,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
23031,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
23031,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,010,,Mar03,6
23031,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
23031,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,6
23031,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
23031,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,6
23031,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
23031,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
23031,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
23031,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
23031,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,010,,Mar03,6
23031,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,010,,Mar03,6
23031,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
23031,PEAC,Lab,SL146,tubed culture media,item,0.849,1,0,010,,Mar03,6
23031,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,6
23031,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,6
23031,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,6
23031,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
23031,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
23031,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,010,,Mar03,6
23031,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
23031,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,010,,Mar03,6
23035,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23035,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23040,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23040,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23044,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23044,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23065,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
23065,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,6
23065,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
23065,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
23065,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1.5,0.5,010,,Mar03,6
23065,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
23065,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
23065,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Mar03,6
23065,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar03,6
23065,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
23065,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
23065,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
23066,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
23066,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
23066,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
23066,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
23066,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
23066,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
23066,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
23066,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
23066,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
23066,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
23066,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
23066,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
23066,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
23066,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
23066,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
23066,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
23066,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
23066,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
23066,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
23066,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
23066,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
23066,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,5
23071,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
23071,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT10,27
23073,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
23073,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,27
23075,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,090,,CPT10,27
23075,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,CPT10,27
23075,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,CPT10,27
23075,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,CPT10,27
23075,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,090,,CPT10,27
23075,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,CPT10,27
23075,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,CPT10,27
23075,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,CPT10,27
23075,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,CPT10,27
23075,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,CPT10,27
23075,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,090,,CPT10,27
23075,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,CPT10,27
23075,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,CPT10,27
23075,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,CPT10,27
23075,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,CPT10,27
23075,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,CPT10,27
23075,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,CPT10,27
23075,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,0,090,,CPT10,27
23075,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,CPT10,27
23075,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,CPT10,27
23075,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,CPT10,27
23075,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,CPT10,27
23075,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,CPT10,27
23075,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,CPT10,27
23075,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,CPT10,27
23075,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,090,,CPT10,27
23075,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,20,0,090,,CPT10,27
23075,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,090,,CPT10,27
23075,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,CPT10,27
23075,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,090,,CPT10,27
23075,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,CPT10,27
23075,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,090,,CPT10,27
23075,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,CPT10,27
23075,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,CPT10,27
23076,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
23076,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,rv
23077,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
23077,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
23078,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,27
23078,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
23100,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23100,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23101,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23101,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
23105,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23105,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23106,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23106,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23107,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23107,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23120,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,ss
23120,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr08,ss
23125,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23125,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23130,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23130,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23140,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23140,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23145,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23145,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23146,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23146,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23150,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23150,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23155,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23155,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23156,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23156,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23170,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23170,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23172,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23172,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23174,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23174,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23180,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23180,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23182,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23182,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23184,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23184,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23190,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23190,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23195,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23195,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
23200,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
23210,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
23210,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
23220,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
23220,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
23221,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23221,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23222,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23222,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23330,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
23330,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
23330,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,6
23330,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
23330,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,6
23330,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
23330,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,6
23330,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
23330,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
23330,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
23330,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
23330,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
23330,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Mar03,6
23330,PEAC,Lab,SL146,tubed culture media,item,0.849,1,0,010,,Mar03,6
23330,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,6
23330,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,6
23330,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar03,6
23330,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
23330,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
23330,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
23330,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
23331,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23331,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23332,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23332,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23350,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,000,,Mar04,R
23350,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Mar04,R
23350,PEAC,"Kit, Pack, Tray",SA060,"tray, arthrogram",tray,18.83,1,0,000,,Mar04,R
23350,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,000,,Mar04,R
23350,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,Mar04,R
23395,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23395,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23397,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23397,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23400,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23400,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23405,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23405,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23406,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23406,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23410,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23410,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23412,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23412,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23415,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23415,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23420,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23420,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23430,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23430,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23440,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23440,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23450,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23450,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23455,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23455,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23460,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23460,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23462,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23462,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23465,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23465,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23466,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23466,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23470,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
23470,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
23472,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
23472,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
23480,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23480,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23485,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23485,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23490,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23490,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23491,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23491,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23500,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
23505,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
23505,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
23505,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
23505,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
23515,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,9*
23515,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,9*
23515,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,9*
23520,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
23525,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
23525,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
23525,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
23525,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
23530,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23530,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23532,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23532,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23540,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
23545,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
23545,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
23545,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
23545,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
23550,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23550,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23552,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23552,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23570,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
23570,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
23575,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
23575,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
23575,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
23575,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
23575,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
23585,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,9*
23600,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
23600,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
23600,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
23600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
23605,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
23605,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
23605,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
23605,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
23605,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
23605,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
23605,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
23615,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,9*
23615,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,9*
23616,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,9*
23616,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,9*
23620,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
23625,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
23625,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
23625,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
23625,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
23630,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,9*
23630,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,9*
23650,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
23650,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
23650,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
23650,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
23655,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23660,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23660,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23665,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
23665,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
23665,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
23665,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
23670,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,9*
23670,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,9*
23675,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
23675,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
23675,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
23675,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
23675,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,5
23675,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
23680,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,9*
23680,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,9*
23700,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,Mar03,6
23800,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23800,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23802,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23802,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23900,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23900,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
23920,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23920,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
23921,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Aug03,5
23921,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,5
23929,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
23930,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
23930,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
23930,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,010,,Mar03,6
23930,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
23930,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,6
23930,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
23930,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,6
23930,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
23930,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
23930,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
23930,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
23930,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
23930,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,010,,Mar03,6
23930,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
23930,PEAC,Lab,SL146,tubed culture media,item,0.849,1,0,010,,Mar03,6
23930,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,6
23930,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,6
23930,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,6
23930,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
23930,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
23930,PEAC,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,3,0,010,,Mar03,6
23930,PEAC,"Wound Care, Dressings",SG028,"cast, stockinette 6in",yd,0.669,3,0,010,,Mar03,6
23930,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,010,,Mar03,6
23930,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
23930,PEAC,"Wound Care, Dressings",SG068,plaster bandage (4in x 5yd uou),item,1.862,3,0,010,,Mar03,6
23930,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,010,,Mar03,6
23931,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
23931,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
23931,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,6
23931,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
23931,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,6
23931,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
23931,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,6
23931,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
23931,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
23931,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
23931,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
23931,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
23931,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,010,,Mar03,6
23931,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
23931,PEAC,Lab,SL146,tubed culture media,item,0.849,1,0,010,,Mar03,6
23931,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,6
23931,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,6
23931,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,6
23931,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
23931,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
23931,PEAC,"Wound Care, Dressings",SG028,"cast, stockinette 6in",yd,0.669,3,0,010,,Mar03,6
23931,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,010,,Mar03,6
23931,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
23931,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,010,,Mar03,6
23935,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
23935,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24000,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24000,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
24006,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24006,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24065,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
24065,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
24065,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,6
24065,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
24065,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,6
24065,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,6
24065,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
24065,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
24065,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
24065,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
24065,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
24065,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Mar03,6
24065,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
24065,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
24065,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,010,,Mar03,6
24065,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
24065,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
24066,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
24066,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
24066,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
24066,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
24066,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
24066,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
24066,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
24066,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
24066,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
24066,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
24066,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
24066,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
24066,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
24066,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
24066,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
24066,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
24066,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
24066,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
24066,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
24066,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
24066,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
24066,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
24066,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
24071,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
24071,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT10,27
24073,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
24073,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,27
24075,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,090,,CPT10,rv
24075,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,CPT10,rv
24075,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,CPT10,rv
24075,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,CPT10,rv
24075,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,090,,CPT10,rv
24075,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,CPT10,rv
24075,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,CPT10,rv
24075,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,CPT10,rv
24075,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,CPT10,rv
24075,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,CPT10,rv
24075,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,090,,CPT10,rv
24075,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,CPT10,rv
24075,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,CPT10,rv
24075,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,CPT10,rv
24075,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,CPT10,rv
24075,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,CPT10,rv
24075,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,CPT10,rv
24075,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,0,090,,CPT10,rv
24075,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,CPT10,rv
24075,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,CPT10,rv
24075,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,CPT10,rv
24075,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,CPT10,rv
24075,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,CPT10,rv
24075,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,CPT10,rv
24075,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,CPT10,rv
24075,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,090,,CPT10,rv
24075,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,20,0,090,,CPT10,rv
24075,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,090,,CPT10,rv
24075,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,CPT10,rv
24075,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,CPT10,rv
24075,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,CPT10,rv
24075,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,090,,CPT10,rv
24075,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,CPT10,rv
24075,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,CPT10,rv
24075,PEAC,"Wound Care, Dressings",SG014,"bandage, elastic, self-adherent wrap 1in (Coban)",item,1.307,1,0,090,,CPT10,rv
24075,PEAC,"Hypodermic, IV",SC003,arm board,item,0.598,1,0,090,,CPT10,rv
24075,PEAC,"Wound Care, Dressings",SG015,"bandage, Esmarch-Martin, sterile 3in x 9ft",item,5.645,1,0,090,,CPT10,rv
24075,PEAC,"Cutters, Closures, Cautery",SF010,"blade, surgical hair clipper",item,5.036,0.5,0,090,,CPT10,rv
24076,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
24076,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,rv
24077,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
24077,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
24079,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,27
24079,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
24100,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24100,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
24101,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24101,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24102,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
24102,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24105,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24105,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24110,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24110,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24115,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24115,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24116,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24116,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24120,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24120,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24125,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24125,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24126,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24126,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24130,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24130,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24134,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24134,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24136,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24136,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24138,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24138,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
24140,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24140,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24145,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24145,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24147,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
24147,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24149,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
24149,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24150,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
24150,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
24151,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
24151,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24152,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
24152,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
24153,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
24153,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24155,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24155,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24160,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24160,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
24164,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
24164,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
24200,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,6
24200,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
24200,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,6
24200,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
24200,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
24200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
24200,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
24200,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
24200,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Mar03,6
24200,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
24200,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,6
24200,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,6
24200,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
24200,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
24200,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,010,,Mar03,6
24200,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
24200,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
24201,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
24201,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
24201,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
24201,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
24201,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
24201,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
24201,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
24201,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
24201,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
24201,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
24201,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
24201,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
24201,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
24201,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
24201,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
24201,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
24201,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
24201,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
24201,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
24201,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
24201,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
24201,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
24201,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
24220,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,000,,Jan04,7
24220,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Jan04,7
24220,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,000,,Jan04,7
24220,PEAC,"Kit, Pack, Tray",SA060,"tray, arthrogram",tray,18.83,1,0,000,,Jan04,7
24220,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,000,,Jan04,7
24300,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
24300,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
24301,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24301,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24305,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24305,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24310,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
24310,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24320,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24320,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24330,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24330,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24331,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24331,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24332,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24332,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
24340,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24340,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24341,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
24341,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24342,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24342,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24343,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
24343,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
24344,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
24344,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
24345,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
24345,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
24346,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
24346,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
24357,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,10
24357,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT08,10
24358,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,10
24358,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT08,10
24359,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,10
24359,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT08,10
24360,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
24360,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
24361,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
24361,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
24362,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
24362,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
24363,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24363,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
24365,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24365,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
24366,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24366,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
24400,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
24400,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24410,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
24410,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24420,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
24420,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,720,090,,,
24420,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,60,090,,,
24420,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,6,090,,,
24420,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,36,090,,,
24420,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24430,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24430,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24435,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
24435,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24470,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24470,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24495,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,5,090,,,
24495,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,5,090,,,
24495,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24495,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,380,090,,,
24495,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,10,090,,,
24495,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,5,090,,,
24495,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,5,090,,,
24495,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,5,090,,,
24495,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,,
24495,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,10,090,,,
24495,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,900,090,,,
24498,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24498,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24500,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
24500,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
24500,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
24500,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
24505,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
24505,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
24505,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
24505,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
24505,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
24505,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,5
24505,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
24515,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
24515,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24516,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24516,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24530,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
24530,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
24530,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
24530,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
24535,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
24535,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
24535,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
24535,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
24535,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
24535,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,5
24535,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
24538,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,1,090,,,
24538,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
24538,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
24538,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,76,090,,,
24538,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
24538,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
24538,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,1,090,,,
24538,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,,
24538,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,2,090,,,
24538,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
24545,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,9*
24545,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,9*
24546,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,9*
24546,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,9*
24560,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
24560,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
24560,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
24560,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
24565,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
24565,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
24565,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
24565,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
24565,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
24565,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,5
24565,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
24566,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
24566,CPEP,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,,1,090,,,
24566,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
24566,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,,
24566,CPEP,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,,1,090,,,
24566,CPEP,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,,1,090,,,
24566,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
24566,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24566,CPEP,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,,1,090,,,
24566,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,1,090,,,
24566,CPEP,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,,10,090,,,
24566,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,1,090,,,
24566,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,,
24566,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
24575,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,9*
24575,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,9*
24576,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
24576,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
24576,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
24576,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
24577,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
24577,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
24577,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
24577,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
24577,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
24577,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,5
24577,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
24579,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,9*
24579,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,9*
24582,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
24582,CPEP,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,,1,090,,,
24582,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
24582,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,,
24582,CPEP,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,,1,090,,,
24582,CPEP,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,,1,090,,,
24582,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
24582,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
24582,CPEP,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,,1,090,,,
24582,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,1,090,,,
24582,CPEP,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,,10,090,,,
24582,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,1,090,,,
24582,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,,
24582,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
24586,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
24586,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
24587,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
24587,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24600,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
24600,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
24600,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
24600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
24605,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
24615,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24615,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24620,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
24635,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,11
24635,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,11
24640,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
24640,PEAC,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,1,0,010,,Mar03,6
24640,PEAC,"Wound Care, Dressings",SG028,"cast, stockinette 6in",yd,0.669,3,0,010,,Mar03,6
24640,PEAC,"Wound Care, Dressings",SG068,plaster bandage (4in x 5yd uou),item,1.862,1,0,010,,Mar03,6
24640,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,60,0,010,,Mar03,6
24650,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
24650,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
24650,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
24650,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
24655,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
24655,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
24655,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
24655,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
24655,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
24655,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,5
24655,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
24665,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
24665,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,
24665,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
24665,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24666,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
24666,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,
24666,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
24666,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24670,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
24670,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
24670,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
24670,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
24675,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
24675,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
24675,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
24675,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
24675,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
24675,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
24675,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
24685,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
24685,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,
24685,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,11
24685,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,11
24800,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
24800,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24802,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
24802,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24900,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
24900,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24920,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24920,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24925,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24925,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24930,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24930,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24931,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
24931,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24935,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
24935,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,720,090,,,
24935,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,60,090,,,
24935,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,6,090,,,
24935,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,36,090,,,
24935,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
24940,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
24940,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
24999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
25000,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25000,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25001,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
25001,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25020,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,5,090,,,
25020,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,5,090,,,
25020,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
25020,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,380,090,,,
25020,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,10,090,,,
25020,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,5,090,,,
25020,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,5,090,,,
25020,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,5,090,,,
25020,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,,
25020,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,10,090,,,
25020,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,900,090,,,
25023,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,7,090,,,
25023,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,7,090,,,
25023,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25023,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,530,090,,,
25023,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,14,090,,,
25023,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,7,090,,,
25023,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,7,090,,,
25023,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,7,090,,,
25023,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,,
25023,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,14,090,,,
25023,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,1260,090,,,
25024,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
25024,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25025,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
25025,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25028,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,5,090,,,
25028,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,5,090,,,
25028,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
25028,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,380,090,,,
25028,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,10,090,,,
25028,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,5,090,,,
25028,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,5,090,,,
25028,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,5,090,,,
25028,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,,
25028,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,10,090,,,
25028,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,900,090,,,
25031,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25031,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
25035,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25035,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25040,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25040,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
25065,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
25065,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
25065,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,6
25065,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
25065,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,6
25065,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
25065,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,6
25065,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
25065,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
25065,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
25065,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
25065,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
25065,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Mar03,6
25065,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
25065,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
25065,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,010,,Mar03,6
25065,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
25065,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
25066,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25066,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
25071,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
25071,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT10,27
25073,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
25073,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,27
25075,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,090,,CPT10,rv
25075,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,CPT10,rv
25075,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,CPT10,rv
25075,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,CPT10,rv
25075,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,090,,CPT10,rv
25075,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,CPT10,rv
25075,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,CPT10,rv
25075,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,CPT10,rv
25075,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,CPT10,rv
25075,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,CPT10,rv
25075,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,090,,CPT10,rv
25075,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,CPT10,rv
25075,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,CPT10,rv
25075,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,CPT10,rv
25075,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,CPT10,rv
25075,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,CPT10,rv
25075,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,CPT10,rv
25075,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,0,090,,CPT10,rv
25075,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,CPT10,rv
25075,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,CPT10,rv
25075,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,CPT10,rv
25075,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,CPT10,rv
25075,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,CPT10,rv
25075,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,CPT10,rv
25075,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,CPT10,rv
25075,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,090,,CPT10,rv
25075,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,20,0,090,,CPT10,rv
25075,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,090,,CPT10,rv
25075,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,CPT10,rv
25075,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,CPT10,rv
25075,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,CPT10,rv
25075,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,090,,CPT10,rv
25075,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,CPT10,rv
25075,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,CPT10,rv
25075,PEAC,"Wound Care, Dressings",SG014,"bandage, elastic, self-adherent wrap 1in (Coban)",item,1.307,1,0,090,,CPT10,rv
25075,PEAC,"Hypodermic, IV",SC003,arm board,item,0.598,1,0,090,,CPT10,rv
25075,PEAC,"Wound Care, Dressings",SG015,"bandage, Esmarch-Martin, sterile 3in x 9ft",item,5.645,1,0,090,,CPT10,rv
25075,PEAC,"Cutters, Closures, Cautery",SF010,"blade, surgical hair clipper",item,5.036,0.5,0,090,,CPT10,rv
25076,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
25076,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,rv
25077,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
25077,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
25078,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,27
25078,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
25085,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25085,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
25100,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25100,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
25101,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25101,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
25105,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25105,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25107,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25107,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25109,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT07,
25109,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT07,
25110,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25110,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
25111,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25111,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
25112,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25112,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
25115,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25115,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25116,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,ss
25116,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr08,ss
25118,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25118,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
25119,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25119,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25120,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25120,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25125,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25125,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25126,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25126,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25130,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25130,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25135,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25135,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25136,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25136,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25145,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25145,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25150,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25150,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25151,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25151,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25170,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
25170,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
25210,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25210,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25215,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25215,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25230,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25230,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
25240,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25240,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
25246,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,000,,Jan04,7
25246,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Jan04,7
25246,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,000,,Jan04,7
25246,PEAC,"Kit, Pack, Tray",SA060,"tray, arthrogram",tray,18.83,1,0,000,,Jan04,7
25246,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,000,,Jan04,7
25248,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25248,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25250,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
25250,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25251,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
25251,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25259,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
25259,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25260,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25260,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25263,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25263,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25265,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25265,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25270,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25270,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25272,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25272,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25274,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25274,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25275,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
25275,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25280,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25280,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25290,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25290,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
25295,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25295,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25300,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25300,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25301,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25301,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25310,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25310,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25312,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25312,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25315,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25315,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25316,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25316,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25320,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25320,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25332,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
25332,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25335,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25335,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25337,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25337,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25350,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25350,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25355,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25355,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25360,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25360,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25365,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25365,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25370,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
25370,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25375,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25375,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25390,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25390,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25391,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25391,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25392,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25392,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25393,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25393,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25394,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
25394,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25400,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25400,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25405,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25405,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25415,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25415,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25415,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25415,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25420,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25420,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25425,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25425,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25426,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25426,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25430,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
25430,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25431,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
25431,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25440,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25440,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25441,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
25441,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25442,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
25442,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25443,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
25443,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25444,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
25444,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25445,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
25445,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25446,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
25446,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25447,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
25447,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25449,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
25449,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25450,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25450,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25455,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25455,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25490,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25490,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25491,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25491,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25492,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25492,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25500,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
25500,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
25500,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
25500,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
25505,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
25505,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
25505,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
25505,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
25505,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
25505,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,5
25505,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
25515,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,11
25515,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,11
25520,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
25520,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
25520,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
25520,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,5
25525,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,CPT08,11
25525,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,11
25526,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,11
25526,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,CPT08,11
25530,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
25530,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
25530,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
25530,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
25535,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
25535,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
25535,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
25535,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
25535,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
25535,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,5
25535,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
25545,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,11
25545,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,11
25560,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
25560,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
25560,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
25560,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
25565,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
25565,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
25565,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
25565,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
25565,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
25565,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,5
25565,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
25574,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,11
25574,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,11
25575,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,CPT08,11
25575,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,11
25600,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
25600,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
25600,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
25600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
25605,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
25605,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
25605,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
25605,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
25605,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
25605,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,5
25605,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
25606,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,CPT07,
25607,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,CPT07,
25608,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,CPT07,
25609,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,CPT07,
25622,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
25622,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
25622,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
25622,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
25624,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
25624,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
25624,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
25624,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
25624,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
25624,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,5
25624,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
25628,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,11
25628,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,11
25630,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
25630,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
25630,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
25630,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
25635,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
25635,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
25635,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
25635,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
25635,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
25635,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,5
25635,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
25645,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25645,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25650,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
25650,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
25650,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
25650,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
25651,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
25651,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25652,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
25652,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25660,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25670,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25670,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25671,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
25671,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
25675,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
25675,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
25675,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
25675,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
25675,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
25675,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,5
25675,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
25676,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25676,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25680,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25685,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25685,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25690,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25695,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25695,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25800,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25800,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25805,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25805,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25810,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25810,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25820,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
25820,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,,
25820,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25820,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25820,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
25820,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,
25820,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,8,090,,,
25820,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,2,090,,,
25820,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,,
25820,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
25820,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
25825,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
25825,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,,
25825,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25825,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25825,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
25825,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,
25825,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,8,090,,,
25825,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,2,090,,,
25825,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,,
25825,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
25825,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
25830,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
25830,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
25830,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
25830,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
25830,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25830,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25830,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,172,090,,,
25830,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
25830,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
25830,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
25830,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
25830,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,0.083,090,,,
25830,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
25830,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,62,090,,,
25830,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,2,090,,,
25830,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,8,090,,,
25830,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
25900,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
25900,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25905,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25905,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25907,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25907,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25909,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25909,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
25915,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25920,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
25920,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,,
25920,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25920,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25920,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
25920,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,
25920,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,8,090,,,
25920,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,2,090,,,
25920,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,,
25920,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
25920,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
25922,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
25922,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,,
25922,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25922,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25922,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
25922,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,
25922,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,8,090,,,
25922,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,2,090,,,
25922,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,,
25922,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
25922,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
25924,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
25924,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,,
25924,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25924,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25924,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
25924,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,
25924,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,8,090,,,
25924,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,2,090,,,
25924,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,,
25924,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
25924,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
25927,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
25927,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
25927,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
25927,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
25927,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25927,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25927,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
25927,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
25927,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
25927,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
25927,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
25927,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
25927,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
25927,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
25927,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
25927,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
25929,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25929,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25931,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
25931,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
25931,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
25931,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
25931,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
25931,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
25931,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
25931,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
25931,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
25931,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
25931,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
25931,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
25931,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
25931,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
25931,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
25931,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
25999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
26010,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
26010,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
26010,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,010,,,
26010,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
26010,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
26010,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,010,,,
26010,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,6,,010,,,
26010,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,5,1,010,,,
26010,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
26010,PEAC,"Gown, Drape",SB031,"lap sponge, sterile, 18inx18in (5 pack uou)",item,2.902,5,,010,,,
26010,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
26010,PEAC,"Gown, Drape",SB038,safety glasses,item,2.902,2,,010,,,
26010,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
26010,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,010,,,
26010,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
26010,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
26010,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,010,,,
26010,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,010,,,
26010,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
26010,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
26010,PEAC,Lab,SL146,tubed culture media,item,0.849,4,,010,,,
26010,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,010,,,
26010,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
26010,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,,010,,,
26010,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,10,010,,,
26010,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,130,10,010,,,
26010,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,120,,010,,,
26010,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,,010,,,
26010,PEAC,"Pharmacy, Rx",SH022,bupivacaine 0.5% inj (Marcaine),ml,0.1,5,,010,,,
26010,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,,010,,,
26010,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
26010,PEAC,"Wound Care, Dressings",SG010,"bandage, elastic wrap 2in (Ace)",item,0.644,2,1,010,,,
26010,PEAC,"Wound Care, Dressings",SG015,"bandage, Esmarch-Martin, sterile 3in x 9ft",item,5.645,1,,010,,,
26010,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,1,010,,,
26010,PEAC,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,1,,010,,,
26010,PEAC,"Wound Care, Dressings",SG027,"cast, stockinette 4in",yd,0.459,1,,010,,,
26010,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,12,6,010,,,
26010,PEAC,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,1,,010,,,
26010,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,,010,,,
26010,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,12,010,,,
26011,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
26011,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,1,,010,,,
26011,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,,010,,,
26011,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,,010,,,
26011,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
26011,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
26011,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
26011,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,1,010,,,
26011,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,,
26011,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
26011,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,010,,,
26011,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,6,,010,,,
26011,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,5,1,010,,,
26011,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
26011,PEAC,"Gown, Drape",SB031,"lap sponge, sterile, 18inx18in (5 pack uou)",item,2.902,5,,010,,,
26011,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,010,,,
26011,PEAC,"Gown, Drape",SB038,safety glasses,item,2.902,2,,010,,,
26011,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
26011,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,010,,,
26011,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
26011,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
26011,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,010,,,
26011,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,010,,,
26011,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
26011,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
26011,PEAC,Lab,SL146,tubed culture media,item,0.849,4,,010,,,
26011,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,010,,,
26011,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
26011,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,,010,,,
26011,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,10,010,,,
26011,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,130,10,010,,,
26011,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,120,,010,,,
26011,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,,010,,,
26011,PEAC,"Pharmacy, Rx",SH022,bupivacaine 0.5% inj (Marcaine),ml,0.1,5,,010,,,
26011,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,,010,,,
26011,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
26011,PEAC,"Wound Care, Dressings",SG010,"bandage, elastic wrap 2in (Ace)",item,0.644,2,1,010,,,
26011,PEAC,"Wound Care, Dressings",SG015,"bandage, Esmarch-Martin, sterile 3in x 9ft",item,5.645,1,,010,,,
26011,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,1,010,,,
26011,PEAC,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,1,,010,,,
26011,PEAC,"Wound Care, Dressings",SG027,"cast, stockinette 4in",yd,0.459,1,,010,,,
26011,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,12,6,010,,,
26011,PEAC,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,1,,010,,,
26011,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,,010,,,
26011,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,12,010,,,
26020,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26020,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
26020,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
26020,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26020,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26020,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26020,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,6,090,,,
26020,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26025,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26025,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
26025,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
26025,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26025,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26025,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26025,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,6,090,,,
26025,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26030,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26030,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
26030,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
26030,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26030,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26030,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26030,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,6,090,,,
26030,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26034,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26034,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
26034,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
26034,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26034,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26034,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26034,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,6,090,,,
26034,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26035,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26035,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
26035,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
26035,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26035,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26035,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26035,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,6,090,,,
26035,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26037,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26037,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
26037,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
26037,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26037,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26037,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,6,090,,,
26037,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26040,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26040,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
26040,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26040,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26040,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26040,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,3,090,,,
26040,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26045,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26045,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
26045,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26045,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26045,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26045,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,3,090,,,
26045,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26055,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,3,,090,,,
26055,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,,090,,,
26055,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,,090,,,
26055,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,3,,090,,,
26055,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,090,,,
26055,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,090,,,
26055,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,1,090,,,
26055,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,090,,,
26055,PEAC,"Gown, Drape",SB013,"drape, sterile, hand-upper extremity",item,18.076,1,,090,,,
26055,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,,090,,,
26055,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,090,,,
26055,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,090,,,
26055,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,090,,,
26055,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,1,090,,,
26055,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,,
26055,PEAC,"Gown, Drape",SB031,"lap sponge, sterile, 18inx18in (5 pack uou)",item,2.902,1,,090,,,
26055,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,3,,090,,,
26055,PEAC,"Gown, Drape",SB038,safety glasses,item,2.902,3,,090,,,
26055,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,090,,,
26055,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,090,,,
26055,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,090,,,
26055,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,090,,,
26055,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,090,,,
26055,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,3,,090,,,
26055,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,,
26055,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,,
26055,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,090,,,
26055,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,090,,,
26055,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,090,,,
26055,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,120,,090,,,
26055,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,120,,090,,,
26055,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,,090,,,
26055,PEAC,"Pharmacy, Rx",SH022,bupivacaine 0.5% inj (Marcaine),ml,0.1,1,,090,,,
26055,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,,090,,,
26055,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,090,,,
26055,PEAC,"Wound Care, Dressings",SG010,"bandage, elastic wrap 2in (Ace)",item,0.644,2,1,090,,,
26055,PEAC,"Wound Care, Dressings",SG015,"bandage, Esmarch-Martin, sterile 3in x 9ft",item,5.645,1,,090,,,
26055,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,1,090,,,
26055,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,,090,,,
26055,PEAC,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,1,,090,,,
26055,PEAC,"Wound Care, Dressings",SG027,"cast, stockinette 4in",yd,0.459,1,,090,,,
26055,PEAC,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,3,,090,,,
26055,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,23,3,090,,,
26055,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,12,090,,,
26060,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26060,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
26060,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26060,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26060,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26060,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,3,090,,,
26060,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26070,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26070,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
26070,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26070,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26070,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26070,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,3,090,,,
26070,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26075,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26075,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
26075,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26075,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26075,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26075,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,3,090,,,
26075,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26080,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26080,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
26080,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26080,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26080,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26080,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,3,090,,,
26080,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26100,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26100,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
26100,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26100,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26100,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26100,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,3,090,,,
26100,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26105,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26105,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
26105,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26105,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26105,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26105,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,3,090,,,
26105,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26110,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26110,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
26110,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26110,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,,090,,,
26110,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26110,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,3,090,,,
26110,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26111,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
26111,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT10,27
26113,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
26113,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,27
26115,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,090,,CPT10,rv
26115,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,CPT10,rv
26115,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,CPT10,rv
26115,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,CPT10,rv
26115,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,090,,CPT10,rv
26115,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,CPT10,rv
26115,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,CPT10,rv
26115,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,CPT10,rv
26115,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,CPT10,rv
26115,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,CPT10,rv
26115,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,090,,CPT10,rv
26115,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,CPT10,rv
26115,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,CPT10,rv
26115,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,CPT10,rv
26115,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,CPT10,rv
26115,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,CPT10,rv
26115,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,CPT10,rv
26115,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,0,090,,CPT10,rv
26115,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,CPT10,rv
26115,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,CPT10,rv
26115,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,CPT10,rv
26115,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,CPT10,rv
26115,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,CPT10,rv
26115,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,CPT10,rv
26115,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,CPT10,rv
26115,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,090,,CPT10,rv
26115,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,20,0,090,,CPT10,rv
26115,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,090,,CPT10,rv
26115,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,CPT10,rv
26115,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,CPT10,rv
26115,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,CPT10,rv
26115,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,090,,CPT10,rv
26115,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,CPT10,rv
26115,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,CPT10,rv
26115,PEAC,"Wound Care, Dressings",SG014,"bandage, elastic, self-adherent wrap 1in (Coban)",item,1.307,1,0,090,,CPT10,rv
26115,PEAC,"Hypodermic, IV",SC003,arm board,item,0.598,1,0,090,,CPT10,rv
26115,PEAC,"Wound Care, Dressings",SG015,"bandage, Esmarch-Martin, sterile 3in x 9ft",item,5.645,1,0,090,,CPT10,rv
26116,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
26116,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,rv
26117,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
26117,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
26118,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,CPT10,27
26118,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
26121,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26121,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
26121,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
26121,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26121,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26121,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26121,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,6,090,,,
26121,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26123,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26123,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
26123,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
26123,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26123,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26123,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26123,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,6,090,,,
26123,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26125,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
26130,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26130,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
26130,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26130,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26130,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26130,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,3,090,,,
26130,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26135,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26135,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
26135,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26135,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26135,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26135,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,3,090,,,
26135,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26140,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26140,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
26140,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26140,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26140,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26140,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,3,090,,,
26140,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26145,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26145,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
26145,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26145,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26145,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26145,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,2,090,,,
26145,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26160,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,3,,090,,,
26160,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,,090,,,
26160,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,,090,,,
26160,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,3,,090,,,
26160,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,090,,,
26160,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,090,,,
26160,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,1,090,,,
26160,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,090,,,
26160,PEAC,"Gown, Drape",SB013,"drape, sterile, hand-upper extremity",item,18.076,1,,090,,,
26160,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,,090,,,
26160,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,090,,,
26160,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,090,,,
26160,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,090,,,
26160,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,,090,,,
26160,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,,
26160,PEAC,"Gown, Drape",SB031,"lap sponge, sterile, 18inx18in (5 pack uou)",item,2.902,1,,090,,,
26160,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,3,,090,,,
26160,PEAC,"Gown, Drape",SB038,safety glasses,item,2.902,3,,090,,,
26160,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,090,,,
26160,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,090,,,
26160,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,090,,,
26160,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,090,,,
26160,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,090,,,
26160,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,3,,090,,,
26160,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,,
26160,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,,
26160,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,090,,,
26160,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,090,,,
26160,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,090,,,
26160,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,090,,,
26160,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,120,,090,,,
26160,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,120,,090,,,
26160,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,,090,,,
26160,PEAC,"Pharmacy, Rx",SH022,bupivacaine 0.5% inj (Marcaine),ml,0.1,1,,090,,,
26160,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,,090,,,
26160,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,090,,,
26160,PEAC,"Wound Care, Dressings",SG010,"bandage, elastic wrap 2in (Ace)",item,0.644,2,1,090,,,
26160,PEAC,"Wound Care, Dressings",SG015,"bandage, Esmarch-Martin, sterile 3in x 9ft",item,5.645,1,,090,,,
26160,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,1,090,,,
26160,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,,090,,,
26160,PEAC,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,1,,090,,,
26160,PEAC,"Wound Care, Dressings",SG027,"cast, stockinette 4in",yd,0.459,1,,090,,,
26160,PEAC,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,3,,090,,,
26160,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,23,3,090,,,
26160,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,,090,,,
26160,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,12,090,,,
26170,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26170,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
26170,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26170,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26170,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26170,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,3,090,,,
26170,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26180,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26180,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
26180,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26180,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26180,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26180,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,3,090,,,
26180,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26185,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26185,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
26185,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26185,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26185,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26185,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,3,090,,,
26185,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26200,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
26200,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26200,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26200,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26200,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,3,090,,,
26200,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26205,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26205,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
26205,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26205,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26205,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26205,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,9,090,,,
26205,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
26210,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26210,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
26210,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26210,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26210,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26210,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,3,090,,,
26210,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26215,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26215,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
26215,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26215,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26215,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26215,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,9,090,,,
26215,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
26230,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26230,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
26230,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
26230,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26230,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26230,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26230,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,6,090,,,
26230,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26235,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26235,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
26235,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
26235,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26235,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26235,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26235,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,6,090,,,
26235,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26236,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26236,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
26236,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
26236,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26236,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26236,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26236,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,6,090,,,
26236,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
26250,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
26250,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
26255,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26255,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
26255,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26255,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26255,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26255,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,9,090,,,
26255,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
26260,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,rv
26260,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
26261,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,1,090,,,
26261,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
26261,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
26261,PEAC,"Wound Care, Dressings",SG011,"bandage, elastic wrap 3in (Ace)",item,0.859,,1,090,,,
26261,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,,1,090,,,
26261,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,,9,090,,,
26261,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
26262,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,rv
26262,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
26320,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
26320,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
26340,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
26340,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
26350,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26350,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26350,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26350,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26350,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26350,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
26350,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26350,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26350,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26350,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26350,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26350,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26350,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26350,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26350,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26350,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26352,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26352,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26352,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26352,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26352,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26352,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26352,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26352,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26352,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26352,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26352,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26352,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26352,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26352,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26352,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26352,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26356,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26356,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26356,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26356,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26356,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26356,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,8,090,,Apr06,J
26356,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26356,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26356,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26356,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26356,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26356,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26356,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26356,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26356,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26356,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26357,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26357,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26357,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26357,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26357,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26357,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26357,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26357,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26357,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26357,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26357,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26357,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26357,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26357,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26357,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26357,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26358,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26358,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26358,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26358,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26358,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26358,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
26358,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26358,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26358,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26358,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26358,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26358,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26358,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26358,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26358,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26358,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26370,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26370,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26370,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26370,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26370,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26370,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26370,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26370,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26370,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26370,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26370,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26370,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26370,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26370,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26370,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26370,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26372,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26372,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26372,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26372,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26372,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26372,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26372,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26372,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26372,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26372,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26372,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26372,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26372,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26372,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26372,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26372,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26373,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26373,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26373,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26373,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26373,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26373,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26373,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26373,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26373,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26373,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26373,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26373,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26373,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26373,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26373,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26373,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26390,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26390,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26390,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26390,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26390,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26390,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26390,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26390,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26390,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26390,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26390,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26390,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26390,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26390,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26390,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26390,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26392,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26392,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26392,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26392,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26392,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26392,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26392,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26392,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26392,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26392,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26392,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26392,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26392,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26392,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26392,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26392,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26410,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,8,090,,,
26410,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
26410,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,12,090,,,
26410,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26410,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26410,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
26410,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26410,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26410,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26410,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26410,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26410,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,4,090,,,
26410,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,4,090,,,
26410,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26410,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26410,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26412,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,8,090,,,
26412,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
26412,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,12,090,,,
26412,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26412,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26412,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26412,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26412,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26412,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26412,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26412,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26412,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,4,090,,,
26412,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,4,090,,,
26412,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26412,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26412,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26415,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,8,090,,,
26415,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
26415,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,12,090,,,
26415,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26415,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26415,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26415,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26415,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26415,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26415,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26415,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26415,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,4,090,,,
26415,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,4,090,,,
26415,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26415,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26415,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26416,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,8,090,,,
26416,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
26416,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,12,090,,,
26416,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26416,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26416,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26416,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26416,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26416,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26416,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26416,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26416,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,4,090,,,
26416,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,4,090,,,
26416,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26416,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26416,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26418,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,8,090,,,
26418,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
26418,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,12,090,,,
26418,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26418,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26418,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
26418,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26418,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26418,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26418,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26418,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26418,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,4,090,,,
26418,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,4,090,,,
26418,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26418,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26418,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26420,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,8,090,,,
26420,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
26420,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,12,090,,,
26420,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26420,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26420,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26420,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26420,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26420,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26420,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26420,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26420,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,4,090,,,
26420,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,4,090,,,
26420,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26420,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26420,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26426,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26426,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26428,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,8,090,,,
26428,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
26428,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,12,090,,,
26428,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26428,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26428,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26428,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26428,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26428,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26428,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26428,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26428,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,4,090,,,
26428,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,4,090,,,
26428,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26428,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26428,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26432,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26432,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26432,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26432,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26432,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26432,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
26432,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26432,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26432,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26432,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26432,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26432,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26432,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26432,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26432,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26432,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26433,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26433,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26433,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26433,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26433,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26433,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
26433,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26433,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26433,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26433,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26433,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26433,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26433,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26433,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26433,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26433,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26434,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26434,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26434,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26434,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26434,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26434,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26434,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26434,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26434,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26434,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26434,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26434,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26434,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26434,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26434,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26434,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26437,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26437,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26437,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26437,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26437,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26437,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26437,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26437,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26437,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26437,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26437,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26437,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26437,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26437,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26437,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26437,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26440,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26440,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26440,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26440,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26440,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26440,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
26440,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26440,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26440,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26440,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26440,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26440,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26440,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26440,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26440,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26440,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26442,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26442,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26442,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26442,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26442,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26442,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
26442,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26442,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26442,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26442,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26442,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26442,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26442,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26442,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26442,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26442,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26445,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26445,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26445,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26445,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26445,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26445,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
26445,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26445,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26445,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26445,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26445,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26445,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26445,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26445,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26445,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26445,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26449,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
26449,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
26450,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
26450,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
26450,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,,
26450,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26450,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26450,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
26450,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26450,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26450,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26450,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26450,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26450,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,1,090,,,
26450,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,1,090,,,
26450,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26450,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26450,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26455,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
26455,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
26455,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,,
26455,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26455,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26455,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
26455,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26455,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26455,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26455,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26455,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26455,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,1,090,,,
26455,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,1,090,,,
26455,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26455,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26455,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26460,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
26460,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
26460,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,,
26460,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26460,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26460,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
26460,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26460,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26460,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26460,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26460,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26460,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,1,090,,,
26460,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,1,090,,,
26460,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26460,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26460,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26471,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26471,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26471,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26471,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26471,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26471,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26471,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26471,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26471,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26471,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26471,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26471,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26471,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26471,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26471,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26471,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26474,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26474,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26474,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26474,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26474,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26474,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26474,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26474,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26474,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26474,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26474,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26474,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26474,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26474,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26474,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26474,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26476,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26476,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26476,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26476,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26476,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26476,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26476,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26476,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26476,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26476,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26476,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26476,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26476,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26476,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26476,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26476,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26477,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26477,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26477,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26477,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26477,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26477,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26477,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26477,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26477,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26477,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26477,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26477,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26477,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26477,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26477,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26477,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26478,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26478,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26478,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26478,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26478,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26478,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26478,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26478,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26478,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26478,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26478,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26478,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26478,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26478,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26478,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26478,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26479,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26479,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26479,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26479,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26479,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26479,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26479,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26479,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26479,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26479,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26479,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26479,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26479,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26479,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26479,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26479,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26480,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26480,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26480,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26480,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26480,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26480,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26480,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26480,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26480,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26480,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26480,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26480,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26480,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26480,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26480,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26480,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26483,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26483,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26483,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26483,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26483,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26483,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26483,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26483,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26483,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26483,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26483,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26483,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26483,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26483,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26483,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26483,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26485,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26485,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26485,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26485,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26485,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26485,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26485,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26485,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26485,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26485,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26485,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26485,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26485,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26485,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26485,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26485,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26489,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26489,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26489,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26489,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26489,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26489,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26489,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26489,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26489,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26489,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26489,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26489,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26489,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26489,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26489,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26489,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26490,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26490,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26490,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26490,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26490,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26490,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26490,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26490,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26490,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26490,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26490,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26490,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26490,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26490,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26490,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26490,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26492,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26492,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26492,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26492,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26492,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26492,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
26492,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26492,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26492,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26492,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26492,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26492,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26492,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26492,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26492,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26492,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26494,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26494,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26494,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26494,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26494,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26494,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26494,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26494,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26494,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26494,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26494,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26494,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26494,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26494,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26494,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26494,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26496,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26496,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26496,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26496,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26496,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26496,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26496,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26496,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26496,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26496,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26496,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26496,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26496,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26496,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26496,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26496,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26497,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26497,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26497,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26497,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26497,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26497,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26497,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26497,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26497,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26497,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26497,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26497,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26497,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26497,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26497,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26497,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26498,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26498,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26498,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26498,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26498,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26498,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
26498,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26498,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26498,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26498,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26498,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26498,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26498,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26498,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26498,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26498,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26499,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26499,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26499,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26499,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26499,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26499,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26499,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26499,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26499,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26499,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26499,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26499,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26499,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26499,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26499,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26499,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26500,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26500,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26500,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26500,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26500,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26500,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26500,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26500,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26500,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26500,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26500,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26500,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26500,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26500,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26500,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26500,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26502,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26502,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26502,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26502,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26502,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26502,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26502,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26502,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26502,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26502,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26502,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26502,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26502,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26502,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26502,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26502,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26508,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26508,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26508,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26508,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26508,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26508,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26508,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26508,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26508,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26508,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26508,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26508,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26508,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26508,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26508,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26508,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26510,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26510,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26510,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26510,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26510,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26510,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26510,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26510,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26510,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26510,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26510,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26510,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26510,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26510,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26510,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26510,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26516,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26516,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26516,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26516,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26516,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26516,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26516,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26516,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26516,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26516,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26516,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26516,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26516,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26516,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26516,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26516,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26517,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26517,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26517,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26517,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26517,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26517,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26517,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26517,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26517,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26517,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26517,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26517,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26517,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26517,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26517,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26517,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26518,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26518,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26518,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26518,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26518,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26518,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26518,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26518,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26518,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26518,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26518,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26518,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26518,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26518,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26518,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26518,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26520,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26520,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26520,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26520,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26520,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26520,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26520,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26520,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26520,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26520,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26520,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26520,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26520,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26520,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26520,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26520,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26525,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26525,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26525,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26525,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26525,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26525,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26525,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26525,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26525,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26525,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26525,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26525,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26525,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26525,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26525,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26525,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26530,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
26530,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,0.5,090,,,
26531,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
26531,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,0.5,090,,,
26535,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
26535,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,0.5,090,,,
26536,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26536,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26536,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26536,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26536,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26536,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26536,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26536,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26536,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26536,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26536,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26536,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26536,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26536,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26540,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26540,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26540,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26540,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26540,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26540,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26540,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26540,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26540,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26540,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26540,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26540,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26540,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26540,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26540,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26540,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26541,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26541,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26541,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26541,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26541,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26541,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26541,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26541,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26541,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26541,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26541,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26541,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26541,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26541,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26541,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26541,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26542,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26542,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26542,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26542,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26542,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26542,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26542,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26542,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26542,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26542,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26542,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26542,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26542,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26542,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26542,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26542,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26545,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26545,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26545,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26545,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26545,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26545,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26545,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26545,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26545,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26545,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26545,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26545,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26545,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26545,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26545,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26545,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26546,CMS WALK: BOTH SITES,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,26545,,
26546,CMS WALK: BOTH SITES,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,26545,,
26546,CMS WALK: BOTH SITES,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,26545,,
26546,CMS WALK: BOTH SITES,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,26545,,
26546,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,26545,,
26546,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
26546,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,26545,,
26546,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,26545,,
26546,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,26545,,
26546,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,26545,,
26546,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,26545,,
26546,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,26545,,
26546,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,26545,,
26546,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,26545,,
26546,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,26545,,
26546,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,26545,,
26548,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26548,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26548,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26548,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26548,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26548,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26548,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26548,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26548,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26548,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26548,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26548,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26548,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26548,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26548,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26548,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26550,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26550,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26550,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26550,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26550,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26550,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26550,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26550,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26550,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26550,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26550,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26550,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26550,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26550,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26550,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26550,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26551,CMS WALK: BOTH SITES,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,26550,,
26551,CMS WALK: BOTH SITES,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,26550,,
26551,CMS WALK: BOTH SITES,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,26550,,
26551,CMS WALK: BOTH SITES,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,26550,,
26551,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,26550,,
26551,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Apr06,J
26551,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,26550,,
26551,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,26550,,
26551,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,26550,,
26551,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,26550,,
26551,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,26550,,
26551,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,26550,,
26551,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,26550,,
26551,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,26550,,
26551,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,26550,,
26551,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,26550,,
26553,CMS WALK: BOTH SITES,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,26550,,
26553,CMS WALK: BOTH SITES,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,26550,,
26553,CMS WALK: BOTH SITES,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,26550,,
26553,CMS WALK: BOTH SITES,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,26550,,
26553,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,26550,,
26553,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Apr06,J
26553,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,26550,,
26553,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,26550,,
26553,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,26550,,
26553,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,26550,,
26553,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,26550,,
26553,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,26550,,
26553,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,26550,,
26553,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,26550,,
26553,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,26550,,
26553,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,26550,,
26554,CMS WALK: BOTH SITES,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,26550,,
26554,CMS WALK: BOTH SITES,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,26550,,
26554,CMS WALK: BOTH SITES,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,26550,,
26554,CMS WALK: BOTH SITES,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,26550,,
26554,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,26550,,
26554,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,8,090,,Apr06,J
26554,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,26550,,
26554,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,26550,,
26554,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,26550,,
26554,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,26550,,
26554,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,26550,,
26554,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,26550,,
26554,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,26550,,
26554,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,26550,,
26554,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,26550,,
26554,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,26550,,
26555,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26555,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26555,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26555,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26555,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26555,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26555,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26555,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26555,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26555,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26555,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26555,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26555,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26555,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26555,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26555,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26556,CMS WALK: BOTH SITES,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,26550,,
26556,CMS WALK: BOTH SITES,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,26550,,
26556,CMS WALK: BOTH SITES,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,26550,,
26556,CMS WALK: BOTH SITES,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,26550,,
26556,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,2,090,26550,,
26556,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,8,090,,Apr06,J
26556,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,26550,,
26556,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,26550,,
26556,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,26550,,
26556,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,26550,,
26556,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,26550,,
26556,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,26550,,
26556,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,26550,,
26556,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,26550,,
26556,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,26550,,
26556,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,26550,,
26560,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26560,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26560,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26560,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26560,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26560,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
26560,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26560,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26560,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26560,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26560,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26560,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26560,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26560,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26560,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26560,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26561,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26561,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26561,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26561,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26561,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26561,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26561,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26561,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26561,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26561,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26561,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26561,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26561,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26561,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26561,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26561,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26562,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26562,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26562,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26562,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26562,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26562,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
26562,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26562,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26562,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26562,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26562,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26562,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26562,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26562,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26562,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26562,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26565,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26565,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26565,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26565,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26565,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26565,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26565,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26565,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26565,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26565,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26565,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26565,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26565,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26565,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26565,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26565,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26567,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26567,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26567,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26567,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26567,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26567,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26567,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26567,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26567,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26567,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26567,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26567,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26567,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26567,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26567,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26567,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26568,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,10,090,,,
26568,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
26568,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,15,090,,,
26568,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26568,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26568,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26568,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26568,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26568,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26568,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26568,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26568,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,5,090,,,
26568,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,5,090,,,
26568,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26568,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26568,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26580,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26580,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26580,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26580,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26580,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26580,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
26580,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26580,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26580,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26580,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26580,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26580,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26580,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26580,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26580,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26580,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26587,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
26587,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
26590,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26590,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26590,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26590,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26590,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26590,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26590,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26590,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26590,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26590,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26590,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26590,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26590,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26590,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26590,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26590,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26591,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26591,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26591,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26591,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26591,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26591,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
26591,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26591,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26591,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26591,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26591,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26591,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26591,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26591,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26591,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26591,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26593,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26593,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26593,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26593,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26593,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26593,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26593,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26593,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26593,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26593,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26593,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26593,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26593,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26593,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26593,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26593,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26596,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
26596,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
26596,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,,
26596,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26596,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26596,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26596,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26596,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26596,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26596,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26596,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26596,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,1,090,,,
26596,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,1,090,,,
26596,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26596,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26596,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26600,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
26600,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
26600,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
26600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
26605,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
26605,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
26605,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
26605,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
26605,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
26605,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
26605,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
26607,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,5,090,,,
26607,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
26607,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,50,090,,,
26607,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,10,090,,,
26607,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,5,090,,,
26607,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,5,090,,,
26607,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,,
26607,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,10,090,,,
26607,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,30,090,,,
26608,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
26608,CPEP,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,,1,090,,,
26608,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
26608,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,,
26608,CPEP,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,,1,090,,,
26608,CPEP,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,,1,090,,,
26608,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
26608,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26608,CPEP,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,,1,090,,,
26608,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,1,090,,,
26608,CPEP,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,,10,090,,,
26608,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,1,090,,,
26608,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,,
26608,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
26615,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,cp
26615,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,cp
26615,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,11
26615,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,11
26641,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
26641,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
26641,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
26641,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
26641,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
26641,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
26641,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
26645,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
26645,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
26645,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
26645,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
26645,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
26645,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
26645,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
26650,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,cp
26650,CPEP,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,,1,090,,,cp
26650,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,cp
26650,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,,cp
26650,CPEP,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,,1,090,,,cp
26650,CPEP,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,,1,090,,,cp
26650,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,cp
26650,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,11
26650,CPEP,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,,1,090,,,cp
26650,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,1,090,,,cp
26650,CPEP,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,,10,090,,,cp
26650,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,1,090,,,cp
26650,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,,cp
26650,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,cp
26665,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,cp
26665,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,cp
26665,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,11
26665,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,11
26670,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
26670,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
26670,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
26670,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
26670,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
26670,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
26670,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
26675,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
26675,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
26675,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
26675,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
26675,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
26675,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
26675,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
26676,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
26676,CPEP,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,,1,090,,,
26676,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
26676,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,,
26676,CPEP,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,,1,090,,,
26676,CPEP,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,,1,090,,,
26676,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
26676,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
26676,CPEP,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,,1,090,,,
26676,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,1,090,,,
26676,CPEP,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,,10,090,,,
26676,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,1,090,,,
26676,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,,
26676,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
26685,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,cp
26685,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,cp
26685,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,11
26685,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,11
26686,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
26686,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,
26686,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26686,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26700,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
26700,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
26700,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,5
26700,PEAC,"Wound Care, Dressings",SG086,"splint, finger (metal-foam)",item,1.655,1,0,090,,Aug03,5
26705,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
26705,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
26705,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
26705,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
26705,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
26705,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
26705,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
26705,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,5
26705,PEAC,"Wound Care, Dressings",SG086,"splint, finger (metal-foam)",item,1.655,1,0,090,,Aug03,5
26706,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26715,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,cp
26715,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,cp
26715,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,11
26715,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,11
26720,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,5
26720,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,5
26720,PEAC,"Wound Care, Dressings",SG086,"splint, finger (metal-foam)",item,1.655,1,0,090,,Aug03,5
26725,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
26725,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
26725,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
26725,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
26725,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
26725,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
26725,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
26725,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,5
26725,PEAC,"Wound Care, Dressings",SG086,"splint, finger (metal-foam)",item,1.655,1,0,090,,Aug03,5
26727,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
26727,CPEP,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,,1,090,,,
26727,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
26727,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,,
26727,CPEP,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,,1,090,,,
26727,CPEP,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,,1,090,,,
26727,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
26727,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26727,CPEP,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,,1,090,,,
26727,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,1,090,,,
26727,CPEP,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,,10,090,,,
26727,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,1,090,,,
26727,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,,
26727,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
26735,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,cp
26735,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,cp
26735,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,11
26735,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,11
26740,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
26740,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,5
26740,PEAC,"Wound Care, Dressings",SG086,"splint, finger (metal-foam)",item,1.655,1,0,090,,Aug03,5
26742,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
26742,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
26742,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
26742,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
26742,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
26742,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
26742,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
26742,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,5
26742,PEAC,"Wound Care, Dressings",SG086,"splint, finger (metal-foam)",item,1.655,1,0,090,,Aug03,5
26746,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,cp
26746,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,cp
26746,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,CPT08,11
26746,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,11
26750,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,5
26750,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,5
26750,PEAC,"Wound Care, Dressings",SG086,"splint, finger (metal-foam)",item,1.655,1,0,090,,Aug03,5
26755,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
26755,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
26755,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
26755,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
26755,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
26755,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
26755,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
26755,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,5
26755,PEAC,"Wound Care, Dressings",SG086,"splint, finger (metal-foam)",item,1.655,1,0,090,,Aug03,5
26756,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
26756,CPEP,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,,1,090,,,
26756,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
26756,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,,
26756,CPEP,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,,1,090,,,
26756,CPEP,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,,1,090,,,
26756,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
26756,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26756,CPEP,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,,1,090,,,
26756,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,1,090,,,
26756,CPEP,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,,10,090,,,
26756,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,1,090,,,
26756,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,,
26756,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
26765,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,cp
26765,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,cp
26765,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,11
26765,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,11
26770,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
26770,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,5
26770,PEAC,"Wound Care, Dressings",SG086,"splint, finger (metal-foam)",item,1.655,1,0,090,,Aug03,5
26775,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
26775,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
26775,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
26775,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
26775,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
26775,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
26775,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
26775,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,5
26775,PEAC,"Wound Care, Dressings",SG086,"splint, finger (metal-foam)",item,1.655,1,0,090,,Aug03,5
26776,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
26776,CPEP,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,,1,090,,,
26776,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,,
26776,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,,
26776,CPEP,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,,1,090,,,
26776,CPEP,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,,1,090,,,
26776,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
26776,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26776,CPEP,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,,1,090,,,
26776,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,1,090,,,
26776,CPEP,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,,10,090,,,
26776,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,1,090,,,
26776,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,,
26776,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
26785,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,cp
26785,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,cp
26785,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,11
26785,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,11
26820,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26820,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26820,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26820,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26820,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26820,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26820,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26820,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26820,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26820,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26820,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26820,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26820,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26820,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26820,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26820,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26841,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26841,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26841,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26841,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26841,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26841,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
26841,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26841,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26841,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26841,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26841,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26841,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26841,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26841,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26841,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26841,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26842,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26842,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26842,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26842,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26842,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26842,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26842,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26842,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26842,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26842,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26842,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26842,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26842,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26842,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26842,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26842,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26843,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26843,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26843,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26843,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26843,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26843,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26843,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26843,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26843,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26843,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26843,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26843,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26843,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26843,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26843,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26843,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26844,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26844,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26844,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26844,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26844,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26844,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26844,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26844,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26844,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26844,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26844,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26844,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26844,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26844,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26844,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26844,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26850,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26850,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26850,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26850,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26850,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26850,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26850,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26850,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26850,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26850,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26850,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26850,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26850,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26850,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26850,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26850,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26852,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26852,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26852,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26852,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26852,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26852,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26852,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26852,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26852,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26852,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26852,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26852,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26852,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26852,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26852,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26852,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26860,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26860,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26860,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26860,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26860,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26860,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26860,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26860,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26860,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26860,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26860,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26860,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26860,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26860,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26860,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26860,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26861,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
26862,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26862,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26862,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26862,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26862,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26862,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26862,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26862,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26862,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26862,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26862,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26862,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26862,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26862,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26862,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26862,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26863,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
26910,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26910,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26910,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26910,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26910,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26910,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26910,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26910,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26910,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26910,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26910,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26910,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26910,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26910,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26910,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26910,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26951,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26951,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26951,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26951,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26951,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26951,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
26951,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26951,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26951,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26951,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26951,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26951,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26951,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26951,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26951,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26951,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26952,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,,
26952,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
26952,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,9,090,,,
26952,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,2,090,,,
26952,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
26952,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26952,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,150,090,,,
26952,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
26952,CPEP,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,2,090,,,
26952,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
26952,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,,,
26952,CPEP,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,,3,090,,,
26952,CPEP,"Wound Care, Dressings",SG029,"casting tape, fiberglass 4in x 4yd",item,12.454,,3,090,,,
26952,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
26952,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,4,090,,,
26952,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,,,
26989,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
26990,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,10,090,,,
26990,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,5,090,,,
26990,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26990,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,600,090,,,
26990,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,50,090,,,
26990,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,5,090,,,
26990,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,5,090,,,
26990,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,30,090,,,
26990,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,30,090,,,
26990,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
26991,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
26991,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
26991,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
26991,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
26991,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
26991,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
26991,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
26991,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
26991,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
26991,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
26991,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
26991,PEAC,Lab,SL146,tubed culture media,item,0.849,1,0,090,,Aug03,5
26991,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
26991,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
26991,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
26991,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
26991,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,2,0,090,,Aug03,5
26991,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Aug03,5
26991,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,5
26992,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,10,090,,,
26992,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,5,090,,,
26992,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
26992,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,600,090,,,
26992,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,50,090,,,
26992,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,5,090,,,
26992,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,5,090,,,
26992,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,30,090,,,
26992,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,30,090,,,
26992,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27000,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27000,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27001,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27001,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27003,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27003,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27005,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27005,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27006,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27006,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27025,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27025,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27027,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT09,5
27027,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT09,5
27027,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,1,000,,CPT09,5
27027,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,,1,000,,CPT09,5
27030,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27030,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27033,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27033,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27035,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27035,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27036,CMS WALK: BOTH SITES,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,27035,,
27036,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27036,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,10,090,27035,,
27036,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,3,090,27035,,
27036,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,27035,,
27036,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,27035,,
27036,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,27035,,
27040,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
27040,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
27040,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,6
27040,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
27040,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,6
27040,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
27040,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,6
27040,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
27040,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
27040,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
27040,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
27040,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,010,,Mar03,6
27040,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
27040,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Mar03,6
27040,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
27040,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
27040,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,010,,Mar03,6
27040,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
27040,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
27041,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27041,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27043,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
27043,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT10,27
27045,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
27045,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,27
27047,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,CPT10,rv
27047,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,CPT10,rv
27047,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,CPT10,rv
27047,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,CPT10,rv
27047,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,090,,CPT10,rv
27047,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,CPT10,rv
27047,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,CPT10,rv
27047,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,CPT10,rv
27047,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,CPT10,rv
27047,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,CPT10,rv
27047,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,CPT10,rv
27047,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,090,,CPT10,rv
27047,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,CPT10,rv
27047,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,CPT10,rv
27047,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,CPT10,rv
27047,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,CPT10,rv
27047,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,CPT10,rv
27047,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,CPT10,rv
27047,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,090,,CPT10,rv
27047,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,CPT10,rv
27047,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,CPT10,rv
27047,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,CPT10,rv
27047,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,CPT10,rv
27047,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,CPT10,rv
27047,PEAC,"Cutters, Closures, Cautery",SF010,"blade, surgical hair clipper",item,5.036,0.5,0,090,,CPT10,rv
27047,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,CPT10,rv
27047,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,CPT10,rv
27047,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,090,,CPT10,rv
27047,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,0,090,,CPT10,rv
27047,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,090,,CPT10,rv
27047,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,CPT10,rv
27047,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,090,,CPT10,rv
27047,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,0,090,,CPT10,rv
27048,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
27048,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,rv
27049,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
27049,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
27050,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27050,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27052,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27052,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27054,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27054,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27057,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT09,5
27057,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT09,5
27057,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,1,000,,CPT09,5
27057,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,,1,000,,CPT09,5
27059,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,27
27059,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
27060,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27060,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27062,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,ss
27062,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr08,ss
27065,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27065,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27066,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27066,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27067,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27067,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27070,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,10,090,,,
27070,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,5,090,,,
27070,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27070,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,600,090,,,
27070,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,50,090,,,
27070,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,5,090,,,
27070,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,5,090,,,
27070,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,30,090,,,
27070,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,30,090,,,
27070,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27071,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,10,090,,,
27071,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,5,090,,,
27071,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27071,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,600,090,,,
27071,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,50,090,,,
27071,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,5,090,,,
27071,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,5,090,,,
27071,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,30,090,,,
27071,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,30,090,,,
27071,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27075,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
27075,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
27076,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
27076,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
27077,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
27077,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
27078,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
27078,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
27079,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27079,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27080,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27080,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27086,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
27086,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
27086,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,6
27086,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
27086,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,6
27086,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
27086,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,6
27086,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
27086,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
27086,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
27086,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
27086,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
27086,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Mar03,6
27086,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
27086,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,6
27086,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,6
27086,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,6
27086,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
27086,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
27086,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,010,,Mar03,6
27086,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
27086,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
27087,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27087,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27090,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27090,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27091,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27091,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27093,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,000,,Mar04,R
27093,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Mar04,R
27093,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,000,,Mar04,R
27093,PEAC,"Kit, Pack, Tray",SA060,"tray, arthrogram",tray,18.83,1,0,000,,Mar04,R
27093,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,000,,Mar04,R
27093,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,Mar04,R
27095,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,000,,Mar04,R
27095,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Mar04,R
27095,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,000,,Mar04,R
27095,PEAC,"Kit, Pack, Tray",SA060,"tray, arthrogram",tray,18.83,1,0,000,,Mar04,R
27095,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,000,,Mar04,R
27095,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,0,000,,Mar04,R
27095,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,Mar04,R
27096,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,000,,Jan04,7
27096,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Jan04,7
27096,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,000,,Jan04,7
27096,PEAC,"Kit, Pack, Tray",SA060,"tray, arthrogram",tray,18.83,1,0,000,,Jan04,7
27096,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,000,,Jan04,7
27096,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,Jan04,7
27096,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,000,,Jan04,7
27096,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,0,000,,Jan04,7
27097,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27097,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27098,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27098,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27100,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27100,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27105,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27105,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27110,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27110,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27111,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27111,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27120,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
27120,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27122,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
27122,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27125,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27125,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27130,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27130,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27132,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27132,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27134,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
27134,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27137,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
27137,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27138,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
27138,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27140,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27140,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27146,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27146,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27147,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27147,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27151,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27151,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27156,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27156,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27158,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27158,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27161,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27161,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27165,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27165,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27170,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27170,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27175,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27176,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27176,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27177,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27177,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27178,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27178,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27179,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27179,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27181,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27181,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27185,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27185,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27187,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27187,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27193,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
27194,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,5
27200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2.5,1.5,090,,Aug03,5
27202,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
27202,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27215,CMS WALK:,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,G0412,CPT09,rv
27215,CMS WALK:,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,G0412,CPT09,rv
27216,CMS WALK:,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,G0413,CPT09,rv
27216,CMS WALK:,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,G0413,CPT09,rv
27217,CMS WALK:,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,G0414,CPT09,rv
27217,CMS WALK:,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,G0414,CPT09,rv
27218,CMS WALK:,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,G0415,CPT09,rv
27218,CMS WALK:,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,G0415,CPT09,rv
27220,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
27222,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
27222,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27226,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27226,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27227,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27227,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27228,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27228,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27230,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
27232,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
27235,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27235,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27236,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27236,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27238,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27240,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27244,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,OCT08,hi
27244,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27245,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,OCT08,hi
27245,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27246,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
27248,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,OCT08,rv
27248,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,OCT08,rv
27250,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Feb08,ss
27252,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27253,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27253,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27254,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
27254,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27256,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
27257,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,Mar03,6
27258,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
27258,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27259,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27259,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27265,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27266,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27267,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,12
27268,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,12
27269,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,12
27269,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,12
27275,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,Mar03,6
27280,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
27280,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27282,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
27282,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27284,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
27284,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27286,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27286,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27290,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
27290,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27295,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27295,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27299,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
27301,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
27301,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
27301,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,5
27301,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
27301,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
27301,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
27301,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
27301,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
27301,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
27301,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
27301,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
27301,PEAC,Lab,SL146,tubed culture media,item,0.849,1,0,090,,Aug03,5
27301,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
27301,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
27301,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
27301,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
27301,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
27301,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
27301,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
27301,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Aug03,5
27303,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27303,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27305,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
27305,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27306,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
27306,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27307,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
27307,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27310,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27310,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27323,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
27323,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
27323,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,6
27323,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
27323,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,6
27323,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
27323,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,6
27323,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
27323,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
27323,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
27323,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
27323,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
27323,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Mar03,6
27323,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
27323,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
27323,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,010,,Mar03,6
27323,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
27323,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
27324,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27324,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27325,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27325,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27325,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
27326,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27326,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27326,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
27327,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,090,,CPT10,rv
27327,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,CPT10,rv
27327,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,CPT10,rv
27327,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,CPT10,rv
27327,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,090,,CPT10,rv
27327,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,CPT10,rv
27327,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,CPT10,rv
27327,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,CPT10,rv
27327,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,CPT10,rv
27327,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,CPT10,rv
27327,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,090,,CPT10,rv
27327,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,CPT10,rv
27327,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,CPT10,rv
27327,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,CPT10,rv
27327,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,CPT10,rv
27327,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,CPT10,rv
27327,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,CPT10,rv
27327,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,0,090,,CPT10,rv
27327,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,CPT10,rv
27327,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,CPT10,rv
27327,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,CPT10,rv
27327,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,CPT10,rv
27327,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,CPT10,rv
27327,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,CPT10,rv
27327,PEAC,"Cutters, Closures, Cautery",SF010,"blade, surgical hair clipper",item,5.036,0.5,0,090,,CPT10,rv
27327,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,CPT10,rv
27327,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,CPT10,rv
27327,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,090,,CPT10,rv
27327,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,0,090,,CPT10,rv
27327,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,090,,CPT10,rv
27327,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,CPT10,rv
27327,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,CPT10,rv
27327,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,CPT10,rv
27327,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,090,,CPT10,rv
27327,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,CPT10,rv
27327,PEAC,"Wound Care, Dressings",SG014,"bandage, elastic, self-adherent wrap 1in (Coban)",item,1.307,1,0,090,,CPT10,rv
27327,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,CPT10,rv
27328,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
27328,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,rv
27329,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
27329,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
27330,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27330,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27331,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27331,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27332,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27332,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27333,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27333,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27334,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27334,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27335,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27335,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27337,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
27337,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT10,27
27339,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
27339,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,27
27340,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27340,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27345,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27345,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27347,CMS,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,27345,,
27347,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27350,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27350,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27355,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27355,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27356,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27356,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27357,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27357,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27358,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
27360,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,10,090,,,
27360,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,5,090,,,
27360,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27360,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,600,090,,,
27360,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,50,090,,,
27360,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,5,090,,,
27360,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,5,090,,,
27360,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,30,090,,,
27360,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,30,090,,,
27360,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27364,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,27
27364,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
27365,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
27365,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
27370,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,000,,Jan04,7
27370,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Jan04,7
27370,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,000,,Jan04,7
27370,PEAC,"Kit, Pack, Tray",SA060,"tray, arthrogram",tray,18.83,1,0,000,,Jan04,7
27370,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,000,,Jan04,7
27372,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
27372,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
27372,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
27372,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
27372,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
27372,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
27372,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
27372,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
27372,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
27372,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
27372,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
27372,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
27372,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
27372,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
27372,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
27372,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
27372,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
27372,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
27372,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
27372,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
27372,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
27372,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
27372,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
27380,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,5,090,,,
27380,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,,
27380,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27380,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27380,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
27380,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,30,090,,,
27380,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,5,090,,,
27380,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,2,090,,,
27380,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,,
27380,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
27380,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
27381,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,5,090,,,
27381,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,,
27381,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27381,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27381,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
27381,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,30,090,,,
27381,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,5,090,,,
27381,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,2,090,,,
27381,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,,
27381,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
27381,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
27385,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,5,090,,,
27385,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,,
27385,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27385,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27385,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
27385,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,30,090,,,
27385,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,5,090,,,
27385,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,2,090,,,
27385,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,,
27385,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
27385,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
27386,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,5,090,,,
27386,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,,
27386,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27386,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27386,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
27386,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,30,090,,,
27386,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,5,090,,,
27386,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,2,090,,,
27386,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,,
27386,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
27386,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
27390,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
27390,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27391,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27391,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27392,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27392,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27393,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
27393,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27394,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27394,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27395,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
27395,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27396,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27396,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27397,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27397,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27400,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27400,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27403,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27403,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27403,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,3,090,,,
27405,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27405,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27407,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
27407,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27409,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
27409,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27412,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
27412,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
27415,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
27415,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
27416,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT08,14
27416,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,14
27418,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
27418,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27420,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27420,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27422,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27422,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27424,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27424,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27425,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27425,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27427,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27427,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27428,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27428,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27429,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
27429,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27430,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27430,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27435,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27435,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27437,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27437,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27438,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27438,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27440,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27440,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27441,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27441,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27442,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27442,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27443,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27443,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27445,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
27445,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27446,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27446,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27447,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27447,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27448,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27448,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27450,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27450,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27454,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27454,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27455,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,,
27455,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27455,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27455,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
27455,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
27455,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,2,090,,,
27455,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
27455,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,,
27457,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27457,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27465,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27465,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27466,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27466,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27468,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27468,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27470,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27470,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27472,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27472,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27475,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27475,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27477,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27477,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27479,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27479,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27485,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27485,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27486,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27486,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27487,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27487,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27488,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27488,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27495,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27495,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27496,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27496,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27497,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27497,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27498,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27498,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27499,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27499,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27500,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27500,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27500,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27500,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
27501,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27501,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27501,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27501,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
27502,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27503,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27506,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27506,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27507,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27507,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
27508,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27508,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27508,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27508,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
27509,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
27509,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,,
27509,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
27509,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27509,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,360,090,,,
27509,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,30,090,,,
27509,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,3,090,,,
27509,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,18,090,,,
27509,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
27510,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27511,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,OCT08,rv
27511,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,OCT08,rv
27513,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,OCT08,rv
27513,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,OCT08,rv
27514,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,OCT08,rv
27514,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,OCT08,rv
27516,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27516,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27516,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27516,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,5
27517,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4.5,090,,Aug03,5
27519,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,OCT08,rv
27519,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,OCT08,rv
27520,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27520,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27520,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27520,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
27524,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27524,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27530,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27530,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27530,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27530,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
27532,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27532,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27532,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27532,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
27535,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,OCT08,rv
27535,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,OCT08,rv
27536,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27536,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27538,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27538,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27538,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27538,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,5
27540,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,OCT08,rv
27540,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,OCT08,rv
27550,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27550,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27550,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27550,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,5
27552,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27556,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,OCT08,rv
27556,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,OCT08,rv
27557,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,OCT08,rv
27557,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,OCT08,rv
27558,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,OCT08,rv
27558,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,OCT08,rv
27560,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27560,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27560,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27560,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
27562,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27566,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27566,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27570,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,Mar03,6
27580,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,8,090,,,
27580,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,,
27580,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27580,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27580,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,480,090,,,
27580,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,
27580,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,,
27580,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,4,090,,,
27580,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,24,090,,,
27580,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
27590,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27590,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27591,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27591,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27592,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27592,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27594,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27594,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27596,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27596,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27598,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27598,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27599,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
27600,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
27600,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27601,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
27601,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27602,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
27602,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27603,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
27603,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
27603,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
27603,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
27603,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
27603,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
27603,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
27603,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
27603,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
27603,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
27603,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
27603,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
27603,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
27603,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
27603,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
27603,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
27603,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
27603,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
27603,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
27604,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
27604,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
27604,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
27604,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
27604,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
27604,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
27604,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
27604,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
27604,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
27604,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
27604,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
27604,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
27604,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
27604,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
27604,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
27604,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
27604,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
27604,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
27604,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
27605,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,010,,Mar03,6
27605,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
27605,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
27605,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,6
27605,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
27605,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
27605,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
27605,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
27605,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,010,,Mar03,6
27605,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,010,,Mar03,6
27605,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
27605,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Mar03,6
27605,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,6
27605,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Mar03,6
27605,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
27605,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar03,6
27605,PEAC,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,3,0,010,,Mar03,6
27605,PEAC,"Wound Care, Dressings",SG028,"cast, stockinette 6in",yd,0.669,3,0,010,,Mar03,6
27605,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,010,,Mar03,6
27605,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
27605,PEAC,"Wound Care, Dressings",SG068,plaster bandage (4in x 5yd uou),item,1.862,3,0,010,,Mar03,6
27605,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,108,0,010,,Mar03,6
27606,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,Mar03,6
27606,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,Mar03,6
27607,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27607,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27610,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27610,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27612,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27612,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27613,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar03,6
27613,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,6
27613,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,6
27613,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
27613,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,6
27613,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
27613,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,6
27613,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
27613,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
27613,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
27613,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
27613,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
27613,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Mar03,6
27613,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
27613,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
27613,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,010,,Mar03,6
27613,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
27613,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
27614,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
27614,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
27614,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
27614,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
27614,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
27614,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
27614,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
27614,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
27614,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
27614,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
27614,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
27614,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
27614,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
27614,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
27614,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
27614,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
27614,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
27614,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
27614,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
27614,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
27614,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
27615,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
27615,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
27616,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,27
27616,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
27618,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,090,,CPT10,rv
27618,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,CPT10,rv
27618,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,CPT10,rv
27618,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,CPT10,rv
27618,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,090,,CPT10,rv
27618,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,CPT10,rv
27618,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,CPT10,rv
27618,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,CPT10,rv
27618,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,CPT10,rv
27618,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,CPT10,rv
27618,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,090,,CPT10,rv
27618,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,CPT10,rv
27618,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,CPT10,rv
27618,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,CPT10,rv
27618,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,CPT10,rv
27618,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,CPT10,rv
27618,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,CPT10,rv
27618,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,0,090,,CPT10,rv
27618,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,CPT10,rv
27618,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,CPT10,rv
27618,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,CPT10,rv
27618,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,CPT10,rv
27618,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,CPT10,rv
27618,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,CPT10,rv
27618,PEAC,"Cutters, Closures, Cautery",SF010,"blade, surgical hair clipper",item,5.036,0.5,0,090,,CPT10,rv
27618,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,CPT10,rv
27618,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,CPT10,rv
27618,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,090,,CPT10,rv
27618,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,0,090,,CPT10,rv
27618,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,090,,CPT10,rv
27618,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,CPT10,rv
27618,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,CPT10,rv
27618,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,CPT10,rv
27618,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,090,,CPT10,rv
27618,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,CPT10,rv
27618,PEAC,"Wound Care, Dressings",SG014,"bandage, elastic, self-adherent wrap 1in (Coban)",item,1.307,1,0,090,,CPT10,rv
27618,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,CPT10,rv
27619,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
27619,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,rv
27620,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27620,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27625,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27625,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27626,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27626,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27630,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
27630,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
27630,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
27630,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
27630,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
27630,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
27630,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
27630,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
27630,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
27630,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
27630,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
27630,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
27630,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
27630,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
27630,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
27630,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
27630,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
27630,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
27630,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
27630,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
27630,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
27630,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
27630,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
27632,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
27632,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT10,27
27634,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
27634,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,27
27635,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27635,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27637,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27637,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27638,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27638,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27640,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27640,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27641,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27641,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27645,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
27645,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
27646,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
27646,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
27647,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,rv
27647,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
27648,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,000,,Jan04,7
27648,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Jan04,7
27648,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,000,,Jan04,7
27648,PEAC,"Kit, Pack, Tray",SA060,"tray, arthrogram",tray,18.83,1,0,000,,Jan04,7
27648,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,000,,Jan04,7
27650,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27650,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Feb08,ss
27652,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27652,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27654,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr03,J
27654,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr08,ss
27656,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
27656,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
27656,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
27656,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
27656,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,5
27656,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
27656,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
27656,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
27656,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
27656,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
27656,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
27656,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
27656,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
27656,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
27656,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
27656,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
27656,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
27656,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
27656,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
27656,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
27656,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
27656,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
27656,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
27658,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,5
27658,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,5
27659,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Aug03,5
27659,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,5
27664,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,5
27664,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,5
27665,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Aug03,5
27665,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,5
27675,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27675,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27676,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27676,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27680,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27680,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27681,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27681,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27685,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
27685,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
27685,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
27685,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
27685,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,5
27685,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
27685,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
27685,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
27685,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
27685,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
27685,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
27685,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
27685,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
27685,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
27685,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
27685,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
27685,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
27685,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
27685,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
27685,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
27685,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
27685,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
27685,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
27686,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Aug03,5
27686,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,5
27687,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27687,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27690,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27690,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr08,ss
27691,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27691,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr08,ss
27692,CMS WALK: BOTH SITES,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,26861,,
27695,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27695,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27696,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27696,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27698,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27698,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27700,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27700,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27702,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
27702,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27703,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
27703,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27704,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
27704,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
27705,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27705,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27707,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27707,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27709,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27709,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27712,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27712,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27715,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27715,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27720,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27720,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27722,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27722,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27724,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27724,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27725,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27725,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27726,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,16
27727,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27727,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27730,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,5
27730,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,5
27732,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,5
27732,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,5
27734,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27734,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27740,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,5
27740,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,5
27742,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,5
27742,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,5
27745,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27745,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27750,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27750,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27750,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27750,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
27752,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27752,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27752,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27752,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
27756,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
27756,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27758,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27758,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27759,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27759,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27760,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27760,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27760,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27760,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
27762,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27762,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27762,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27762,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5.5,4.5,090,,Aug03,5
27766,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,17
27766,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,17
27767,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,CPT08,15
27767,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,CPT08,15
27767,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,CPT08,15
27768,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,15
27769,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT08,14
27769,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,15
27780,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27780,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27780,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27780,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
27781,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27781,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27781,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27781,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
27784,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,rv
27784,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,rv
27786,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27786,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27786,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27786,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
27788,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27788,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27788,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27788,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
27792,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,rv
27792,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,rv
27808,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27808,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27808,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27808,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
27810,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27810,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27810,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27810,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
27814,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,rv
27814,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,rv
27816,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27816,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27816,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27816,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
27818,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27818,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27818,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27818,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
27822,CPEP,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,,16,090,,,cp
27822,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,,cp
27822,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,rv
27822,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,cp
27822,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,12,090,,,cp
27822,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,cp
27822,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,8,090,,,cp
27822,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,cp
27822,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,rv
27823,CPEP,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,,16,090,,,cp
27823,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,,cp
27823,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,rv
27823,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,rv
27823,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,cp
27823,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,12,090,,,cp
27823,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,cp
27823,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,8,090,,,cp
27823,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,cp
27824,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27824,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27824,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27824,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
27824,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
27824,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
27824,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
27825,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27825,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27825,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27825,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
27825,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
27825,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
27825,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
27826,CPEP,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,,16,090,,,cp
27826,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,,cp
27826,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,rv
27826,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,rv
27826,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,cp
27826,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,12,090,,,cp
27826,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,cp
27826,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,8,090,,,cp
27826,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,cp
27827,CPEP,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,,16,090,,,cp
27827,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,,cp
27827,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,rv
27827,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,CPT08,rv
27827,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,cp
27827,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,12,090,,,cp
27827,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,cp
27827,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,8,090,,,cp
27827,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,cp
27828,CPEP,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,,16,090,,,cp
27828,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,,rc
27828,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,rv
27828,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,CPT08,rv
27828,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,cp
27828,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,12,090,,,cp
27828,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,cp
27828,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,8,090,,,cp
27828,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,cp
27829,CPEP,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,,12,090,,,cp
27829,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,,cp
27829,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,rv
27829,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,rv
27829,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,30,090,,,cp
27829,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,9,090,,,cp
27829,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,,cp
27829,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,6,090,,,cp
27829,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,cp
27830,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
27830,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
27830,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
27830,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
27831,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27832,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,rv
27832,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,rv
27840,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27842,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27846,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27846,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27848,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27848,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27860,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,Mar03,6
27870,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27870,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27871,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27871,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27880,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27880,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
27881,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27881,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27882,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27882,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27884,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27884,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27886,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27886,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27888,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27888,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27889,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
27889,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27892,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
27892,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27893,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
27893,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
27894,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
27894,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
27899,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
28001,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Aug03,5
28001,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,010,,Aug03,5
28001,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Aug03,5
28001,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Aug03,5
28001,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Aug03,5
28001,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Aug03,5
28001,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Aug03,5
28001,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,010,,Aug03,5
28001,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Aug03,5
28001,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Aug03,5
28001,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Aug03,5
28001,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Aug03,5
28001,PEAC,"Pharmacy, NonRx",SJ025,ethyl chloride spray,oz,4.401,1,0,010,,Aug03,5
28001,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Aug03,5
28001,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,010,,Aug03,5
28001,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Aug03,5
28001,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,010,,Aug03,5
28001,PEAC,"Wound Care, Dressings",SG040,"dressing, 5in x 9in (Adaptic)",item,2.318,1,0,010,,Aug03,5
28001,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,010,,Aug03,5
28001,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Aug03,5
28002,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Aug03,5
28002,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,010,,Aug03,5
28002,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Aug03,5
28002,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Aug03,5
28002,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Aug03,5
28002,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,010,,Aug03,5
28002,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Aug03,5
28002,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,010,,Aug03,5
28002,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Aug03,5
28002,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Aug03,5
28002,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Aug03,5
28002,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Aug03,5
28002,PEAC,"Pharmacy, NonRx",SJ025,ethyl chloride spray,oz,4.401,1,0,010,,Aug03,5
28002,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Aug03,5
28002,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,010,,Aug03,5
28002,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Aug03,5
28002,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,010,,Aug03,5
28002,PEAC,"Wound Care, Dressings",SG040,"dressing, 5in x 9in (Adaptic)",item,2.318,1,0,010,,Aug03,5
28002,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Aug03,5
28002,PEAC,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,0.03,0,010,,Aug03,5
28002,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Aug03,5
28003,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28003,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28003,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28003,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28003,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28003,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28003,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28003,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28003,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28003,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28003,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28003,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28003,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28003,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28003,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28003,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28003,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28003,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28003,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28005,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
28005,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
28005,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,6,090,,,
28005,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
28005,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28005,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28008,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28008,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28008,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28008,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28008,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28008,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28008,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28008,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28008,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28008,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28008,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28008,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28008,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28008,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28008,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28008,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28008,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28008,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28008,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28010,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,5
28010,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28010,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28010,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
28010,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,090,,Aug03,5
28010,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,090,,Aug03,5
28010,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28010,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28010,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28010,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28011,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,5
28011,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28011,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28011,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28011,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,090,,Aug03,5
28011,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,090,,Aug03,5
28011,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28011,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28011,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28011,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28020,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28020,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28020,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28020,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28020,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28020,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28020,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28020,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28020,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28020,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28020,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28020,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28020,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28020,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28020,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28020,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28020,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28020,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28020,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28020,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28020,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28020,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28020,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28022,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28022,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28022,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28022,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28022,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28022,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28022,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28022,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28022,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28022,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28022,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28022,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28022,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28022,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28022,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28022,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28022,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28022,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28022,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28022,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28022,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28022,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28022,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28024,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28024,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28024,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28024,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28024,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28024,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28024,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28024,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28024,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28024,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28024,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28024,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28024,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28024,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28024,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28024,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28024,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28024,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28024,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28024,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28024,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28024,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28024,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28035,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28035,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28035,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28035,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28035,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28035,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28035,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28035,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28035,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28035,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28035,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28035,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28035,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28035,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28035,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28035,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28035,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28035,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28035,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28035,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28035,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28035,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28035,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28039,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,CPT10,27
28039,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,CPT10,27
28039,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,CPT10,27
28039,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,CPT10,27
28039,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,CPT10,27
28039,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,090,,CPT10,27
28039,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,CPT10,27
28039,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,CPT10,27
28039,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,CPT10,27
28039,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,CPT10,27
28039,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,CPT10,27
28039,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,090,,CPT10,27
28039,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,CPT10,27
28039,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,CPT10,27
28039,RUC,"Accessory, Procedure",SD123,"tourniquet, ankle, sterile",item,42.87,1,0,090,,CPT10,27
28039,RUC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,CPT10,27
28039,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,CPT10,27
28039,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,CPT10,27
28039,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,CPT10,27
28039,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,CPT10,27
28039,RUC,"Wound Care, Dressings",SG014,"bandage, elastic, self-adherent wrap 1in (Coban)",item,1.307,1,0,090,,CPT10,27
28039,RUC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,CPT10,27
28039,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,CPT10,27
28039,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,CPT10,27
28039,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,CPT10,27
28039,RUC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,6,0,090,,CPT10,27
28039,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,6,0,090,,CPT10,27
28039,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,CPT10,27
28039,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,CPT10,27
28039,RUC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,090,,CPT10,27
28039,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,090,,CPT10,27
28039,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,CPT10,27
28039,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,CPT10,27
28039,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,CPT10,27
28041,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
28041,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,27
28043,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,CPT10,rv
28043,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,CPT10,rv
28043,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,CPT10,rv
28043,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,CPT10,rv
28043,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,CPT10,rv
28043,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,0,090,,CPT10,rv
28043,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,CPT10,rv
28043,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,CPT10,rv
28043,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,CPT10,rv
28043,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,CPT10,rv
28043,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,CPT10,rv
28043,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,090,,CPT10,rv
28043,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,CPT10,rv
28043,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,CPT10,rv
28043,PEAC,"Accessory, Procedure",SD123,"tourniquet, ankle, sterile",item,42.87,1,0,090,,CPT10,rv
28043,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,CPT10,rv
28043,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,CPT10,rv
28043,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,CPT10,rv
28043,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,CPT10,rv
28043,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,CPT10,rv
28043,PEAC,"Wound Care, Dressings",SG014,"bandage, elastic, self-adherent wrap 1in (Coban)",item,1.307,1,0,090,,CPT10,rv
28043,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,CPT10,rv
28043,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,CPT10,rv
28043,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,CPT10,rv
28043,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,CPT10,rv
28043,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,4.5,0,090,,CPT10,rv
28043,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,4.5,0,090,,CPT10,rv
28043,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,CPT10,rv
28043,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,CPT10,rv
28043,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,090,,CPT10,rv
28043,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,090,,CPT10,rv
28043,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,CPT10,rv
28043,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,CPT10,rv
28043,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,CPT10,rv
28045,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,CPT10,rv
28045,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,CPT10,rv
28045,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,CPT10,rv
28045,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,10,0,090,,CPT10,rv
28045,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,CPT10,rv
28045,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,CPT10,rv
28045,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,CPT10,rv
28045,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,CPT10,rv
28045,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,CPT10,rv
28045,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,CPT10,rv
28045,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,CPT10,rv
28045,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,CPT10,rv
28045,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,CPT10,rv
28045,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,CPT10,rv
28045,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,CPT10,rv
28045,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,090,,CPT10,rv
28045,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,CPT10,rv
28045,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,CPT10,rv
28045,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,CPT10,rv
28045,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,CPT10,rv
28045,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,CPT10,rv
28045,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,CPT10,rv
28045,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,CPT10,rv
28045,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,090,,CPT10,rv
28045,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,6,0,090,,CPT10,rv
28045,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,6,0,090,,CPT10,rv
28045,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,090,,CPT10,rv
28045,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,CPT10,rv
28045,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,CPT10,rv
28045,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,CPT10,rv
28045,PEAC,"Wound Care, Dressings",SG014,"bandage, elastic, self-adherent wrap 1in (Coban)",item,1.307,1,0,090,,CPT10,rv
28045,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,CPT10,rv
28045,PEAC,"Accessory, Procedure",SD123,"tourniquet, ankle, sterile",item,42.87,1,0,090,,CPT10,rv
28045,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,CPT10,rv
28046,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,rv
28046,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
28047,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT10,27
28047,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,27
28050,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28050,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28050,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28050,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28050,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28050,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28050,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28050,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28050,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28050,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28050,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28050,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28050,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28050,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28050,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28050,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28050,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28050,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28050,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28050,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28050,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28050,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28050,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28052,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28052,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28052,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28052,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28052,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28052,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28052,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28052,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28052,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28052,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
28052,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28052,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28052,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28052,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28052,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28052,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28052,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28052,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28052,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28052,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28052,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28052,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28052,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28054,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28054,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28054,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28054,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28054,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28054,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28054,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28054,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28054,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28054,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
28054,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28054,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28054,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28054,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28054,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28054,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28054,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28054,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28054,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28054,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28054,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28054,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28054,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28055,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28055,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
28055,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
28060,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28060,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28060,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28060,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28060,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28060,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28060,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28060,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28060,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28060,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28060,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28060,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28060,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28060,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28060,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28060,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28060,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28060,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28060,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28060,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28060,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28060,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28060,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28062,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28062,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28062,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28062,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28062,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28062,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28062,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28062,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28062,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28062,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28062,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28062,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28062,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28062,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28062,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28062,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28062,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28062,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28062,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28062,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28062,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28062,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28062,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28070,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28070,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28070,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28070,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28070,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28070,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28070,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28070,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28070,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28070,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28070,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28070,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28070,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28070,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28070,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28070,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28070,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28070,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28070,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28070,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28070,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28070,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28070,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28072,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28072,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28072,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28072,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28072,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28072,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28072,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28072,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28072,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28072,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28072,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28072,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28072,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28072,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28072,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28072,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28072,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28072,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28072,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28072,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28072,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28072,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28072,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28080,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28080,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28080,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28080,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28080,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28080,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28080,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28080,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28080,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28080,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,5
28080,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28080,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28080,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28080,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28080,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28080,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28080,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28080,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28080,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28080,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28080,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28080,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28080,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28086,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28086,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28086,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28086,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28086,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28086,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28086,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28086,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28086,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28086,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28086,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28086,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28086,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28086,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28086,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28086,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28086,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28086,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28086,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28086,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28086,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28086,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28086,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28088,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28088,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28088,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28088,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28088,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28088,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28088,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28088,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28088,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28088,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
28088,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28088,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28088,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28088,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28088,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28088,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28088,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28088,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28088,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28088,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28088,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28088,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28088,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28090,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28090,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28090,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28090,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28090,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28090,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28090,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28090,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28090,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28090,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28090,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28090,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28090,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28090,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28090,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28090,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28090,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28090,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28090,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28090,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28090,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28090,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28090,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28092,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28092,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28092,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28092,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28092,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28092,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28092,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28092,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28092,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28092,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28092,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28092,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28092,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28092,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28092,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28092,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28092,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28092,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28092,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28092,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28092,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28092,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28092,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28100,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28100,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28100,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28100,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28100,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28100,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28100,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28100,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28100,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28100,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28100,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28100,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28100,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28100,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28100,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28100,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28100,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28100,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28100,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28100,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28100,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28100,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28100,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28102,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28102,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
28103,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Aug03,5
28103,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,5
28104,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28104,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28104,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28104,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28104,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28104,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28104,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28104,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28104,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28104,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28104,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28104,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28104,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28104,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28104,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28104,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28104,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28104,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28104,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28104,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28104,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28104,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28104,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28106,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28106,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
28107,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28107,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28107,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28107,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28107,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28107,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28107,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28107,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28107,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28107,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28107,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28107,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28107,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28107,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28107,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28107,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28107,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28107,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28107,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28107,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28107,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28107,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28107,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28108,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28108,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28108,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28108,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28108,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28108,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28108,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28108,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28108,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28108,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28108,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28108,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28108,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28108,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28108,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28108,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28108,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28108,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28108,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28108,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28108,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28108,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28108,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28110,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28110,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28110,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28110,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28110,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28110,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28110,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28110,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28110,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28110,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28110,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28110,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28110,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28110,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28110,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28110,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28110,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28110,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28110,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28110,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28110,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28110,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28110,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28110,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28111,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28111,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28111,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28111,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28111,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28111,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28111,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28111,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28111,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28111,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28111,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28111,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28111,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28111,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28111,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28111,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28111,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28111,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28111,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28111,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28111,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28111,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28111,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28111,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28112,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28112,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28112,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28112,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28112,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28112,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28112,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28112,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28112,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28112,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28112,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28112,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28112,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28112,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28112,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28112,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28112,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28112,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28112,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28112,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28112,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28112,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28112,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28112,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28113,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28113,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28113,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28113,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28113,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28113,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28113,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28113,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28113,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28113,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28113,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,5
28113,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28113,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28113,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28113,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28113,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28113,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28113,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28113,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28113,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28113,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28113,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28113,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28113,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28114,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28114,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28114,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28114,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28114,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28114,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28114,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28114,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28114,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28114,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28114,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,7,6,090,,Aug03,5
28114,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28114,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28114,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28114,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28114,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28114,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28114,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28114,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28114,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28114,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28114,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28114,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28114,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28116,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28116,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28116,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28116,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28116,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28116,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28116,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28116,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28116,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28116,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28116,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28116,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28116,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28116,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28116,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28116,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28116,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28116,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28116,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28116,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28116,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28116,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28116,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28118,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28118,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28118,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28118,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28118,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28118,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28118,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28118,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28118,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28118,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28118,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28118,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28118,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28118,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28118,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28118,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28118,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28118,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28118,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28118,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28118,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28118,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28118,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28119,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28119,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28119,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28119,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28119,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28119,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28119,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28119,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28119,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28119,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28119,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28119,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28119,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28119,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28119,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28119,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28119,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28119,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28119,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28119,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28119,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28119,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28119,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28120,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28120,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28120,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28120,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28120,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28120,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28120,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28120,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28120,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28120,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,CPT10,mv
28120,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28120,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28120,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28120,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28120,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28120,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28120,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28120,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28120,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28120,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28120,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28120,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28120,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28122,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28122,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28122,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28122,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28122,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28122,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28122,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28122,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28122,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28122,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,CPT10,mv
28122,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28122,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28122,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28122,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28122,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28122,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28122,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28122,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28122,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28122,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28122,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28122,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28122,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28124,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28124,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28124,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28124,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28124,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28124,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28124,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28124,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28124,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28124,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28124,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28124,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28124,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28124,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28124,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28124,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28124,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28124,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28124,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28124,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28124,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28124,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28124,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28126,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28126,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28126,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28126,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28126,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28126,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28126,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28126,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28126,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28126,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
28126,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28126,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28126,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28126,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28126,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28126,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28126,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28126,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28126,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28126,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28126,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28126,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28126,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28130,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28130,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
28140,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28140,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28140,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28140,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28140,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28140,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28140,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28140,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28140,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28140,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28140,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28140,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28140,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28140,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28140,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28140,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28140,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28140,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28140,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28140,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28140,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28140,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28140,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28150,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28150,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28150,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28150,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28150,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28150,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28150,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28150,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28150,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28150,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28150,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28150,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28150,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28150,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28150,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28150,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28150,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28150,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28150,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28150,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28150,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28150,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28150,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28153,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28153,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28153,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28153,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28153,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28153,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28153,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28153,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28153,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28153,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28153,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28153,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28153,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28153,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28153,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28153,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28153,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28153,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28153,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28153,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28153,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28153,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28153,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28160,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28160,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28160,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28160,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28160,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28160,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28160,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28160,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28160,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28160,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28160,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28160,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28160,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28160,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28160,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28160,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28160,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28160,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28160,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28160,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28160,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28160,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28160,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28171,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,rv
28171,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
28173,CMS,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
28173,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,rv
28175,CMS,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,rv
28175,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,rv
28190,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Aug03,5
28190,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,010,,Aug03,5
28190,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Aug03,5
28190,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Aug03,5
28190,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Aug03,5
28190,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Aug03,5
28190,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Aug03,5
28190,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Aug03,5
28190,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,010,,Aug03,5
28190,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Aug03,5
28190,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Aug03,5
28190,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,010,,Aug03,5
28190,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,010,,Aug03,5
28190,PEAC,"Pharmacy, NonRx",SJ025,ethyl chloride spray,oz,4.401,1,0,010,,Aug03,5
28190,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Aug03,5
28190,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,010,,Aug03,5
28190,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Aug03,5
28190,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,010,,Aug03,5
28190,PEAC,"Wound Care, Dressings",SG040,"dressing, 5in x 9in (Adaptic)",item,2.318,1,0,010,,Aug03,5
28190,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,010,,Aug03,5
28190,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Aug03,5
28192,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28192,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28192,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28192,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28192,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28192,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28192,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28192,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28192,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28192,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28192,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28192,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28192,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28192,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28192,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28192,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28192,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28192,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28192,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28192,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28192,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28192,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28192,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28193,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28193,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28193,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28193,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28193,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28193,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28193,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28193,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28193,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28193,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28193,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28193,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28193,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28193,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28193,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28193,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28193,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28193,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28193,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28193,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28193,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28193,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28193,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28200,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28200,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28200,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28200,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28200,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28200,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28200,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28200,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28200,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28200,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28200,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28200,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28200,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28200,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28200,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28200,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28200,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28200,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28200,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28200,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28200,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28200,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28202,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28202,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28202,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28202,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28202,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28202,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28202,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28202,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28202,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28202,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28202,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28202,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28202,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28202,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28202,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28202,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28202,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28202,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28202,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28202,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28202,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28202,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28202,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28208,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28208,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28208,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28208,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28208,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28208,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28208,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28208,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28208,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28208,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28208,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28208,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28208,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28208,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28208,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28208,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28208,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28208,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28208,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28208,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28208,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28208,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28208,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28210,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28210,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28210,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28210,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28210,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28210,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28210,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28210,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28210,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28210,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28210,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28210,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28210,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28210,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28210,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28210,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28210,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28210,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28210,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28210,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28210,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28210,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28210,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28220,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28220,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28220,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28220,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28220,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28220,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28220,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28220,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28220,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28220,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28220,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28220,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28220,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28220,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28220,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28220,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28220,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28220,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28220,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28220,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28220,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28220,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28220,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28222,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28222,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28222,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28222,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28222,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28222,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28222,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28222,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28222,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28222,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28222,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28222,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28222,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28222,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28222,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28222,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28222,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28222,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28222,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28222,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28222,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28222,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28222,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28225,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28225,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28225,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28225,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28225,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28225,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28225,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28225,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28225,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28225,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
28225,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28225,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28225,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28225,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28225,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28225,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28225,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28225,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28225,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28225,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28225,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28225,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28225,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28226,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28226,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28226,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28226,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28226,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28226,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28226,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28226,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28226,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28226,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28226,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28226,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28226,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28226,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28226,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28226,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28226,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28226,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28226,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28226,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28226,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28226,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28226,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28230,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28230,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28230,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28230,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28230,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28230,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28230,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28230,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28230,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28230,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
28230,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28230,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28230,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28230,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28230,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28230,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28230,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28230,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28230,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28230,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28230,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28230,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28230,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28232,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28232,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28232,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28232,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28232,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28232,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28232,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28232,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28232,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28232,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
28232,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28232,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28232,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28232,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28232,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28232,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28232,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28232,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28232,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28232,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28232,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28232,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28232,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28234,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28234,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28234,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28234,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28234,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28234,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28234,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28234,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28234,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28234,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28234,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28234,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28234,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28234,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28234,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28234,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28234,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28234,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28234,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28234,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28234,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28234,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28234,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28238,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28238,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28238,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28238,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28238,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28238,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28238,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28238,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28238,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28238,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28238,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28238,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28238,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28238,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28238,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28238,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28238,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28238,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28238,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28238,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28238,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28238,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28238,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28240,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28240,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28240,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28240,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28240,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28240,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28240,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28240,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28240,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28240,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
28240,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28240,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28240,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28240,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28240,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28240,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28240,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28240,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28240,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28240,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28240,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28240,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28240,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28250,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28250,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28250,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28250,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28250,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28250,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28250,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28250,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28250,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28250,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28250,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28250,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28250,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28250,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28250,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28250,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28250,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28250,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28250,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28250,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28250,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28250,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28250,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28260,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28260,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28260,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28260,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28260,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28260,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28260,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28260,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28260,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28260,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28260,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28260,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28260,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28260,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28260,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28260,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28260,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28260,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28260,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28260,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28260,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28260,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28260,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28261,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28261,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28261,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28261,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28261,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28261,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28261,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28261,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28261,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28261,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28261,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28261,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28261,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28261,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28261,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28261,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28261,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28261,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28261,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28261,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28261,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28261,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28261,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28262,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28262,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28262,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28262,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28262,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28262,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28262,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28262,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28262,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28262,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28262,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28262,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28262,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28262,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28262,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28262,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28262,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28262,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28262,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28262,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28262,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28262,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28262,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28264,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28264,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28264,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28264,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28264,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28264,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28264,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28264,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28264,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28264,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28264,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28264,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28264,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28264,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28264,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28264,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28264,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28264,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28264,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28264,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28264,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28264,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28264,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28270,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28270,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28270,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28270,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28270,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28270,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28270,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28270,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28270,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28270,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28270,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28270,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28270,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28270,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28270,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28270,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28270,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28270,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28270,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28270,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28270,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28270,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28270,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28272,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28272,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28272,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28272,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28272,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28272,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28272,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28272,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28272,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28272,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
28272,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28272,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28272,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28272,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28272,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28272,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28272,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28272,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28272,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28272,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28272,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28272,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28272,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28280,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28280,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28280,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28280,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28280,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28280,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28280,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28280,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28280,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28280,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28280,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28280,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28280,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28280,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28280,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28280,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28280,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28280,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28280,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28280,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28280,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28280,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28280,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28285,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28285,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28285,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28285,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28285,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28285,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28285,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28285,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28285,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28285,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28285,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28285,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28285,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28285,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28285,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28285,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28285,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28285,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28285,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28285,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28285,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28285,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28285,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28286,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28286,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28286,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28286,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28286,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28286,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28286,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28286,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28286,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28286,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28286,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28286,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28286,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28286,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28286,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28286,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28286,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28286,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28286,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28286,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28286,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28286,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28286,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28288,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28288,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28288,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28288,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28288,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28288,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28288,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28288,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28288,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28288,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28288,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,5
28288,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28288,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28288,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28288,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28288,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28288,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28288,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28288,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28288,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28288,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28288,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28288,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28288,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28289,PEAC,"Accessory, Procedure",SD142,"bur, surgical, sterile (drill)",item,4.792,1,0,090,,Aug03,5
28289,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28289,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28289,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28289,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28289,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28289,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28289,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28289,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28289,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28289,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28289,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28289,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28289,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28289,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28289,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28289,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28289,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28289,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28289,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28289,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28289,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28289,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28289,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28290,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28290,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28290,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28290,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28290,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28290,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28290,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28290,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28290,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28290,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28290,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28290,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28290,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28290,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28290,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28290,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28290,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28290,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28290,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28290,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28290,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28290,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28290,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28290,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28292,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28292,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28292,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28292,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28292,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28292,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28292,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28292,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28292,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28292,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28292,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,7,6,090,,Aug03,5
28292,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28292,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28292,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28292,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28292,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28292,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28292,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28292,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28292,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28292,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28292,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28292,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28292,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28293,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,090,,,
28293,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,1,,090,,,
28293,PEAC,"Accessory, Procedure",SD123,"tourniquet, ankle, sterile",item,42.87,1,0,090,,,
28293,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,090,,,
28293,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,2,,090,,,
28293,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,090,,,
28293,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,090,,,
28293,PEAC,"Cutters, Closures, Cautery",SF027,"endoscopic burr, surgical",item,40,1,,090,,,
28293,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,4,,090,,,
28293,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,090,,,
28293,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,090,,,
28293,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,090,,,
28293,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,,
28293,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,090,,,
28293,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,090,,,
28293,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,090,,,
28293,PEAC,"Gown, Drape",SB017,"drape-sleeve, sterile (4in x 8ft)",item,0.159,1,,090,,,
28293,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,6,,090,,,
28293,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,,090,,,
28293,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,090,,,
28293,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,090,,,
28293,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,090,,,
28293,PEAC,"Gown, Drape",SB040,"slippers, paper",pair,0.201,1,,090,,,
28293,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,6,,090,,,
28293,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,,090,,,
28293,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,8,7,090,,,
28293,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,090,,,
28293,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,090,,,
28293,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,090,,,
28293,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,,090,,,
28293,PEAC,"Pharmacy, NonRx",SJ025,ethyl chloride spray,oz,4.401,1,,090,,,
28293,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,70,,090,,,
28293,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,,090,,,
28293,PEAC,"Pharmacy, Rx",SH012,bacitracin powder (Altracin),gm,3.846,1,,090,,,
28293,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,,090,,,
28293,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,20,,090,,,
28293,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,090,,,
28293,PEAC,"Wound Care, Dressings",SG007,"adhesive, skin (Dermabond)",item,30.068,1,,090,,,
28293,PEAC,"Wound Care, Dressings",SG014,"bandage, elastic, self-adherent wrap 1in (Coban)",item,1.307,1,,090,,,
28293,PEAC,"Wound Care, Dressings",SG015,"bandage, Esmarch-Martin, sterile 3in x 9ft",item,5.645,1,,090,,,
28293,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,1,,090,,,
28293,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,3,,090,,,
28293,PEAC,"Wound Care, Dressings",SG040,"dressing, 5in x 9in (Adaptic)",item,2.318,1,,090,,,
28293,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,10,,090,,,
28293,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,090,,,
28293,PEAC,"Wound Care, Dressings",SG057,"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)",item,1.473,1,,090,,,
28293,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,,090,,,
28293,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,090,,,
28294,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28294,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28294,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28294,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28294,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28294,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28294,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28294,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28294,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28294,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28294,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28294,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28294,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28294,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28294,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28294,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28294,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28294,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28294,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28294,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28294,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28294,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28294,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28294,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28296,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28296,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28296,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28296,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28296,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28296,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28296,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28296,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28296,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28296,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28296,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Feb08,ss
28296,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28296,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28296,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28296,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28296,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28296,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28296,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28296,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28296,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28296,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28296,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28296,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28296,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28297,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28297,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28297,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28297,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28297,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28297,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28297,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28297,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28297,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28297,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28297,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28297,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28297,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28297,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28297,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28297,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28297,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28297,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28297,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28297,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28297,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28297,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28297,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28297,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28298,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28298,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28298,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28298,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28298,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28298,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28298,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28298,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28298,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28298,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28298,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28298,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28298,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28298,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28298,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28298,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28298,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28298,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28298,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28298,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28298,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28298,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28298,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28298,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28299,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28299,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28299,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28299,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28299,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28299,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28299,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28299,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28299,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28299,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28299,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28299,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28299,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28299,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28299,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28299,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28299,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28299,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28299,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28299,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28299,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28299,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28299,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28299,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28300,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,5
28300,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,5
28302,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,5
28302,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,5
28304,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28304,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28304,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28304,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28304,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28304,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28304,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28304,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28304,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28304,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28304,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28304,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28304,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28304,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28304,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28304,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28304,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28304,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28304,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28304,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28304,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28304,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28304,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28304,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28304,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28305,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4.5,090,,Aug03,5
28305,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,5
28306,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28306,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28306,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28306,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28306,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28306,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28306,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28306,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28306,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28306,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28306,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28306,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28306,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28306,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28306,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28306,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28306,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28306,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28306,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28306,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28306,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28306,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28306,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28306,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28306,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28307,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28307,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28307,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28307,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28307,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28307,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28307,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28307,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28307,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28307,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28307,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28307,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28307,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28307,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28307,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28307,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28307,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28307,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28307,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28307,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28307,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28307,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28307,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28307,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28307,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28308,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28308,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28308,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28308,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28308,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28308,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28308,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28308,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28308,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28308,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28308,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28308,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28308,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28308,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28308,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28308,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28308,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28308,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28308,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28308,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28308,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28308,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28308,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28308,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28308,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28309,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28309,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
28310,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28310,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28310,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28310,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28310,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28310,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28310,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28310,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28310,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28310,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28310,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28310,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28310,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28310,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28310,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28310,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28310,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28310,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28310,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28310,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28310,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28310,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28310,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28310,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28310,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28312,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28312,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28312,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28312,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28312,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28312,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28312,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28312,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28312,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28312,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28312,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28312,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28312,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28312,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28312,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28312,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28312,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28312,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28312,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28312,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28312,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28312,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28312,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28312,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28312,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28313,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28313,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28313,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28313,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28313,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28313,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28313,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28313,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28313,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28313,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28313,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28313,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28313,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28313,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28313,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28313,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28313,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28313,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28313,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28313,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28313,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28313,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28313,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28313,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28315,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28315,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28315,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28315,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28315,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28315,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28315,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28315,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28315,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28315,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28315,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28315,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28315,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28315,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28315,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28315,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28315,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28315,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28315,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28315,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28315,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28315,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28315,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28315,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28320,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28320,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
28322,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28322,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28322,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28322,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28322,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28322,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28322,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28322,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28322,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28322,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28322,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28322,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28322,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28322,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28322,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28322,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28322,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28322,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28322,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28322,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28322,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28322,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28322,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28322,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28340,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28340,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28340,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28340,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28340,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28340,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28340,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28340,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28340,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28340,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28340,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28340,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28340,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28340,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28340,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28340,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28340,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28340,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28340,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28340,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28340,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28340,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28340,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28340,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28341,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28341,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28341,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28341,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28341,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28341,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28341,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28341,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28341,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28341,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28341,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28341,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28341,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28341,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28341,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28341,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28341,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28341,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28341,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28341,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28341,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28341,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28341,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28341,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28344,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28344,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28344,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28344,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28344,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28344,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28344,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28344,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28344,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28344,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28344,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28344,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28344,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28344,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28344,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28344,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28344,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28344,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28344,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28344,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28344,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28344,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28344,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28344,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28345,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28345,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28345,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28345,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28345,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28345,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28345,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28345,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28345,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28345,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28345,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28345,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28345,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28345,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28345,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28345,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28345,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28345,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28345,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28345,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28345,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28345,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28345,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28345,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28360,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
28360,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
28360,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,
28360,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,8,090,,,
28360,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
28400,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28400,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
28400,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28400,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28405,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28405,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
28405,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28405,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28406,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,1,090,,,
28406,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28406,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
28406,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,76,090,,,
28406,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
28406,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,1,090,,,
28406,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,2,090,,,
28406,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
28415,CPEP,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,,16,090,,,cp
28415,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,,cp
28415,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,rv
28415,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,CPT08,rv
28415,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,cp
28415,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,12,090,,,cp
28415,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,cp
28415,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,8,090,,,cp
28415,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,cp
28420,CPEP,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,,16,090,,,cp
28420,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,,cp
28420,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,rv
28420,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,CPT08,rv
28420,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,cp
28420,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,12,090,,,cp
28420,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,cp
28420,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,8,090,,,cp
28420,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,cp
28430,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28430,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
28430,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28430,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
28435,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28435,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
28435,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28435,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28435,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28435,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28435,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28436,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,1,090,,,
28436,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
28436,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
28436,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,76,090,,,
28436,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
28436,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,1,090,,,
28436,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,2,090,,,
28436,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
28445,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
28445,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,CPT08,rv
28446,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,CPT08,18
28446,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,18
28450,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28450,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
28450,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28450,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
28455,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28455,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
28455,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28455,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28455,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28455,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28455,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28455,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Apr06,J
28456,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,1,090,,,
28456,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28456,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
28456,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,76,090,,,
28456,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
28456,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,1,090,,,
28456,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,2,090,,,
28456,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
28456,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28465,CPEP,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,,12,090,,,cp
28465,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,,cp
28465,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,rv
28465,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,rv
28465,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,30,090,,,cp
28465,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,9,090,,,cp
28465,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,,cp
28465,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,6,090,,,cp
28465,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
28470,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28470,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
28470,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28470,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28475,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28475,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
28475,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28475,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28475,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28475,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28475,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28476,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,1,090,,,
28476,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28476,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
28476,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,76,090,,,
28476,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
28476,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,1,090,,,
28476,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,,2,090,,,
28476,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
28485,CPEP,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,,16,090,,,cp
28485,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,,cp
28485,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,rv
28485,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,rv
28485,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,pc
28485,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,12,090,,,cp
28485,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,,cp
28485,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,8,090,,,cp
28485,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,cp
28485,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28490,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28490,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
28490,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28490,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2.5,1.5,090,,Aug03,5
28495,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28495,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
28495,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28495,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28495,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28495,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,5
28495,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28496,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28496,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28496,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28496,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28496,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28496,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28496,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28496,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28496,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28496,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28496,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28496,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28496,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28496,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28496,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28496,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28496,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28496,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28496,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28496,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28496,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28496,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28496,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28496,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28496,PEAC,"Cutters, Closures, Cautery",SF042,"wire, Kirschner 7.5in",item,4.807,1,0,090,,Aug03,5
28505,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28505,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28505,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28505,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28505,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28505,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28505,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28505,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28505,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28505,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28505,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28505,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28505,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,CPT08,rv
28505,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28505,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28505,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28505,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28505,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28505,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28505,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28505,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28505,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28505,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28505,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28510,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28510,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28510,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2.5,1.5,090,,Aug03,5
28515,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28515,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28515,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28515,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28515,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,5
28515,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28525,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28525,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28525,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28525,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28525,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28525,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28525,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28525,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28525,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28525,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28525,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28525,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28525,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,CPT08,rv
28525,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28525,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28525,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28525,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28525,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28525,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28525,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28525,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28525,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28525,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28525,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28530,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28530,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
28530,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28530,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,090,,Aug03,5
28531,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28531,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28531,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28531,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28531,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28531,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28531,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28531,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28531,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28531,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28531,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28531,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28531,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,5
28531,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28531,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28531,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28531,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28531,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28531,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28531,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28531,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28531,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28531,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28531,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28540,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28540,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
28540,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28540,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28545,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28545,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
28545,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28545,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28545,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28545,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28545,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28546,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28546,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28546,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28546,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28546,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28546,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28546,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28546,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28546,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28546,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28546,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28546,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28546,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28546,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28546,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28546,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28546,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28546,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28546,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28546,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28546,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28546,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28546,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28546,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28546,PEAC,"Cutters, Closures, Cautery",SF042,"wire, Kirschner 7.5in",item,4.807,1,0,090,,Aug03,5
28555,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28555,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28555,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28555,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28555,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28555,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28555,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28555,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28555,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28555,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28555,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28555,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28555,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,CPT08,rv
28555,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28555,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28555,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28555,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28555,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28555,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28555,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28555,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28555,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28555,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28555,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28570,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28570,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
28570,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28570,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,5
28575,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28575,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
28575,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28575,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28575,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28575,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28575,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28576,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,090,,Aug03,5
28585,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28585,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28585,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28585,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28585,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28585,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28585,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28585,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28585,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28585,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28585,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28585,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28585,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,CPT08,rv
28585,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28585,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28585,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28585,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28585,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28585,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28585,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28585,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28585,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28585,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28585,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28600,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28600,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
28600,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,5
28605,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Aug03,5
28605,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,090,,Aug03,5
28605,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Aug03,5
28605,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28605,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28605,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28605,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28606,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,,28,,,CMS06,
28615,CPEP,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,,12,090,,,cp
28615,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,,cp
28615,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,3,090,,,cp
28615,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,CPT08,rv
28615,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,30,090,,,cp
28615,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,9,090,,,cp
28615,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,,cp
28615,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,6,090,,,cp
28615,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,cp
28630,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Mar03,6
28630,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,1,010,,Mar03,6
28630,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,010,,Mar03,6
28630,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
28630,PEAC,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,3,0,010,,Mar03,6
28630,PEAC,"Wound Care, Dressings",SG068,plaster bandage (4in x 5yd uou),item,1.862,3,0,010,,Mar03,6
28635,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Mar03,6
28635,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,1,010,,Mar03,6
28635,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,010,,Mar03,6
28635,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,6
28635,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
28635,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
28635,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
28635,PEAC,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,3,0,010,,Mar03,6
28635,PEAC,"Wound Care, Dressings",SG068,plaster bandage (4in x 5yd uou),item,1.862,3,0,010,,Mar03,6
28636,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar03,6
28636,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,010,,Mar03,6
28636,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,6
28636,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
28636,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,6
28636,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
28636,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,6
28636,PEAC,"Kit, Pack, Tray",SA081,"pack, drapes, ortho, small",pack,1.128,1,0,010,,Mar03,6
28636,PEAC,"Kit, Pack, Tray",SA084,"pack, protective, ortho, small",pack,4.441,1,0,010,,Mar03,6
28636,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,010,,Mar03,6
28636,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
28636,PEAC,"Wound Care, Dressings",SG025,"cast, padding 4in x 4yd (Webril)",item,1.583,3,0,010,,Mar03,6
28636,PEAC,"Wound Care, Dressings",SG028,"cast, stockinette 6in",yd,0.669,3,0,010,,Mar03,6
28636,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,010,,Mar03,6
28636,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,6
28636,PEAC,"Wound Care, Dressings",SG068,plaster bandage (4in x 5yd uou),item,1.862,3,0,010,,Mar03,6
28636,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,108,0,010,,Mar03,6
28645,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28645,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28645,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28645,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28645,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28645,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28645,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28645,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28645,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28645,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28645,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28645,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28645,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,CPT08,rv
28645,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28645,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28645,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28645,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28645,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28645,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28645,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28645,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28645,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28645,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28645,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28660,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,010,,Mar03,6
28660,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
28660,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,010,,Mar03,6
28660,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
28665,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,010,,Mar03,6
28665,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,6
28665,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,6
28665,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,6
28665,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,Mar03,6
28665,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,010,,Mar03,6
28665,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar03,6
28666,CPEP,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,010,,,
28666,CPEP,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,6,,010,,,
28666,CPEP,"Cutters, Closures, Cautery",SF034,"stapler, surgical",item,7.509,1,,010,,,
28666,CPEP,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,,010,,,
28666,CPEP,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,,010,,,
28666,CPEP,"Cutters, Closures, Cautery",SF042,"wire, Kirschner 7.5in",item,4.807,2,,010,,,
28666,CPEP,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,010,,,
28666,CPEP,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,6,,010,,,
28666,CPEP,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
28666,CPEP,"Gown, Drape",SB017,"drape-sleeve, sterile (4in x 8ft)",item,0.159,1,,010,,,
28666,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,2,010,,,
28666,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,6,,010,,,
28666,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,1,1,010,,,
28666,CPEP,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,3,,010,,,
28666,CPEP,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,010,,,
28666,CPEP,"Gown, Drape",SB036,"paper, exam table",foot,0.014,14,7,010,,,
28666,CPEP,"Gown, Drape",SB037,pillow case,item,0.307,1,1,010,,,
28666,CPEP,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,010,,,
28666,CPEP,"Gown, Drape",SB043,"towel, professional 13in x 18in",item,0.04,1,,010,,,
28666,CPEP,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,5,,010,,,
28666,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,,010,,,
28666,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,1,010,,,
28666,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
28666,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,136,76,010,,,
28666,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,2,010,,,
28666,CPEP,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,,010,,,
28666,CPEP,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,010,,,
28666,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
28666,CPEP,"Wound Care, Dressings",SG015,"bandage, Esmarch-Martin, sterile 3in x 9ft",item,5.645,1,,010,,,
28666,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,1,010,,,
28666,CPEP,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,2,,010,,,
28666,CPEP,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,,010,,,
28666,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,1,010,,,
28666,CPEP,"Wound Care, Dressings",SG023,"cast, cutter blade",item,9.34,2,,010,,,
28666,CPEP,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,010,,,
28666,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,22,2,010,,,
28666,CPEP,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,2,2,010,,,
28666,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,010,,,
28666,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,540,180,010,,,
28675,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28675,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28675,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28675,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28675,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28675,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28675,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28675,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28675,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28675,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28675,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28675,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28675,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,CPT08,rv
28675,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28675,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28675,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28675,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28675,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28675,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28675,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28675,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28675,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28675,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28675,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28705,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28705,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
28715,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28715,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
28725,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28725,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
28730,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28730,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
28735,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28735,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
28737,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
28737,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
28740,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28740,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28740,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28740,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28740,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28740,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28740,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28740,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28740,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28740,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28740,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28740,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28740,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28740,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28740,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28740,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28740,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28740,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28740,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28740,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28740,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28740,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28740,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28740,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28750,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28750,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28750,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28750,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28750,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28750,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28750,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28750,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28750,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28750,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28750,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28750,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28750,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28750,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28750,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28750,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28750,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28750,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28750,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28750,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28750,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28750,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28750,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28750,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28755,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28755,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28755,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28755,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28755,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28755,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28755,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28755,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28755,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28755,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28755,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28755,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28755,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,5
28755,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28755,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28755,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28755,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28755,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28755,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28755,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28755,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28755,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28755,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28755,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28760,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28760,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28760,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28760,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28760,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28760,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28760,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28760,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28760,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28760,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28760,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28760,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28760,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,5
28760,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28760,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28760,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28760,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28760,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28760,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28760,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28760,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28760,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28760,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28760,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28800,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
28800,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
28805,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
28805,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
28810,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
28810,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
28820,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28820,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28820,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28820,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28820,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28820,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28820,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28820,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28820,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28820,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28820,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28820,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28820,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,5
28820,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28820,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28820,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28820,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28820,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28820,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28820,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28820,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28820,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28820,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28820,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28820,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28825,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Aug03,5
28825,PEAC,"Kit, Pack, Tray",SA083,"pack, protective, ortho, large",pack,9.182,1,0,090,,Aug03,5
28825,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Aug03,5
28825,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,5
28825,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,5
28825,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,5
28825,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,0,090,,Aug03,5
28825,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,5
28825,PEAC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,0,090,,Aug03,5
28825,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,090,,Aug03,5
28825,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,090,,Aug03,5
28825,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,5
28825,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Apr08,ss
28825,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,5
28825,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,5
28825,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,5
28825,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,5
28825,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,0,090,,Aug03,5
28825,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Aug03,5
28825,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Aug03,5
28825,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Aug03,5
28825,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,5
28825,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,5
28825,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,090,,Aug03,5
28825,PEAC,"Cutters, Closures, Cautery",SF011,"blade, surgical, sterile, power saw",item,9.9,1,0,090,,Aug03,5
28890,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,RUC05,
28890,CMS,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,RUC05,
28890,CMS,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,RUC05,
28890,CMS,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,RUC05,
28890,CMS,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,0,090,,RUC05,
28890,CMS,"Pharmacy, Rx",SH022,bupivacaine 0.5% inj (Marcaine),ml,0.1,5,0,090,,RUC05,
28890,CMS,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,RUC05,
28899,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
29000,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29000,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,7,1,000,,,
29010,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29010,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,7,1,000,,,
29015,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29015,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,7,1,000,,,
29020,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29020,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,7,1,000,,,
29025,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29025,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,7,1,000,,,
29035,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29035,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,7,1,000,,,
29040,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29040,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,7,1,000,,,
29044,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29044,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,7,1,000,,,
29046,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29046,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,7,1,000,,,
29049,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29049,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29049,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
29055,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29055,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,7,1,000,,,
29058,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29058,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29058,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
29065,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29065,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29065,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,1,000,,,
29075,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29075,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29075,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,1,000,,,
29085,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29085,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29085,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,000,,,
29086,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29086,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29086,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,1,000,,,
29105,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29105,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29105,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,1,000,,,
29125,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29125,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29125,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,1,000,,,
29126,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29126,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29126,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
29130,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
29131,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
29200,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,000,,,
29200,PEAC,"Wound Care, Dressings",SG019,"bandage, Kling, non-sterile 6in",item,0.792,1,,000,,,
29200,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,000,,,
29220,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,000,,,
29220,PEAC,"Wound Care, Dressings",SG019,"bandage, Kling, non-sterile 6in",item,0.792,1,,000,,,
29220,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,000,,,
29240,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,000,,,
29240,PEAC,"Wound Care, Dressings",SG019,"bandage, Kling, non-sterile 6in",item,0.792,1,,000,,,
29240,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,000,,,
29260,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,000,,,
29260,PEAC,"Wound Care, Dressings",SG019,"bandage, Kling, non-sterile 6in",item,0.792,1,,000,,,
29260,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,000,,,
29280,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,000,,,
29280,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,1,,000,,,
29280,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,000,,,
29305,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29305,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,7,1,000,,,
29305,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
29325,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29325,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,7,1,000,,,
29325,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
29345,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29345,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29345,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
29355,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29355,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29355,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
29358,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29358,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29358,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
29365,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29365,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29365,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
29405,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29405,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29405,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,1,000,,,
29425,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29425,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29425,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,1,000,,,
29435,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29435,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29435,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
29440,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
29440,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,000,,,
29440,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
29445,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29445,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29445,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
29450,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29450,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,1,000,,,
29505,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29505,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29505,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
29515,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,000,,,
29515,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,1,000,,,
29515,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,1,000,,,
29520,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,000,,,
29520,PEAC,"Wound Care, Dressings",SG019,"bandage, Kling, non-sterile 6in",item,0.792,1,,000,,,
29520,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,000,,,
29530,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,000,,,
29530,PEAC,"Wound Care, Dressings",SG019,"bandage, Kling, non-sterile 6in",item,0.792,1,,000,,,
29530,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,000,,,
29540,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,000,,,
29540,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,000,,,
29550,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,000,,,
29550,PEAC,"Wound Care, Dressings",SG019,"bandage, Kling, non-sterile 6in",item,0.792,1,,000,,,
29550,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,000,,,
29580,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,000,,,
29580,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,000,,,
29580,PEAC,"Wound Care, Dressings",SG080,unna boot,item,4.561,1,,000,,,
29581,RUC,"Wound Care, Dressings",SG093,"dressing, multi layer system, venous ulcer",item,28,1,0,000,,CPT10,1
29581,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,CPT10,1
29581,RUC,"Pharmacy, NonRx",,"cleanser, cholohexidine (Hibiclens)",ml,,20,0,000,,CPT10,1
29581,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT10,1
29581,RUC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,2,0,000,,CPT10,1
29581,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,CPT10,1
29581,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,000,,CPT10,1
29581,RUC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,000,,CPT10,1
29581,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,CPT10,1
29590,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
29700,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,1,000,,,
29700,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,1,000,,,
29700,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
29705,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,1,000,,,
29705,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,1,000,,,
29705,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
29710,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,1,000,,,
29710,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,1,000,,,
29710,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
29715,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,1,000,,,
29715,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,1,000,,,
29715,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
29720,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
29720,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,000,,,
29720,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
29730,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
29730,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
29730,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
29740,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
29740,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,000,,,
29740,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
29750,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
29750,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,000,,,
29750,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
29799,PEAC,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
29800,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,3,090,,Apr06,J
29800,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
29800,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
29804,PERC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,4,090,,Apr06,J
29804,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
29804,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
29805,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,29815,,
29805,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29806,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
29806,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29807,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
29807,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29819,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29819,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29820,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29820,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29821,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29821,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29822,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29822,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29823,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29823,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29824,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29824,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29825,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29825,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29826,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29826,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29827,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
29827,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29828,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,19
29828,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,19
29830,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29830,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29834,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29834,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29835,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29835,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29836,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29836,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29837,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29837,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29838,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29838,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29840,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29840,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29843,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29843,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29844,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29844,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29845,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29845,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29846,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29846,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29847,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29847,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29848,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29848,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29850,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29850,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29851,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,,
29851,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29855,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,,
29855,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29856,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,,
29856,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29860,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29860,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29861,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29861,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29862,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29862,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29863,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29863,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29866,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
29866,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
29867,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
29867,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
29868,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
29868,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
29870,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,3,090,,Oct09,
29870,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,090,,Oct09,
29870,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,,090,,Oct09,
29870,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,090,,Oct09,
29870,RUC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,,090,,Oct09,
29870,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,090,,Oct09,
29870,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,090,,Oct09,
29870,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,090,,Oct09,
29870,RUC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,,090,,Oct09,
29870,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,090,,Oct09,
29870,RUC,"Kit, Pack, Tray",SA080,"pack, drapes, ortho, large",pack,40.646,1,,090,,Oct09,
29870,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,090,,Oct09,
29870,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,,090,,Oct09,
29870,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,090,,Oct09,
29870,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,090,,Oct09,
29870,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,090,,Oct09,
29870,RUC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,090,,Oct09,
29870,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,090,,Oct09,
29871,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29871,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29873,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
29873,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29874,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29874,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29875,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29875,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29876,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29876,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29877,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29877,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29879,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29879,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29880,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29880,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29881,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29881,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29882,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29882,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29883,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29883,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29884,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29884,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29885,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29885,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29886,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29886,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29887,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29887,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29888,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr08,ss
29888,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29889,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
29889,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29891,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29891,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29892,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29892,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29893,PEAC,"Cutters, Closures, Cautery",SF026,"endoscopic blade, surgical",item,40,2,,090,,,
29893,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,090,,,
29893,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,090,,,
29893,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,090,,,
29893,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,090,,,
29893,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,,
29893,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,090,,,
29893,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,090,,,
29893,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,,
29893,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,3,,090,,,
29893,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,090,,,
29893,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,090,,,
29893,PEAC,"Gown, Drape",SB040,"slippers, paper",pair,0.201,1,,090,,,
29893,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,5,,090,,,
29893,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,,090,,,
29893,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,7,6,090,,,
29893,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,,
29893,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,70,,090,,,
29893,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,,090,,,
29893,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,,090,,,
29893,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,090,,,
29893,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,090,,,
29893,PEAC,"Wound Care, Dressings",SG015,"bandage, Esmarch-Martin, sterile 3in x 9ft",item,5.645,1,,090,,,
29893,PEAC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,1,,090,,,
29893,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,1,,090,,,
29893,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,090,,,
29893,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,4,,090,,,
29893,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,20,,090,,,
29894,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29894,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29895,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29895,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29897,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
29897,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29898,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29898,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29899,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29899,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29900,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29900,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29901,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29901,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29902,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
29902,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
29904,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT08,20
29905,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,20
29906,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,20
29906,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,20
29907,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,20
29907,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT08,20
29914,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,4,090,,CPT11,1
29914,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,0,1,090,,CPT11,1
29915,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,4,090,,CPT11,1
29915,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,0,1,090,,CPT11,1
29916,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,4,090,,CPT11,1
29916,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,0,1,090,,CPT11,1
29999,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
30000,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
30000,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
30000,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
30000,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
30000,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
30000,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,,010,,,
30000,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,010,,,
30000,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,2,1,010,,,
30000,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,,010,,,
30000,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
30000,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
30000,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
30000,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
30000,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,2,1,010,,,
30000,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
30000,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,4,,010,,,
30000,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
30000,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,4,0,010,,,
30000,PEAC,"Wound Care, Dressings",SG044,"dressing, Merocel nasal standard 4.5cm",item,6.3,2,,010,,,
30000,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,,010,,,
30020,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
30020,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
30020,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
30020,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
30020,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
30020,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,,010,,,
30020,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,010,,,
30020,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,2,1,010,,,
30020,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,,010,,,
30020,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
30020,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
30020,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
30020,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
30020,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,2,1,010,,,
30020,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
30020,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,4,,010,,,
30020,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
30020,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,4,0,010,,,
30020,PEAC,"Wound Care, Dressings",SG044,"dressing, Merocel nasal standard 4.5cm",item,6.3,2,,010,,,
30020,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,,010,,,
30100,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
30100,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
30100,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,000,,,
30100,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,000,,,
30100,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,000,,,
30100,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
30100,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,1,,000,,,
30100,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
30100,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
30100,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
30100,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,000,,,
30100,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
30100,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,4,,000,,,
30110,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
30110,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
30110,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
30110,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
30110,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
30110,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,2,1,010,,,
30110,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
30110,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
30110,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
30110,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,2,1,010,,,
30110,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
30110,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,4,,010,,,
30110,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,4,0,010,,,
30110,PEAC,"Wound Care, Dressings",SG044,"dressing, Merocel nasal standard 4.5cm",item,6.3,1,,010,,,
30115,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
30115,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,090,,Mar04,I
30115,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,2,090,,Mar04,I
30115,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
30115,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
30115,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
30115,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
30115,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
30115,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
30115,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,I
30115,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30115,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,Mar04,I
30115,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
30115,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,Mar04,I
30115,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,1,090,,Mar04,I
30115,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,Mar04,I
30115,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Mar04,I
30117,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,090,,Jan04,21
30117,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,3,2,090,,Jan04,21
30117,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,6,4,090,,Jan04,21
30117,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Jan04,21
30117,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Jan04,21
30117,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Jan04,21
30117,PEAC,"Cutters, Closures, Cautery",SF028,laser tip (single use),item,290,1,0,090,,Jan04,21
30117,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,3,2,090,,Jan04,21
30117,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,090,,Jan04,21
30117,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Jan04,21
30117,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Jan04,21
30117,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Jan04,21
30117,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,090,,Jan04,21
30117,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,1,0,090,,Jan04,21
30117,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,3,2,090,,Jan04,21
30117,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Jan04,21
30117,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Jan04,21
30117,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Jan04,21
30117,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,0,090,,Jan04,21
30117,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Jan04,21
30117,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,0,090,,Jan04,21
30117,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,4,0,090,,Jan04,21
30117,PEAC,"Wound Care, Dressings",SG044,"dressing, Merocel nasal standard 4.5cm",item,6.3,1,0,090,,Jan04,21
30117,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,4,090,,Jan04,21
30117,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Jan04,21
30118,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
30118,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,090,,Mar04,I
30118,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,2,090,,Mar04,I
30118,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
30118,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
30118,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
30118,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
30118,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
30118,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
30118,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
30118,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30118,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,Mar04,I
30118,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
30118,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,Mar04,I
30118,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,1,090,,Mar04,I
30118,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,Mar04,I
30118,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,7,090,,Mar04,I
30120,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Mar04,I
30120,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar04,I
30120,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar04,I
30120,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar04,I
30120,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,6,4,090,,Mar04,I
30120,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,2,090,,Mar04,I
30120,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,2,090,,Mar04,I
30120,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,2,090,,Mar04,I
30120,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,3,2,090,,Mar04,I
30120,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar04,I
30120,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,2,0,090,,Mar04,I
30120,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Mar04,I
30120,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,3,2,090,,Mar04,I
30120,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Mar04,I
30120,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar04,I
30120,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,0,090,,Mar04,I
30120,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar04,I
30120,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,4,0,090,,Mar04,I
30120,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,5,0,090,,Mar04,I
30120,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Mar04,I
30124,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,090,,Mar04,I
30124,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,1,090,,Mar04,I
30124,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,1,090,,Mar04,I
30124,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,Mar04,I
30124,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,090,,Mar04,I
30124,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,1,090,,Mar04,I
30124,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,1,090,,Mar04,I
30124,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,I
30124,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30124,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,1,090,,Mar04,I
30124,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,1,090,,Mar04,I
30124,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,1,090,,Mar04,I
30124,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Mar04,I
30125,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
30125,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
30125,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,3,090,,Mar04,I
30125,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,6,090,,Mar04,I
30125,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
30125,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
30125,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
30125,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
30125,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
30125,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30125,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
30125,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,3,090,,Mar04,I
30125,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,3,090,,Mar04,I
30125,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,6,090,,Mar04,I
30130,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
30130,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,090,,Mar04,I
30130,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,2,090,,Mar04,I
30130,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
30130,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
30130,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
30130,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
30130,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
30130,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
30130,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,I
30130,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30130,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,Mar04,I
30130,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
30130,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,Mar04,I
30130,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,1,090,,Mar04,I
30130,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,Mar04,I
30130,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Mar04,I
30140,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
30140,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
30140,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,3,090,,Mar04,I
30140,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,6,090,,Mar04,I
30140,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
30140,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
30140,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
30140,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
30140,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
30140,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
30140,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30140,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
30140,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
30140,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,3,090,,Mar04,I
30140,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,5,090,,Mar04,I
30140,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,3,090,,Mar04,I
30140,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,6,090,,Mar04,I
30150,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
30150,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
30150,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,3,090,,Mar04,I
30150,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,6,090,,Mar04,I
30150,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
30150,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
30150,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
30150,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
30150,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
30150,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30150,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
30150,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
30150,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,3,090,,Mar04,I
30150,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Mar04,I
30150,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,3,090,,Mar04,I
30150,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,6,090,,Mar04,I
30160,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
30160,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
30160,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,3,090,,Mar04,I
30160,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,6,090,,Mar04,I
30160,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
30160,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
30160,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
30160,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
30160,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
30160,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30160,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
30160,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
30160,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,3,090,,Mar04,I
30160,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Mar04,I
30160,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,3,090,,Mar04,I
30160,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,6,090,,Mar04,I
30200,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
30200,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
30200,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
30200,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,,000,,,
30200,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,1,,000,,,
30200,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
30200,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
30200,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,000,,,
30200,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,4,,000,,,
30210,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
30210,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
30210,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,010,,,
30210,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,2,1,010,,,
30210,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
30210,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
30210,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
30210,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,2,1,010,,,
30210,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
30210,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
30210,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,4,0,010,,,
30220,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
30220,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
30220,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,2,1,010,,,
30220,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
30220,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
30220,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
30220,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
30220,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,2,1,010,,,
30220,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,7,,010,,,
30220,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,4,,010,,,
30220,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,4,0,010,,,
30220,PEAC,"Wound Care, Dressings",SG072,"septal button prosthesis, silicone",item,76.667,1,,010,,,
30300,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
30300,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
30300,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,010,,,
30300,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,2,1,010,,,
30300,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,4,2,010,,,
30300,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,4,2,010,,,
30300,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,8,4,010,,,
30300,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,8,4,010,,,
30300,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,2,1,010,,,
30300,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
30300,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
30300,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
30300,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,2,1,010,,,
30300,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
30300,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,4,,010,,,
30300,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,4,0,010,,,
30310,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,010,,,
30310,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,010,,,
30310,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,2,010,,,
30310,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,010,,,
30310,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,1,010,,,
30310,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,010,,,
30310,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,1,010,,,
30310,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,1,010,,,
30310,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,,1,010,,,
30310,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,,1,010,,,
30310,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,,2,010,,,
30310,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,,2,010,,,
30310,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,,1,010,,,
30310,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,,2,010,,,
30310,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,1,010,,,
30310,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,,4,010,,,
30310,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,010,,,
30320,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
30320,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,090,,Mar04,I
30320,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,2,090,,Mar04,I
30320,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
30320,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
30320,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
30320,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
30320,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
30320,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
30320,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,I
30320,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30320,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,Mar04,I
30320,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
30320,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,Mar04,I
30320,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,3,090,,Mar04,I
30320,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,Mar04,I
30320,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Mar04,I
30400,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,6,090,,Mar04,I
30400,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Mar04,I
30400,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,6,090,,Mar04,I
30400,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,12,090,,Mar04,I
30400,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,5,090,,Mar04,I
30400,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Mar04,I
30400,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Mar04,I
30400,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,6,090,,Mar04,I
30400,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
30400,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30400,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,6,090,,Mar04,I
30400,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,6,090,,Mar04,I
30400,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,6,090,,Mar04,I
30400,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,3,090,,Mar04,I
30400,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,Mar04,I
30400,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,12,090,,Mar04,I
30410,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,6,090,,Mar04,I
30410,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Mar04,I
30410,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,6,090,,Mar04,I
30410,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,12,090,,Mar04,I
30410,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,5,090,,Mar04,I
30410,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Mar04,I
30410,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Mar04,I
30410,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,6,090,,Mar04,I
30410,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
30410,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30410,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,6,090,,Mar04,I
30410,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,6,090,,Mar04,I
30410,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,6,090,,Mar04,I
30410,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,3,090,,Mar04,I
30410,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,Mar04,I
30410,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,12,090,,Mar04,I
30420,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,6,090,,Mar04,I
30420,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Mar04,I
30420,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,6,090,,Mar04,I
30420,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,12,090,,Mar04,I
30420,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,5,090,,Mar04,I
30420,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Mar04,I
30420,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Mar04,I
30420,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,6,090,,Mar04,I
30420,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
30420,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30420,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,6,090,,Mar04,I
30420,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,6,090,,Mar04,I
30420,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,6,090,,Mar04,I
30420,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,3,090,,Mar04,I
30420,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,Mar04,I
30420,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,12,090,,Mar04,I
30430,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,6,090,,Mar04,I
30430,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Mar04,I
30430,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,6,090,,Mar04,I
30430,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,12,090,,Mar04,I
30430,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,5,090,,Mar04,I
30430,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Mar04,I
30430,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Mar04,I
30430,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,6,090,,Mar04,I
30430,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
30430,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30430,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,6,090,,Mar04,I
30430,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,6,090,,Mar04,I
30430,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,6,090,,Mar04,I
30430,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,3,090,,Mar04,I
30430,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,Mar04,I
30430,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,12,090,,Mar04,I
30435,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,6,090,,Mar04,I
30435,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Mar04,I
30435,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,6,090,,Mar04,I
30435,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,12,090,,Mar04,I
30435,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,5,090,,Mar04,I
30435,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Mar04,I
30435,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Mar04,I
30435,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,6,090,,Mar04,I
30435,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
30435,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30435,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,6,090,,Mar04,I
30435,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,6,090,,Mar04,I
30435,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,6,090,,Mar04,I
30435,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,3,090,,Mar04,I
30435,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,Mar04,I
30435,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,12,090,,Mar04,I
30450,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,6,090,,Mar04,I
30450,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Mar04,I
30450,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,6,090,,Mar04,I
30450,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,12,090,,Mar04,I
30450,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,5,090,,Mar04,I
30450,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Mar04,I
30450,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Mar04,I
30450,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,6,090,,Mar04,I
30450,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
30450,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30450,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,6,090,,Mar04,I
30450,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,6,090,,Mar04,I
30450,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,6,090,,Mar04,I
30450,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,3,090,,Mar04,I
30450,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,Mar04,I
30450,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,12,090,,Mar04,I
30460,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
30460,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,090,,Mar04,I
30460,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,2,090,,Mar04,I
30460,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
30460,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
30460,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
30460,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
30460,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
30460,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,I
30460,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30460,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,Mar04,I
30460,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
30460,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,Mar04,I
30460,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,1,090,,Mar04,I
30460,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,Mar04,I
30460,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Mar04,I
30462,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
30462,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
30462,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,4,090,,Mar04,I
30462,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
30462,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
30462,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
30462,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
30462,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
30462,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
30462,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30462,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Mar04,I
30462,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
30462,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,Mar04,I
30462,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Mar04,I
30462,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,Mar04,I
30462,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,8,090,,Mar04,I
30465,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
30465,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
30465,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,4,090,,Mar04,I
30465,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
30465,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
30465,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
30465,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
30465,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
30465,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
30465,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30465,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Mar04,I
30465,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
30465,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,Mar04,I
30465,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Mar04,I
30465,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,Mar04,I
30465,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,8,090,,Mar04,I
30520,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
30520,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
30520,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,3,090,,Mar04,I
30520,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,6,090,,Mar04,I
30520,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
30520,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
30520,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
30520,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
30520,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
30520,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30520,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
30520,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
30520,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,3,090,,Mar04,I
30520,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,6,090,,Mar04,I
30520,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,3,090,,Mar04,I
30520,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,6,090,,Mar04,I
30540,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
30540,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
30540,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,3,090,,Mar04,I
30540,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,6,090,,Mar04,I
30540,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
30540,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
30540,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
30540,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
30540,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
30540,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
30540,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
30540,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
30540,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,3,090,,Mar04,I
30540,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,6,090,,Mar04,I
30540,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,3,090,,Mar04,I
30545,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
30545,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
30545,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,4,090,,Mar04,I
30545,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
30545,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,Mar04,I
30545,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
30545,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
30545,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
30545,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
30545,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
30545,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Mar04,I
30545,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
30545,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,Mar04,I
30545,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,6,090,,Mar04,I
30545,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,Mar04,I
30560,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
30560,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
30560,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
30560,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
30560,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
30560,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,010,,,
30560,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,2,1,010,,,
30560,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,4,2,010,,,
30560,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,4,2,010,,,
30560,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,8,4,010,,,
30560,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,8,4,010,,,
30560,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,2,1,010,,,
30560,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
30560,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
30560,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
30560,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
30560,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,2,1,010,,,
30560,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
30560,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,4,,010,,,
30560,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,4,0,010,,,
30560,PEAC,"Wound Care, Dressings",SG044,"dressing, Merocel nasal standard 4.5cm",item,6.3,2,,010,,,
30580,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
30580,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
30580,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
30580,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
30580,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
30580,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
30580,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
30580,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
30580,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
30580,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
30580,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
30580,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
30580,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
30580,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
30580,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
30580,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
30580,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
30580,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
30580,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
30580,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
30580,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
30580,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
30580,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
30580,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
30580,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
30580,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
30580,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
30580,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
30580,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
30580,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
30580,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
30600,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
30600,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
30600,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
30600,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
30600,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
30600,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
30600,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
30600,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
30600,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
30600,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
30600,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
30600,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
30600,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
30600,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
30600,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
30600,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
30600,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
30600,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
30600,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
30600,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
30600,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
30600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,6
30600,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
30600,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
30600,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
30600,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
30600,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,8,0,090,,Aug03,6
30600,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,1,0,090,,Aug03,6
30600,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
30600,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,1,0,090,,Aug03,6
30600,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
30620,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
30620,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
30620,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,4,090,,Mar04,I
30620,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
30620,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
30620,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
30620,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
30620,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
30620,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
30620,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30620,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Mar04,I
30620,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
30620,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,Mar04,I
30620,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Mar04,I
30620,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,Mar04,I
30620,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,8,090,,Mar04,I
30630,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
30630,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
30630,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,3,090,,Mar04,I
30630,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,6,090,,Mar04,I
30630,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
30630,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
30630,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
30630,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
30630,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
30630,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30630,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
30630,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
30630,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,3,090,,Mar04,I
30630,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Mar04,I
30630,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,3,090,,Mar04,I
30630,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,6,090,,Mar04,I
30801,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Mar04,I
30801,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,1,010,,Mar04,I
30801,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,1,010,,Mar04,I
30801,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,2,1,010,,Mar04,I
30801,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,1,010,,Mar04,I
30801,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,1,010,,Mar04,I
30801,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,1,010,,Mar04,I
30801,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,2,1,010,,Mar04,I
30801,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,0,010,,Mar04,I
30801,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,4,0,010,,Mar04,I
30801,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,010,,Mar04,I
30801,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,I
30801,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,1,010,,Mar04,I
30801,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,1,010,,Mar04,I
30801,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,I
30801,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,10,5,010,,Mar04,I
30801,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,10,5,010,,Mar04,I
30801,PEAC,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,2,1,010,,Mar04,I
30802,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Mar04,I
30802,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,1,010,,Mar04,I
30802,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,1,010,,Mar04,I
30802,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,2,1,010,,Mar04,I
30802,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,1,010,,Mar04,I
30802,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,1,010,,Mar04,I
30802,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,1,010,,Mar04,I
30802,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,2,1,010,,Mar04,I
30802,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,0,010,,Mar04,I
30802,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,4,0,010,,Mar04,I
30802,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,010,,Mar04,I
30802,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,I
30802,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,1,010,,Mar04,I
30802,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,1,010,,Mar04,I
30802,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,I
30802,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,10,5,010,,Mar04,I
30802,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,10,5,010,,Mar04,I
30802,PEAC,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,2,1,010,,Mar04,I
30901,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,0.5,,000,,,
30901,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
30901,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
30901,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
30901,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,,000,,,
30901,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
30901,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
30901,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,5,,000,,,
30901,PEAC,"Pharmacy, Rx",SH003,adrenalin topical,ml,0.97,1,,000,,,
30901,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,000,,,
30901,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,,000,,,
30901,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,1,,000,,,
30901,PEAC,"Wound Care, Dressings",SG066,"packing, gauze w-petrolatum, 0.5in (6yd uou)",item,2.027,1,,000,,,
30903,PEAC,"Accessory, Procedure",SD071,epistaxis balloon,item,43.063,1,,000,,,
30903,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
30903,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,000,,,
30903,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
30903,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
30903,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
30903,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
30903,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
30903,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
30903,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
30903,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,5,,000,,,
30903,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,,000,,,
30903,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,,000,,,
30903,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,3,,000,,,
30903,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,000,,,
30903,PEAC,"Wound Care, Dressings",SG066,"packing, gauze w-petrolatum, 0.5in (6yd uou)",item,2.027,1,,000,,,
30905,PEAC,"Accessory, Procedure",SD071,epistaxis balloon,item,43.063,1,,000,,,
30905,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
30905,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
30905,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
30905,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
30905,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
30905,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
30905,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
30905,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
30905,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,5,,000,,,
30905,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,,000,,,
30905,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,,000,,,
30905,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,3,,000,,,
30905,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,000,,,
30905,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,000,,,
30905,PEAC,"Wound Care, Dressings",SG066,"packing, gauze w-petrolatum, 0.5in (6yd uou)",item,2.027,1,,000,,,
30906,PEAC,"Accessory, Procedure",SD071,epistaxis balloon,item,43.063,1,,000,,,
30906,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
30906,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
30906,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
30906,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
30906,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
30906,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
30906,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
30906,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
30906,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,5,,000,,,
30906,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,,000,,,
30906,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,,000,,,
30906,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,3,,000,,,
30906,PEAC,"Wound Care, Dressings",SG033,"dressing, 12-7mm (Gelfoam)",item,10.154,1,,000,,,
30906,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,000,,,
30906,PEAC,"Wound Care, Dressings",SG066,"packing, gauze w-petrolatum, 0.5in (6yd uou)",item,2.027,1,,000,,,
30915,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
30915,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,090,,Mar04,I
30915,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,2,090,,Mar04,I
30915,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
30915,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
30915,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
30915,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
30915,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
30915,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,I
30915,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30915,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,Mar04,I
30915,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
30915,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,Mar04,I
30915,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
30915,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,Mar04,I
30915,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Mar04,I
30920,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
30920,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
30920,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,3,090,,Mar04,I
30920,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,6,090,,Mar04,I
30920,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
30920,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
30920,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
30920,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
30920,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
30920,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
30920,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
30920,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
30920,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,3,090,,Mar04,I
30920,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,6,090,,Mar04,I
30920,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,3,090,,Mar04,I
30920,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,6,090,,Mar04,I
30930,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,010,,,
30930,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,010,,,
30930,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,010,,,
30930,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,1,010,,,
30930,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,010,,,
30930,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,1,010,,,
30930,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,1,010,,,
30930,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,1,010,,,
30999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
31000,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
31000,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
31000,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,010,,,
31000,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,2,1,010,,,
31000,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
31000,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
31000,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
31000,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,2,1,010,,,
31000,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
31000,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,4,,010,,,
31000,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
31000,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,4,0,010,,,
31002,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,010,,,
31002,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,010,,,
31002,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,1,010,,,
31002,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,010,,,
31002,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,1,010,,,
31002,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,010,,,
31002,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,1,010,,,
31002,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,1,010,,,
31002,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,,1,010,,,
31002,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,,1,010,,,
31002,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,,2,010,,,
31002,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,,2,010,,,
31002,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,,1,010,,,
31002,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,,2,010,,,
31002,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,1,010,,,
31002,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,,4,010,,,
31002,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,010,,,
31020,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,090,,Mar04,I
31020,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,6,2,090,,Mar04,I
31020,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,2,090,,Mar04,I
31020,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Mar04,I
31020,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar04,I
31020,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar04,I
31020,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,3,2,090,,Mar04,I
31020,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,6,4,090,,Mar04,I
31020,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,2,090,,Mar04,I
31020,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,2,090,,Mar04,I
31020,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,2,090,,Mar04,I
31020,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,3,2,090,,Mar04,I
31020,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,0,090,,Mar04,I
31020,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar04,I
31020,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,2,0,090,,Mar04,I
31020,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,090,,Mar04,I
31020,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar04,I
31020,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Mar04,I
31020,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,4,0,090,,Mar04,I
31020,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,3,2,090,,Mar04,I
31020,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,0,090,,Mar04,I
31020,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar04,I
31020,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,0,090,,Mar04,I
31020,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar04,I
31020,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Mar04,I
31020,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,4,0,090,,Mar04,I
31020,PEAC,"Wound Care, Dressings",SG044,"dressing, Merocel nasal standard 4.5cm",item,6.3,1,0,090,,Mar04,I
31020,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar04,I
31030,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,090,,Mar04,I
31030,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,6,2,090,,Mar04,I
31030,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,2,090,,Mar04,I
31030,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Mar04,I
31030,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar04,I
31030,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar04,I
31030,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,0,090,,Mar04,I
31030,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar04,I
31030,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,3,2,090,,Mar04,I
31030,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,6,4,090,,Mar04,I
31030,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,1,090,,Mar04,I
31030,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,2,090,,Mar04,I
31030,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,2,090,,Mar04,I
31030,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,3,2,090,,Mar04,I
31030,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,0,090,,Mar04,I
31030,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar04,I
31030,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,2,0,090,,Mar04,I
31030,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,090,,Mar04,I
31030,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar04,I
31030,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Mar04,I
31030,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar04,I
31030,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,4,0,090,,Mar04,I
31030,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,3,2,090,,Mar04,I
31030,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,0,090,,Mar04,I
31030,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar04,I
31030,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,0,090,,Mar04,I
31030,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,4,0,090,,Mar04,I
31030,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Mar04,I
31030,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,2,0,090,,Mar04,I
31030,PEAC,"Wound Care, Dressings",SG044,"dressing, Merocel nasal standard 4.5cm",item,6.3,1,0,090,,Mar04,I
31030,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar04,I
31032,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
31032,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,090,,Mar04,I
31032,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,2,090,,Mar04,I
31032,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
31032,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
31032,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
31032,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
31032,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
31032,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31032,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,I
31032,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
31032,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,Mar04,I
31032,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
31032,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,Mar04,I
31032,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
31032,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,Mar04,I
31032,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Mar04,I
31040,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
31040,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
31040,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,3,090,,Mar04,I
31040,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,6,090,,Mar04,I
31040,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
31040,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
31040,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
31040,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
31040,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
31040,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
31040,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
31040,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
31040,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,3,090,,Mar04,I
31040,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Mar04,I
31040,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,3,090,,Mar04,I
31040,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,7,090,,Mar04,I
31050,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
31050,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,090,,Mar04,I
31050,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,2,090,,Mar04,I
31050,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
31050,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
31050,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
31050,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
31050,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
31050,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31050,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,I
31050,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
31050,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,Mar04,I
31050,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
31050,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,Mar04,I
31050,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,5,090,,Mar04,I
31050,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,Mar04,I
31050,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Mar04,I
31051,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
31051,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
31051,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,3,090,,Mar04,I
31051,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,6,090,,Mar04,I
31051,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
31051,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
31051,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
31051,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
31051,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31051,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
31051,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
31051,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
31051,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
31051,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,3,090,,Mar04,I
31051,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,6,090,,Mar04,I
31051,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,3,090,,Mar04,I
31051,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,6,090,,Mar04,I
31070,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
31070,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,090,,Mar04,I
31070,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,2,090,,Mar04,I
31070,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
31070,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
31070,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
31070,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
31070,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
31070,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31070,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,I
31070,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
31070,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,Mar04,I
31070,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
31070,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,Mar04,I
31070,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,6,090,,Mar04,I
31070,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,2,090,,Mar04,I
31070,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Mar04,I
31075,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
31075,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
31075,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,3,090,,Mar04,I
31075,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,6,090,,Mar04,I
31075,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
31075,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
31075,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
31075,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
31075,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31075,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
31075,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
31075,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
31075,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
31075,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,3,090,,Mar04,I
31075,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Mar04,I
31075,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,3,090,,Mar04,I
31075,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,7,090,,Mar04,I
31080,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
31080,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
31080,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,4,090,,Mar04,I
31080,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
31080,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
31080,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
31080,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
31080,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
31080,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31080,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
31080,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
31080,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Mar04,I
31080,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
31080,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,Mar04,I
31080,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Mar04,I
31080,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,Mar04,I
31080,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,8,090,,Mar04,I
31081,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
31081,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
31081,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,4,090,,Mar04,I
31081,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
31081,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
31081,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
31081,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
31081,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
31081,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31081,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
31081,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
31081,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Mar04,I
31081,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
31081,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,Mar04,I
31081,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Mar04,I
31081,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,Mar04,I
31081,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,8,090,,Mar04,I
31084,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
31084,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
31084,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,4,090,,Mar04,I
31084,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
31084,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
31084,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
31084,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
31084,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
31084,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31084,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
31084,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
31084,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Mar04,I
31084,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
31084,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,Mar04,I
31084,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Mar04,I
31084,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,Mar04,I
31084,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,8,090,,Mar04,I
31085,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
31085,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
31085,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,4,090,,Mar04,I
31085,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
31085,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
31085,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
31085,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
31085,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
31085,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31085,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
31085,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
31085,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Mar04,I
31085,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
31085,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,Mar04,I
31085,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Mar04,I
31085,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,Mar04,I
31085,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,8,090,,Mar04,I
31086,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
31086,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
31086,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,4,090,,Mar04,I
31086,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
31086,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
31086,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
31086,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
31086,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
31086,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31086,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
31086,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
31086,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Mar04,I
31086,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
31086,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,,Mar04,I
31086,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Mar04,I
31086,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,Mar04,I
31086,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,8,090,,Mar04,I
31087,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
31087,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
31087,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,3,090,,Mar04,I
31087,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,6,090,,Mar04,I
31087,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
31087,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
31087,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
31087,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
31087,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31087,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
31087,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
31087,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
31087,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
31087,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,3,090,,Mar04,I
31087,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Mar04,I
31087,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,3,090,,Mar04,I
31087,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,7,090,,Mar04,I
31090,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,Mar04,I
31090,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,5,090,,Mar04,I
31090,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,5,090,,Mar04,I
31090,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,10,090,,Mar04,I
31090,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,Mar04,I
31090,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,Mar04,I
31090,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,5,090,,Mar04,I
31090,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,5,090,,Mar04,I
31090,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31090,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Mar04,I
31090,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
31090,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,Mar04,I
31090,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,5,090,,Mar04,I
31090,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,5,090,,Mar04,I
31090,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,6,090,,Mar04,I
31090,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,5,090,,Mar04,I
31090,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,10,090,,Mar04,I
31200,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
31200,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
31200,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,3,090,,Mar04,I
31200,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,6,090,,Mar04,I
31200,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
31200,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
31200,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
31200,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
31200,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
31200,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
31200,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
31200,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
31200,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,3,090,,Mar04,I
31200,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Mar04,I
31200,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,3,090,,Mar04,I
31200,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,7,090,,Mar04,I
31201,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
31201,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
31201,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,3,090,,Mar04,I
31201,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,6,090,,Mar04,I
31201,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
31201,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
31201,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
31201,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
31201,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31201,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
31201,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
31201,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
31201,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
31201,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,3,090,,Mar04,I
31201,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Mar04,I
31201,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,3,090,,Mar04,I
31201,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,7,090,,Mar04,I
31205,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
31205,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
31205,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,,3,090,,Mar04,I
31205,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,6,090,,Mar04,I
31205,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
31205,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
31205,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
31205,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
31205,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31205,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
31205,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
31205,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
31205,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
31205,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,3,090,,Mar04,I
31205,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,Mar04,I
31205,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,3,090,,Mar04,I
31205,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,7,090,,Mar04,I
31225,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,6,090,,Mar04,I
31225,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Mar04,I
31225,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
31225,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,5,090,,Mar04,I
31225,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Mar04,I
31225,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Mar04,I
31225,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,6,090,,Mar04,I
31225,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31225,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Mar04,I
31225,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Mar04,I
31225,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31225,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31225,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
31225,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Mar04,I
31225,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Mar04,I
31230,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5.5,090,,Mar04,I
31230,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,5.5,090,,Mar04,I
31230,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,8,090,,Mar04,I
31230,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4.5,090,,Mar04,I
31230,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5.5,090,,Mar04,I
31230,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,5.5,090,,Mar04,I
31230,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,5.5,090,,Mar04,I
31230,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31230,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Mar04,I
31230,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Mar04,I
31230,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31230,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31230,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
31230,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Mar04,I
31230,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Mar04,I
31231,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
31231,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
31231,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31231,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,1,,000,,,
31231,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,2,,000,,,
31231,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31231,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31231,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31231,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31231,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
31231,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
31231,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31231,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
31231,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,000,,,
31231,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31231,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,4,,000,,,
31231,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,2,0,000,,,
31233,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
31233,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
31233,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31233,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,1,,000,,,
31233,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,2,,000,,,
31233,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31233,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31233,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31233,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31233,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
31233,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
31233,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31233,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
31233,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,000,,,
31233,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,000,,,
31233,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31233,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,4,,000,,,
31233,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,2,0,000,,,
31233,PEAC,"Wound Care, Dressings",SG066,"packing, gauze w-petrolatum, 0.5in (6yd uou)",item,2.027,1,,000,,,
31235,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
31235,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
31235,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31235,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,1,,000,,,
31235,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,2,,000,,,
31235,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31235,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31235,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31235,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31235,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
31235,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
31235,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31235,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
31235,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,000,,,
31235,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,000,,,
31235,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31235,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,4,,000,,,
31235,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,2,0,000,,,
31235,PEAC,"Wound Care, Dressings",SG066,"packing, gauze w-petrolatum, 0.5in (6yd uou)",item,2.027,1,,000,,,
31237,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
31237,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
31237,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31237,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,2,0,000,,,
31237,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,2,,000,,,
31237,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31237,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31237,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31237,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31237,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
31237,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
31237,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31237,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
31237,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,2,0,000,,,
31237,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,000,,,
31237,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31237,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,4,,000,,,
31237,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,2,0,000,,,
31237,PEAC,"Wound Care, Dressings",SG066,"packing, gauze w-petrolatum, 0.5in (6yd uou)",item,2.027,1,,000,,,
31238,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
31238,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
31238,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31238,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,2,0,000,,,
31238,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,2,,000,,,
31238,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31238,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31238,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31238,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31238,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
31238,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
31238,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31238,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
31238,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,2,0,000,,,
31238,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,000,,,
31238,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31238,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,4,,000,,,
31238,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,2,0,000,,,
31238,PEAC,"Wound Care, Dressings",SG066,"packing, gauze w-petrolatum, 0.5in (6yd uou)",item,2.027,1,,000,,,
31239,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,010,,,
31239,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,010,,,
31239,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,2,010,,,
31239,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,010,,,
31239,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,1,010,,,
31239,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,010,,,
31239,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,1,010,,,
31239,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,1,010,,,
31239,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,,2,010,,,
31239,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,,2,010,,,
31239,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,,4,010,,,
31239,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,,4,010,,,
31239,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,,2,010,,,
31239,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,,2,010,,,
31239,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,010,,,
31239,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,,4,010,,,
31239,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,010,,,
31240,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31254,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31255,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31256,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31267,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31276,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31287,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31288,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31290,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,010,,,
31290,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,010,,,
31290,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,1,010,,,
31290,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,010,,,
31290,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,1,010,,,
31290,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,010,,,
31290,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,1,010,,,
31290,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,1,010,,,
31290,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,,1,010,,,
31290,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,,1,010,,,
31290,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,,2,010,,,
31290,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,,2,010,,,
31290,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,,1,010,,,
31290,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,,2,010,,,
31290,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,1,010,,,
31290,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,,4,010,,,
31290,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,010,,,
31291,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,010,,,
31291,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,010,,,
31291,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,1,010,,,
31291,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,010,,,
31291,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,1,010,,,
31291,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,010,,,
31291,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,1,010,,,
31291,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,1,010,,,
31291,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,,1,010,,,
31291,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,,1,010,,,
31291,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,,2,010,,,
31291,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,,2,010,,,
31291,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,,1,010,,,
31291,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,,2,010,,,
31291,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,1,010,,,
31291,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,,4,010,,,
31291,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,010,,,
31292,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,010,,,
31292,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,010,,,
31292,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,1,010,,,
31292,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,010,,,
31292,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,1,010,,,
31292,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,010,,,
31292,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,1,010,,,
31292,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,,1,010,,,
31292,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,,1,010,,,
31292,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,,2,010,,,
31292,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,,2,010,,,
31292,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,,1,010,,,
31292,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,,2,010,,,
31292,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,1,010,,,
31292,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,,4,010,,,
31292,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,010,,,
31293,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,010,,,
31293,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,010,,,
31293,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,1,010,,,
31293,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,010,,,
31293,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,1,010,,,
31293,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,010,,,
31293,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,1,010,,,
31293,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,1,010,,,
31293,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,,1,010,,,
31293,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,,1,010,,,
31293,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,,2,010,,,
31293,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,,2,010,,,
31293,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,,1,010,,,
31293,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,,2,010,,,
31293,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,1,010,,,
31293,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,,4,010,,,
31293,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,010,,,
31294,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,010,,,
31294,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,010,,,
31294,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,1,010,,,
31294,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,010,,,
31294,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,1,010,,,
31294,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,010,,,
31294,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,1,010,,,
31294,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,1,010,,,
31294,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,,1,010,,,
31294,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,,1,010,,,
31294,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,,2,010,,,
31294,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,,2,010,,,
31294,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,,1,010,,,
31294,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,,2,010,,,
31294,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,1,010,,,
31294,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,,4,010,,,
31294,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,010,,,
31295,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,2
31295,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT11,2
31295,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,CPT11,2
31295,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,CPT11,2
31295,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,CPT11,2
31295,RUC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,2,,000,,CPT11,2
31295,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,000,,CPT11,2
31295,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,CPT11,2
31295,RUC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,2,,000,,CPT11,2
31295,RUC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,3,,000,,CPT11,2
31295,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,3,,000,,CPT11,2
31295,RUC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,5,,000,,CPT11,2
31295,RUC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,1,,000,,CPT11,2
31295,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,CPT11,2
31295,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,000,,CPT11,2
31295,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,CPT11,2
31295,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,CPT11,2
31295,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,CPT11,2
31295,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,CPT11,2
31295,RUC,"Kit, Pack, Tray",SA107,"kit, sinus surgery, balloon (maxillary)",kit,1295,1,,000,,CPT11,2
31295,RUC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,000,,CPT11,2
31295,RUC,Lab,SL038,"cup-container, sterile, graduated 1000ml",item,1.14,1,,000,,CPT11,2
31295,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,CPT11,2
31295,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,CPT11,2
31295,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,CPT11,2
31295,RUC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,,000,,CPT11,2
31295,RUC,Lab,SL146,tubed culture media,item,0.849,1,,000,,CPT11,2
31295,RUC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,CPT11,2
31295,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,,000,,CPT11,2
31296,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,2
31296,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT11,2
31296,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,CPT11,2
31296,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,CPT11,2
31296,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,CPT11,2
31296,RUC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,2,,000,,CPT11,2
31296,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,000,,CPT11,2
31296,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,CPT11,2
31296,RUC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,2,,000,,CPT11,2
31296,RUC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,3,,000,,CPT11,2
31296,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,3,,000,,CPT11,2
31296,RUC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,5,,000,,CPT11,2
31296,RUC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,1,,000,,CPT11,2
31296,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,CPT11,2
31296,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,000,,CPT11,2
31296,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,CPT11,2
31296,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,CPT11,2
31296,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,CPT11,2
31296,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,CPT11,2
31296,RUC,"Kit, Pack, Tray",SA106,"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)",kit,2599.86,1,,000,,CPT11,2
31296,RUC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,000,,CPT11,2
31296,RUC,Lab,SL038,"cup-container, sterile, graduated 1000ml",item,1.14,1,,000,,CPT11,2
31296,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,CPT11,2
31296,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,CPT11,2
31296,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,CPT11,2
31296,RUC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,,000,,CPT11,2
31296,RUC,Lab,SL146,tubed culture media,item,0.849,1,,000,,CPT11,2
31296,RUC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,CPT11,2
31296,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,,000,,CPT11,2
31297,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,2
31297,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT11,2
31297,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,CPT11,2
31297,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,CPT11,2
31297,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,CPT11,2
31297,RUC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,2,,000,,CPT11,2
31297,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,000,,CPT11,2
31297,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,CPT11,2
31297,RUC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,2,,000,,CPT11,2
31297,RUC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,3,,000,,CPT11,2
31297,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,3,,000,,CPT11,2
31297,RUC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,5,,000,,CPT11,2
31297,RUC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,1,,000,,CPT11,2
31297,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,CPT11,2
31297,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,000,,CPT11,2
31297,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,CPT11,2
31297,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,CPT11,2
31297,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,CPT11,2
31297,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,CPT11,2
31297,RUC,"Kit, Pack, Tray",SA106,"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)",kit,2599.86,1,,000,,CPT11,2
31297,RUC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,000,,CPT11,2
31297,RUC,Lab,SL038,"cup-container, sterile, graduated 1000ml",item,1.14,1,,000,,CPT11,2
31297,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,CPT11,2
31297,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,CPT11,2
31297,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,CPT11,2
31297,RUC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,,000,,CPT11,2
31297,RUC,Lab,SL146,tubed culture media,item,0.849,1,,000,,CPT11,2
31297,RUC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,CPT11,2
31297,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,,000,,CPT11,2
31299,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
31300,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
31300,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4,090,,Mar04,I
31300,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,4,090,,Mar04,I
31300,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
31300,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
31300,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
31300,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
31300,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
31300,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,2,090,,Mar04,I
31300,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
31300,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31300,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31300,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
31300,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
31300,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
31320,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3.5,090,,Mar04,I
31320,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,3.5,090,,Mar04,I
31320,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,3.5,090,,Mar04,I
31320,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3.5,090,,Mar04,I
31320,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2.5,090,,Mar04,I
31320,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3.5,090,,Mar04,I
31320,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3.5,090,,Mar04,I
31320,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3.5,090,,Mar04,I
31320,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,2,090,,Mar04,I
31320,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
31320,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31320,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31320,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
31320,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
31320,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
31360,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
31360,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4,090,,Mar04,I
31360,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,4,090,,Mar04,I
31360,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
31360,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
31360,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
31360,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
31360,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
31360,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,2,090,,Mar04,I
31360,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
31360,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31360,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,Mar04,I
31360,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
31360,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
31360,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
31365,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
31365,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4,090,,Mar04,I
31365,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,4,090,,Mar04,I
31365,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
31365,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
31365,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
31365,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
31365,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
31365,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,2,090,,Mar04,I
31365,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
31365,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31365,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,Mar04,I
31365,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
31365,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
31365,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
31367,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4.5,090,,Mar04,I
31367,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4.5,090,,Mar04,I
31367,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,4.5,090,,Mar04,I
31367,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4.5,090,,Mar04,I
31367,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3.5,090,,Mar04,I
31367,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4.5,090,,Mar04,I
31367,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4.5,090,,Mar04,I
31367,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4.5,090,,Mar04,I
31367,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
31367,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
31367,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31367,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31367,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
31367,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Mar04,I
31367,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Mar04,I
31368,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5.5,090,,Mar04,I
31368,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,5.5,090,,Mar04,I
31368,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,5.5,090,,Mar04,I
31368,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,5.5,090,,Mar04,I
31368,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4.5,090,,Mar04,I
31368,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5.5,090,,Mar04,I
31368,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,5.5,090,,Mar04,I
31368,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,5.5,090,,Mar04,I
31368,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
31368,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
31368,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31368,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31368,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
31368,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Mar04,I
31368,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Mar04,I
31370,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4.5,090,,Mar04,I
31370,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4.5,090,,Mar04,I
31370,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,4.5,090,,Mar04,I
31370,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4.5,090,,Mar04,I
31370,PEAC,"Accessory, Procedure",SD209,tracheostomy tube,item,20.934,,1,090,,Mar04,I
31370,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3.5,090,,Mar04,I
31370,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4.5,090,,Mar04,I
31370,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4.5,090,,Mar04,I
31370,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4.5,090,,Mar04,I
31370,PEAC,"Kit, Pack, Tray",SA035,"kit, tracheostomy care",kit,2.085,,2,090,,Mar04,I
31370,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
31370,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
31370,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31370,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31370,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
31370,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Mar04,I
31370,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Mar04,I
31375,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
31375,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4,090,,Mar04,I
31375,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,4,090,,Mar04,I
31375,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
31375,PEAC,"Accessory, Procedure",SD209,tracheostomy tube,item,20.934,,1,090,,Mar04,I
31375,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
31375,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
31375,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
31375,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
31375,PEAC,"Kit, Pack, Tray",SA035,"kit, tracheostomy care",kit,2.085,,2,090,,Mar04,I
31375,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
31375,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
31375,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31375,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31375,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
31375,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Mar04,I
31375,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Mar04,I
31380,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
31380,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4,090,,Mar04,I
31380,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,4,090,,Mar04,I
31380,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
31380,PEAC,"Accessory, Procedure",SD209,tracheostomy tube,item,20.934,,1,090,,Mar04,I
31380,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
31380,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
31380,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
31380,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
31380,PEAC,"Kit, Pack, Tray",SA035,"kit, tracheostomy care",kit,2.085,,2,090,,Mar04,I
31380,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
31380,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
31380,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31380,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31380,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
31380,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Mar04,I
31380,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Mar04,I
31382,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4.5,090,,Mar04,I
31382,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4.5,090,,Mar04,I
31382,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,4.5,090,,Mar04,I
31382,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4.5,090,,Mar04,I
31382,PEAC,"Accessory, Procedure",SD209,tracheostomy tube,item,20.934,,1,090,,Mar04,I
31382,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3.5,090,,Mar04,I
31382,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4.5,090,,Mar04,I
31382,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4.5,090,,Mar04,I
31382,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4.5,090,,Mar04,I
31382,PEAC,"Kit, Pack, Tray",SA035,"kit, tracheostomy care",kit,2.085,,2,090,,Mar04,I
31382,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
31382,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
31382,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31382,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31382,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
31382,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Mar04,I
31382,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Mar04,I
31390,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,6,090,,Mar04,I
31390,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,6,090,,Mar04,I
31390,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,6,090,,Mar04,I
31390,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Mar04,I
31390,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,5,090,,Mar04,I
31390,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Mar04,I
31390,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Mar04,I
31390,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,6,090,,Mar04,I
31390,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,2,090,,Mar04,I
31390,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
31390,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31390,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,Mar04,I
31390,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
31390,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
31390,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
31395,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,8,090,,Mar04,I
31395,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,8,090,,Mar04,I
31395,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,8,090,,Mar04,I
31395,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
31395,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,7,090,,Mar04,I
31395,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Mar04,I
31395,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Mar04,I
31395,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,8,090,,Mar04,I
31395,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,2,090,,Mar04,I
31395,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
31395,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31395,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,Mar04,I
31395,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
31395,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
31395,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
31400,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4,090,,Mar04,I
31400,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
31400,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
31400,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,3,090,,Mar04,I
31400,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
31400,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
31400,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Mar04,I
31400,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,1,090,,Mar04,I
31400,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,,2,090,,Mar04,I
31400,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
31400,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
31400,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31400,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31400,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Mar04,I
31400,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,,4,090,,Mar04,I
31400,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
31400,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,,5,090,,Mar04,I
31400,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,20,090,,Mar04,I
31400,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,12,090,,Mar04,I
31400,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,Mar04,I
31420,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,3,090,,Mar04,I
31420,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Mar04,I
31420,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,3,090,,Mar04,I
31420,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,2,090,,Mar04,I
31420,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
31420,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
31420,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Mar04,I
31420,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,1,090,,Mar04,I
31420,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,,2,090,,Mar04,I
31420,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31420,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
31420,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31420,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31420,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
31420,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,,4,090,,Mar04,I
31420,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
31420,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,,5,090,,Mar04,I
31420,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,20,090,,Mar04,I
31420,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,12,090,,Mar04,I
31420,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,Mar04,I
31500,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,CPT08,rv
31502,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar04,I
31505,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31505,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
31505,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
31505,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,2,,000,,,
31505,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31505,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31505,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31505,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31505,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31505,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,2,,000,,,
31505,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31505,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
31510,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
31510,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
31510,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
31510,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31510,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,2,,000,,,
31510,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31510,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31510,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31510,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31510,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
31510,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
31510,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
31510,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31510,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
31510,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31511,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
31511,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
31511,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
31511,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31511,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,2,,000,,,
31511,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31511,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31511,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31511,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31511,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
31511,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
31511,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31511,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
31511,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31512,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
31512,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
31512,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
31512,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31512,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31512,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31512,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31512,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31512,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
31512,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
31512,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
31512,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31512,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
31512,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31513,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31515,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
31515,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
31515,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
31515,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31515,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,2,,000,,,
31515,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31515,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31515,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31515,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31515,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
31515,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
31515,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
31515,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31515,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
31515,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31515,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,4,,000,,,
31515,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,4,0,000,,,
31520,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31525,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
31525,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
31525,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
31525,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31525,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,2,,000,,,
31525,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31525,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31525,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31525,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31525,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
31525,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
31525,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31525,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
31525,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31525,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,4,,000,,,
31525,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,4,0,000,,,
31526,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31527,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31528,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31529,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31530,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31531,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31535,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31536,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31540,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31541,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31545,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31546,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31560,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31561,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31570,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
31570,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
31570,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
31570,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31570,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,2,,000,,,
31570,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31570,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31570,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31570,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31570,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
31570,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
31570,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31570,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
31570,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31570,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,4,,000,,,
31570,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,4,0,000,,,
31571,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31575,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31575,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
31575,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
31575,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,1,,000,,,
31575,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,2,,000,,,
31575,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31575,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31575,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31575,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31575,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31575,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,000,,,
31575,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31575,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,000,,,
31575,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
31576,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
31576,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,000,,,
31576,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
31576,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31576,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,1,,000,,,
31576,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,2,,000,,,
31576,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31576,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31576,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31576,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31576,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
31576,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
31576,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
31576,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31576,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
31576,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,000,,,
31576,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31576,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,000,,,
31577,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
31577,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,000,,,
31577,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
31577,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31577,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,1,,000,,,
31577,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,2,,000,,,
31577,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31577,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31577,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31577,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31577,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
31577,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
31577,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31577,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
31577,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,000,,,
31577,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31577,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,000,,,
31578,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
31578,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,000,,,
31578,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
31578,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31578,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,1,,000,,,
31578,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,2,,000,,,
31578,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31578,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31578,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31578,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31578,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
31578,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
31578,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
31578,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31578,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
31578,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,000,,,
31578,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31578,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,000,,,
31579,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31579,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
31579,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
31579,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,1,,000,,,
31579,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,2,,000,,,
31579,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31579,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31579,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31579,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31579,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
31579,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31579,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,000,,,
31579,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31579,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,000,,,
31579,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
31580,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4,090,,Mar04,I
31580,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
31580,PEAC,"Accessory, Procedure",SD209,tracheostomy tube,item,20.934,,1,090,,Mar04,I
31580,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
31580,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,3,090,,Mar04,I
31580,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
31580,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
31580,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Mar04,I
31580,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,1,090,,Mar04,I
31580,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,,2,090,,Mar04,I
31580,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
31580,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
31580,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31580,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
31580,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Mar04,I
31580,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,,4,090,,Mar04,I
31580,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
31580,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,,5,090,,Mar04,I
31580,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,20,090,,Mar04,I
31580,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,12,090,,Mar04,I
31580,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,Mar04,I
31580,PEAC,"Wound Care, Dressings",SG090,tracheostomy collar-neckband,item,3.235,,1,090,,Mar04,I
31580,PEAC,"Wound Care, Dressings",SG091,tracheostomy dressing,item,3.24,,1,090,,Mar04,I
31582,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,7,090,,Mar04,I
31582,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,7,090,,Mar04,I
31582,PEAC,"Accessory, Procedure",SD209,tracheostomy tube,item,20.934,,1,090,,Mar04,I
31582,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,7,090,,Mar04,I
31582,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,6,090,,Mar04,I
31582,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,7,090,,Mar04,I
31582,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,7,090,,Mar04,I
31582,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,7,090,,Mar04,I
31582,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,1,090,,Mar04,I
31582,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,,2,090,,Mar04,I
31582,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,7,090,,Mar04,I
31582,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Mar04,I
31582,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31582,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
31582,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,7,090,,Mar04,I
31582,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,,7,090,,Mar04,I
31582,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
31582,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,,5,090,,Mar04,I
31582,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,35,090,,Mar04,I
31582,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,21,090,,Mar04,I
31582,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Mar04,I
31582,PEAC,"Wound Care, Dressings",SG090,tracheostomy collar-neckband,item,3.235,,1,090,,Mar04,I
31582,PEAC,"Wound Care, Dressings",SG091,tracheostomy dressing,item,3.24,,1,090,,Mar04,I
31584,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4,090,,Mar04,I
31584,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
31584,PEAC,"Accessory, Procedure",SD209,tracheostomy tube,item,20.934,,1,090,,Mar04,I
31584,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
31584,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,3,090,,Mar04,I
31584,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
31584,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
31584,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Mar04,I
31584,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,1,090,,Mar04,I
31584,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,,2,090,,Mar04,I
31584,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
31584,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
31584,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31584,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31584,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Mar04,I
31584,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,,4,090,,Mar04,I
31584,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
31584,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,,5,090,,Mar04,I
31584,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,20,090,,Mar04,I
31584,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,12,090,,Mar04,I
31584,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,Mar04,I
31584,PEAC,"Wound Care, Dressings",SG090,tracheostomy collar-neckband,item,3.235,,1,090,,Mar04,I
31584,PEAC,"Wound Care, Dressings",SG091,tracheostomy dressing,item,3.24,,1,090,,Mar04,I
31587,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,3,090,,Mar04,I
31587,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Mar04,I
31587,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,3,090,,Mar04,I
31587,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,2,090,,Mar04,I
31587,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
31587,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
31587,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Mar04,I
31587,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,1,090,,Mar04,I
31587,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,,2,090,,Mar04,I
31587,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
31587,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31587,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31587,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
31587,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,,3,090,,Mar04,I
31587,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
31587,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,,5,090,,Mar04,I
31587,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,15,090,,Mar04,I
31587,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,9,090,,Mar04,I
31587,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,Mar04,I
31588,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,3,090,,Mar04,I
31588,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
31588,PEAC,"Accessory, Procedure",SD209,tracheostomy tube,item,20.934,,1,090,,Mar04,I
31588,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,3,090,,Mar04,I
31588,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,2,090,,Mar04,I
31588,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
31588,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
31588,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Mar04,I
31588,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,1,090,,Mar04,I
31588,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31588,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Mar04,I
31588,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31588,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,1,090,,Mar04,I
31588,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
31588,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,,6,090,,Mar04,I
31588,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,Mar04,I
31588,PEAC,"Wound Care, Dressings",SG090,tracheostomy collar-neckband,item,3.235,,1,090,,Mar04,I
31588,PEAC,"Wound Care, Dressings",SG091,tracheostomy dressing,item,3.24,,1,090,,Mar04,I
31590,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,5,090,,Mar04,I
31590,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,10,090,,Mar04,I
31590,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,5,090,,Mar04,I
31590,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,4,090,,Mar04,I
31590,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,Mar04,I
31590,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,5,090,,Mar04,I
31590,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,5,090,,Mar04,I
31590,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,1,090,,Mar04,I
31590,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,,2,090,,Mar04,I
31590,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,5,090,,Mar04,I
31590,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Mar04,I
31590,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31590,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31590,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,Mar04,I
31590,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,,5,090,,Mar04,I
31590,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
31590,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,,5,090,,Mar04,I
31590,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,25,090,,Mar04,I
31590,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,15,090,,Mar04,I
31590,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,Mar04,I
31595,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,3,090,,Mar04,I
31595,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Mar04,I
31595,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,3,090,,Mar04,I
31595,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,2,090,,Mar04,I
31595,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
31595,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
31595,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Mar04,I
31595,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,1,090,,Mar04,I
31595,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,,2,090,,Mar04,I
31595,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,3,090,,Mar04,I
31595,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
31595,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31595,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31595,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Mar04,I
31595,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,,3,090,,Mar04,I
31595,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
31595,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,,5,090,,Mar04,I
31595,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,15,090,,Mar04,I
31595,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,9,090,,Mar04,I
31595,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,Mar04,I
31599,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
31600,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31601,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31603,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31605,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31610,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,2,090,,Mar04,I
31610,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,090,,Mar04,I
31610,PEAC,"Accessory, Procedure",SD209,tracheostomy tube,item,20.934,,1,090,,Mar04,I
31610,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,Mar04,I
31610,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,1,090,,Mar04,I
31610,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
31610,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
31610,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,Mar04,I
31610,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,1,090,,Mar04,I
31610,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31610,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
31610,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31610,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,1,090,,Mar04,I
31610,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,Mar04,I
31610,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,8,090,,Mar04,I
31610,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,,4,090,,Mar04,I
31610,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,Mar04,I
31610,PEAC,"Wound Care, Dressings",SG090,tracheostomy collar-neckband,item,3.235,,1,090,,Mar04,I
31610,PEAC,"Wound Care, Dressings",SG091,tracheostomy dressing,item,3.24,,1,090,,Mar04,I
31611,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,2,090,,Mar04,I
31611,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
31611,PEAC,"Accessory, Procedure",SD195,"prosthesis, voice button (Blom-Singer)",item,48,,1,090,,Mar04,I
31611,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,Mar04,I
31611,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,1,090,,Mar04,I
31611,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
31611,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
31611,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,Mar04,I
31611,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,1,090,,Mar04,I
31611,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Mar04,I
31611,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,I
31611,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,1,090,,Mar04,I
31611,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,Mar04,I
31611,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,,2,090,,Mar04,I
31611,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,Mar04,I
31612,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,000,,,
31612,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
31612,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
31612,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,000,,,
31612,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,000,,,
31612,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
31612,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,,000,,,
31612,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
31612,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
31612,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
31612,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
31612,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31612,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,,000,,,
31612,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,,000,,,
31612,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,000,,,
31612,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,8,,000,,,
31613,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2.5,090,,Mar04,I
31613,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2.5,090,,Mar04,I
31613,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,2.5,090,,Mar04,I
31613,PEAC,"Accessory, Procedure",SD209,tracheostomy tube,item,20.934,,1,090,,Mar04,I
31613,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1.5,090,,Mar04,I
31613,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2.5,090,,Mar04,I
31613,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2.5,090,,Mar04,I
31613,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2.5,090,,Mar04,I
31613,PEAC,"Kit, Pack, Tray",SA035,"kit, tracheostomy care",kit,2.085,,2.5,090,,Mar04,I
31613,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,I
31613,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31613,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31614,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
31614,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
31614,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,4,090,,Mar04,I
31614,PEAC,"Accessory, Procedure",SD209,tracheostomy tube,item,20.934,,1,090,,Mar04,I
31614,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
31614,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
31614,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
31614,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
31614,PEAC,"Kit, Pack, Tray",SA035,"kit, tracheostomy care",kit,2.085,,4,090,,Mar04,I
31614,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
31614,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31614,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31615,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
31615,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
31615,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
31615,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
31615,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
31615,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
31615,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,2,,000,,,
31615,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,,000,,,
31615,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,4,,000,,,
31615,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,4,,000,,,
31615,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
31615,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
31615,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
31615,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,4,,000,,,
31615,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
31620,RUC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,40,0,ZZZ,,,
31620,RUC,"Accessory, Procedure",SD205,"sheath, endoscope ultrasound balloon",item,154,1,0,ZZZ,,,
31622,PEAC,"Accessory, Procedure",SD121,"suction specimen trap, sterile",item,2.54,2,0,000,,Mar03,12
31622,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,Mar03,12
31622,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,Mar03,12
31622,PEAC,Infection Control,SM016,"eye shield, splash protection",item,1.471,2,0,000,,Mar03,12
31622,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar03,12
31622,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Mar03,12
31622,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,12
31622,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,2,0,000,,Mar03,12
31622,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Mar03,12
31622,PEAC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,Mar03,12
31622,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,40,0,000,,Mar03,12
31622,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,0,000,,Mar03,12
31622,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,0,000,,Mar03,12
31622,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,0,000,,Mar03,12
31622,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,Mar03,12
31623,PEAC,"Accessory, Procedure",SD121,"suction specimen trap, sterile",item,2.54,1,0,000,,Mar03,12
31623,PEAC,"Accessory, Procedure",SD141,"brush, protected airway specimen",item,13,2,0,000,,Mar03,12
31623,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,Mar03,12
31623,PEAC,Infection Control,SM016,"eye shield, splash protection",item,1.471,2,0,000,,Mar03,12
31623,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar03,12
31623,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Mar03,12
31623,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,12
31623,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,2,0,000,,Mar03,12
31623,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Mar03,12
31623,PEAC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,Mar03,12
31623,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,40,0,000,,Mar03,12
31623,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,0,000,,Mar03,12
31623,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,0,000,,Mar03,12
31623,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,0,000,,Mar03,12
31623,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,Mar03,12
31624,PEAC,"Accessory, Procedure",SD121,"suction specimen trap, sterile",item,2.54,3,0,000,,Mar03,12
31624,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,Mar03,12
31624,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,Mar03,12
31624,PEAC,Infection Control,SM016,"eye shield, splash protection",item,1.471,2,0,000,,Mar03,12
31624,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar03,12
31624,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Mar03,12
31624,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,12
31624,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,2,0,000,,Mar03,12
31624,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Mar03,12
31624,PEAC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,Mar03,12
31624,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,40,0,000,,Mar03,12
31624,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,0,000,,Mar03,12
31624,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,0,000,,Mar03,12
31624,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,0,000,,Mar03,12
31624,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,Mar03,12
31625,PEAC,"Accessory, Procedure",SD121,"suction specimen trap, sterile",item,2.54,1,0,000,,Mar03,12
31625,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,Mar03,12
31625,PEAC,Infection Control,SM016,"eye shield, splash protection",item,1.471,2,0,000,,Mar03,12
31625,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar03,12
31625,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Mar03,12
31625,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,12
31625,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,2,0,000,,Mar03,12
31625,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Mar03,12
31625,PEAC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,Mar03,12
31625,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,40,0,000,,Mar03,12
31625,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,0,000,,Mar03,12
31625,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,0,000,,Mar03,12
31625,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,0,000,,Mar03,12
31625,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,Mar03,12
31626,RUC,"Hypodermic, IV",SC092,"catheter, needle (for CPT 31626)",item,18,1,0,000,,CPT10,2
31626,RUC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,CPT10,2
31626,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,CPT10,2
31626,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,CPT10,2
31626,RUC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,0,000,,CPT10,2
31626,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,0,000,,CPT10,2
31626,RUC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,0,000,,CPT10,2
31626,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,CPT10,2
31626,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,2,0,000,,CPT10,2
31626,RUC,Infection Control,SM016,"eye shield, splash protection",item,1.471,2,0,000,,CPT10,2
31626,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,CPT10,2
31626,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT10,2
31626,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,40,0,000,,CPT10,2
31626,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT10,2
31626,RUC,"Accessory, Procedure",SD121,"suction specimen trap, sterile",item,2.54,2,0,000,,CPT10,2
31626,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,CPT10,2
31626,RUC,"Pharmacy, Rx",SH041,Indigo Carmine soln 0.8% inj (5cc vial uou),item,11.88,1,0,000,,CPT10,2
31627,RUC,"Kit, Pack, Tray",SA097,"kit, locatable guide, ext. working channel, w-b-scope adapter",kit,995,1,0,ZZZ,,CPT10,3
31627,RUC,"Accessory, Procedure",SD235,"sensor, patch, bronchosopy (for kit, locatable guide) (patient)",item,1.1,3,0,ZZZ,,CPT10,3
31628,PEAC,"Accessory, Procedure",SD121,"suction specimen trap, sterile",item,2.54,1,0,XXX,,CPT10,3
31628,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,CPT10,3
31628,PEAC,Infection Control,SM016,"eye shield, splash protection",item,1.471,2,0,XXX,,CPT10,3
31628,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,XXX,,CPT10,3
31628,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,XXX,,CPT10,3
31628,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT10,3
31628,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,2,0,XXX,,CPT10,3
31628,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,XXX,,CPT10,3
31628,PEAC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,XXX,,CPT10,3
31628,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,40,0,XXX,,CPT10,3
31628,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,0,XXX,,CPT10,3
31628,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,0,XXX,,CPT10,3
31628,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,0,XXX,,CPT10,3
31628,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,XXX,,CPT10,3
31629,PEAC,"Accessory, Procedure",SD121,"suction specimen trap, sterile",item,2.54,1,0,000,,Mar03,12
31629,PEAC,"Hypodermic, IV",SC043,"needle, transbronchial, cytology (Wang)",item,58.05,3,0,000,,Mar03,12
31629,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,Mar03,12
31629,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,Mar03,12
31629,PEAC,Infection Control,SM016,"eye shield, splash protection",item,1.471,2,0,000,,Mar03,12
31629,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar03,12
31629,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Mar03,12
31629,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,12
31629,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,2,0,000,,Mar03,12
31629,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Mar03,12
31629,PEAC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,Mar03,12
31629,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,40,0,000,,Mar03,12
31629,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,0,000,,Mar03,12
31629,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,0,000,,Mar03,12
31629,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,0,000,,Mar03,12
31629,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,Mar03,12
31630,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar03,12
31631,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar03,12
31632,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
31633,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
31634,RUC,"Accessory, Procedure",SD121,"suction specimen trap, sterile",item,2.54,1,,000,,CPT11,3
31634,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,000,,CPT11,3
31634,RUC,Infection Control,SM016,"eye shield, splash protection",item,1.471,2,,000,,CPT11,3
31634,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,,000,,CPT11,3
31634,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,CPT11,3
31634,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,3
31634,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,CPT11,3
31634,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,CPT11,3
31634,RUC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,,000,,CPT11,3
31634,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,40,,000,,CPT11,3
31634,RUC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,,000,,CPT11,3
31634,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,,000,,CPT11,3
31634,RUC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,,000,,CPT11,3
31634,RUC,"Wound Care, Dressings",SG094,"Tisseel Fibrin Glue, 1 ml",ml,262.01,4,,000,,CPT11,3
31634,RUC,"Accessory, Procedure",SD261,B5-2C Double Lumen Balloon 10 mm dia,item,126.75,1,,000,,CPT11,3
31634,RUC,"Accessory, Procedure",SD262,Insuffalator - Boston Scientific,item,85,1,,000,,CPT11,3
31634,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,000,,CPT11,3
31635,PEAC,"Accessory, Procedure",SD121,"suction specimen trap, sterile",item,2.54,1,0,000,,Mar03,12
31635,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,Mar03,12
31635,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,Mar03,12
31635,PEAC,Infection Control,SM016,"eye shield, splash protection",item,1.471,2,0,000,,Mar03,12
31635,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar03,12
31635,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Mar03,12
31635,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,12
31635,PEAC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,Mar03,12
31635,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,0,000,,Mar03,12
31635,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,Mar03,12
31636,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31637,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
31638,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
31640,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar03,12
31641,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar03,12
31643,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar03,12
31645,PEAC,"Accessory, Procedure",SD121,"suction specimen trap, sterile",item,2.54,1,0,000,,Mar03,12
31645,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,Mar03,12
31645,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,Mar03,12
31645,PEAC,Infection Control,SM016,"eye shield, splash protection",item,1.471,2,0,000,,Mar03,12
31645,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar03,12
31645,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Mar03,12
31645,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,12
31645,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,2,0,000,,Mar03,12
31645,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Mar03,12
31645,PEAC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,Mar03,12
31645,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,40,0,000,,Mar03,12
31645,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,0,000,,Mar03,12
31645,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,0,000,,Mar03,12
31645,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,0,000,,Mar03,12
31645,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,Mar03,12
31646,PEAC,"Accessory, Procedure",SD121,"suction specimen trap, sterile",item,2.54,1,0,000,,Mar03,12
31646,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,Mar03,12
31646,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,Mar03,12
31646,PEAC,Infection Control,SM016,"eye shield, splash protection",item,1.471,2,0,000,,Mar03,12
31646,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar03,12
31646,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Mar03,12
31646,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,12
31646,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,2,0,000,,Mar03,12
31646,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Mar03,12
31646,PEAC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,Mar03,12
31646,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,40,0,000,,Mar03,12
31646,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,0,000,,Mar03,12
31646,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,0,000,,Mar03,12
31646,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,0,000,,Mar03,12
31646,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,Mar03,12
31656,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,Mar03,12
31656,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,Mar03,12
31656,PEAC,Infection Control,SM016,"eye shield, splash protection",item,1.471,2,0,000,,Mar03,12
31656,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar03,12
31656,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Mar03,12
31656,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,12
31656,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,2,0,000,,Mar03,12
31656,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Mar03,12
31656,PEAC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,Mar03,12
31656,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,40,0,000,,Mar03,12
31656,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,0,000,,Mar03,12
31656,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,0,000,,Mar03,12
31656,PEAC,"Pharmacy, Rx",SH052,methylene blue 1% injection,ml,0.65,30,0,000,,Mar03,12
31656,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,0,000,,Mar03,12
31656,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,Mar03,12
31710,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar04,E
31715,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar04,E
31717,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,3,0,000,,Mar03,12
31717,PEAC,"Accessory, Procedure",SD141,"brush, protected airway specimen",item,13,2,0,000,,Mar03,12
31717,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,Mar03,12
31717,PEAC,Infection Control,SM016,"eye shield, splash protection",item,1.471,1,0,000,,Mar03,12
31717,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar03,12
31717,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,cs
31717,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,Mar03,12
31717,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Mar03,12
31717,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,40,0,000,,Mar03,12
31717,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,0,000,,Mar03,12
31717,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,0,000,,Mar03,12
31717,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,Mar03,12
31720,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar04,G
31725,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar04,G
31730,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Feb05,U
31730,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,000,,Feb05,U
31730,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Feb05,U
31730,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,Feb05,U
31730,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,000,,Feb05,U
31730,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,5,0,000,,Feb05,U
31730,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,0,000,,Feb05,U
31730,PEAC,Infection Control,SM016,"eye shield, splash protection",item,1.471,2,0,000,,Feb05,U
31730,PEAC,"Kit, Pack, Tray",SA091,"tray, scoop, fast track system",tray,750,1,0,000,,Feb05,U
31750,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
31750,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4,090,,Mar04,I
31750,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,4,090,,Mar04,I
31750,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
31750,PEAC,"Accessory, Procedure",SD209,tracheostomy tube,item,20.934,,1,090,,Mar04,I
31750,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
31750,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
31750,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
31750,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
31750,PEAC,"Kit, Pack, Tray",SA035,"kit, tracheostomy care",kit,2.085,,2,090,,Mar04,I
31750,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
31750,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
31750,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31750,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31750,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
31750,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Mar04,I
31750,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Mar04,I
31755,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,7,090,,Mar04,I
31755,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,7,090,,Mar04,I
31755,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,7,090,,Mar04,I
31755,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,7,090,,Mar04,I
31755,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,Mar04,I
31755,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,7,090,,Mar04,I
31755,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,7,090,,Mar04,I
31755,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,7,090,,Mar04,I
31755,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,5,090,,Mar04,I
31755,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Mar04,I
31755,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31755,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
31755,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,5,090,,Mar04,I
31755,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,10,090,,Mar04,I
31755,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,20,090,,Mar04,I
31760,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
31760,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
31766,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
31766,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
31770,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
31770,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
31775,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
31775,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
31780,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
31780,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
31781,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
31781,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
31785,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
31785,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
31786,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
31786,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
31800,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2.5,090,,Mar04,I
31800,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,2.5,090,,Mar04,I
31800,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,2.5,090,,Mar04,I
31800,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2.5,090,,Mar04,I
31800,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1.5,090,,Mar04,I
31800,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2.5,090,,Mar04,I
31800,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2.5,090,,Mar04,I
31800,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2.5,090,,Mar04,I
31800,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,2,090,,Mar04,I
31800,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,I
31800,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
31800,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,Mar04,I
31800,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
31800,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
31800,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
31805,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
31805,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
31820,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Jan04,21
31820,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,0,090,,Jan04,21
31820,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,0,090,,Jan04,21
31820,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Jan04,21
31820,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Jan04,21
31820,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Jan04,21
31820,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Jan04,21
31820,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Jan04,21
31820,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Jan04,21
31820,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Jan04,21
31820,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,090,,Jan04,21
31820,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,1,090,,Jan04,21
31820,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Jan04,21
31820,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Jan04,21
31820,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Jan04,21
31820,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,090,,Jan04,21
31820,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,1,0,090,,Jan04,21
31820,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Jan04,21
31820,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Jan04,21
31820,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Jan04,21
31820,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Jan04,21
31820,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,20,090,,Jan04,21
31820,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Jan04,21
31820,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,1,0,090,,Jan04,21
31820,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Jan04,21
31820,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,1,090,,Jan04,21
31820,PEAC,"Wound Care, Dressings",SG088,"tape, foam, elastic, 2in (Microfoam)",inch,0.0026,12,0,090,,Jan04,21
31825,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Jan04,21
31825,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,0,090,,Jan04,21
31825,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,0,090,,Jan04,21
31825,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Jan04,21
31825,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Jan04,21
31825,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Jan04,21
31825,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Jan04,21
31825,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Jan04,21
31825,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Jan04,21
31825,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Jan04,21
31825,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,090,,Jan04,21
31825,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,1,090,,Jan04,21
31825,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Jan04,21
31825,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Jan04,21
31825,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Jan04,21
31825,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,090,,Jan04,21
31825,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,1,0,090,,Jan04,21
31825,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Jan04,21
31825,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Jan04,21
31825,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Jan04,21
31825,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Jan04,21
31825,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,20,090,,Jan04,21
31825,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Jan04,21
31825,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,1,0,090,,Jan04,21
31825,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Jan04,21
31825,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,1,090,,Jan04,21
31825,PEAC,"Wound Care, Dressings",SG088,"tape, foam, elastic, 2in (Microfoam)",inch,0.0026,12,0,090,,Jan04,21
31830,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Jan04,21
31830,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Jan04,21
31830,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Jan04,21
31830,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Jan04,21
31830,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Jan04,21
31830,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Jan04,21
31830,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Jan04,21
31830,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,090,,Jan04,21
31830,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,1,090,,Jan04,21
31830,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Jan04,21
31830,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Jan04,21
31830,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Jan04,21
31830,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,1,090,,Jan04,21
31830,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,2,1,090,,Jan04,21
31830,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Jan04,21
31830,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Jan04,21
31830,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Jan04,21
31830,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Jan04,21
31830,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,20,090,,Jan04,21
31830,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Jan04,21
31830,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,1,0,090,,Jan04,21
31830,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Jan04,21
31830,PEAC,"Pharmacy, Rx",SH084,Kenalog 40 inj,ml,1.83,4,2,090,,Jan04,21
31830,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,1,090,,Jan04,21
31830,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Jan04,21
31899,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
32035,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
32035,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
32035,PERC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Apr06,J
32035,PERC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,Apr06,J
32035,PERC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,Apr06,J
32035,PERC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,Apr06,J
32035,PERC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,1,090,,Apr06,J
32035,PERC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Apr06,J
32035,PERC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Apr06,J
32035,PERC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,,1,090,,Apr06,J
32035,PERC,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,Apr06,J
32036,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
32036,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
32036,PERC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Apr06,J
32036,PERC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,Apr06,J
32036,PERC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,Apr06,J
32036,PERC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,Apr06,J
32036,PERC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,1,090,,Apr06,J
32036,PERC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Apr06,J
32036,PERC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Apr06,J
32036,PERC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,,1,090,,Apr06,J
32036,PERC,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,Apr06,J
32095,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
32095,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
32100,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
32100,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
32110,NPRM,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
32110,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
32120,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
32120,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
32124,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
32124,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
32140,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
32140,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
32141,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
32141,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
32150,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
32150,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
32151,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
32151,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
32160,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
32160,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
32200,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
32200,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
32201,PEAC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,1,0,000,,Jan04,9
32201,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,000,,Jan04,9
32201,PEAC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,000,,Jan04,9
32201,PEAC,"Accessory, Procedure",SD162,"drainage catheter, chest",item,88.89,1,0,000,,Jan04,9
32201,PEAC,"Accessory, Procedure",SD163,"drainage pouch, nephrostomy-biliary",item,13.25,1,0,000,,Jan04,9
32201,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,000,,Jan04,9
32201,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Jan04,9
32201,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Jan04,9
32201,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Jan04,9
32201,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,Jan04,9
32201,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Jan04,9
32201,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,000,,Jan04,9
32201,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Jan04,9
32201,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Jan04,9
32201,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,9
32201,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,Jan04,9
32201,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,Jan04,9
32201,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,Jan04,9
32201,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,Jan04,9
32201,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Jan04,9
32201,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,Jan04,9
32201,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,000,,Jan04,9
32201,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,Jan04,9
32201,PEAC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,Jan04,9
32201,PEAC,Lab,SL157,"cup, sterile, 8 oz",item,0.542,1,0,000,,Jan04,9
32201,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,Jan04,9
32201,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Jan04,9
32201,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,Jan04,9
32201,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Jan04,9
32201,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,Jan04,9
32201,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,Jan04,9
32201,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Jan04,9
32215,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
32215,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32220,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
32220,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32225,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
32225,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32310,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
32310,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32320,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
32320,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32400,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,Mar03,12
32400,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,000,,Mar03,12
32400,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,Mar03,12
32400,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,000,,Mar03,12
32400,PEAC,Infection Control,SM011,"cleaning brush, instruments",item,1.95,1,0,000,,Mar03,12
32400,PEAC,Infection Control,SM016,"eye shield, splash protection",item,1.471,2,0,000,,Mar03,12
32400,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,3,0,000,,Mar03,12
32400,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,12
32400,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,Mar03,12
32400,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Mar03,12
32400,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,Mar03,12
32400,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Mar03,12
32400,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,Mar03,12
32402,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
32402,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32405,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar03,12
32420,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar04,E
32421,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,000,,CPT08,rn
32421,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,CPT08,rn
32421,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,CPT08,rn
32421,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,CPT08,rn
32421,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,CPT08,rn
32421,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,CPT08,rn
32421,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,CPT08,rn
32421,PEAC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,000,,CPT08,rn
32421,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,CPT08,rn
32421,PEAC,"Kit, Pack, Tray",SA070,"tray, thoracentesis",tray,37.382,1,,000,,CPT08,rn
32421,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,CPT08,rn
32421,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,CPT08,rn
32422,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT08,rn
32422,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT08,rn
32422,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT08,rn
32422,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,CPT08,rn
32422,PEAC,"Kit, Pack, Tray",SA070,"tray, thoracentesis",tray,37.382,1,0,000,,CPT08,rn
32422,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,,CPT08,rn
32440,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
32440,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32442,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32442,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32445,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
32445,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32480,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
32480,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32482,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
32482,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32484,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32484,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32486,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32486,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32488,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
32488,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32491,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
32491,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32500,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
32500,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32501,CMS,NO DETAILS,SX001,ACTIVE,na,,,,ZZZ,,,
32503,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,RUC05,
32503,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
32504,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,RUC05,
32504,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
32540,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
32540,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32550,RUC,"Accessory, Procedure",SD144,"canister, vacuum, pleural (w-drainage line)",item,31,2,0,000,,CPT08,rn
32550,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,CPT08,rn
32550,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,CPT08,rn
32550,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,000,,CPT08,rn
32550,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT08,rn
32550,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT08,rn
32550,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,0,000,,CPT08,rn
32550,RUC,"Kit, Pack, Tray",SA077,"kit, pleural catheter insertion",kit,329,1,0,000,,CPT08,rn
32550,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,32,0,000,,CPT08,rn
32551,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,CPT08,rn
32551,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT08,rn
32552,Ruc,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,CPT10,4
32552,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,CPT10,4
32552,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,CPT10,4
32552,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,CPT10,4
32552,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,010,,CPT10,4
32552,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,010,,CPT10,4
32552,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,CPT10,4
32552,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,CPT10,4
32552,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,CPT10,4
32552,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,CPT10,4
32552,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,CPT10,4
32553,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT10,2
32553,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,CPT10,2
32553,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,CPT10,2
32553,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT10,2
32553,RUC,Lab,SL038,"cup-container, sterile, graduated 1000ml",item,1.14,1,0,000,,CPT10,2
32553,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,CPT10,2
32553,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,000,,CPT10,2
32553,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,CPT10,2
32553,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,CPT10,2
32553,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,CPT10,2
32553,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,CPT10,2
32553,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,0,000,,CPT10,2
32553,RUC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,1,0,000,,CPT10,2
32553,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,000,,CPT10,2
32553,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,CPT10,2
32553,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,CPT10,2
32553,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,CPT10,2
32553,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,000,,CPT10,2
32553,RUC,"Kit, Pack, Tray",SA061,"tray, biopsy procedure",tray,14.65,1,0,000,,CPT10,2
32553,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT10,2
32553,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,CPT10,2
32553,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,000,,CPT10,2
32553,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,CPT10,2
32553,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT10,2
32560,RUC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,000,,CPT10,5
32560,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT10,5
32560,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,CPT10,5
32560,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT10,5
32560,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,CPT10,5
32560,RUC,"Pharmacy, Rx",SH070,"talc, sterile (Sclerosol) (4gm uou)",item,107.5,1,,000,,CPT10,5
32561,RUC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,000,,CPT10,5
32561,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT10,5
32561,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,CPT10,5
32561,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT10,5
32561,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,CPT10,5
32562,RUC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,000,,CPT10,5
32562,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT10,5
32562,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,CPT10,5
32562,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT10,5
32562,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,CPT10,5
32580,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
32601,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
32602,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
32603,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
32604,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
32605,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
32606,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
32650,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32650,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32651,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32651,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32652,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
32652,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32653,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32653,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32654,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32654,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32655,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32655,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32656,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32656,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32657,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32657,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32658,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32658,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32659,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32659,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32660,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32660,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32661,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32661,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32662,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32662,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32663,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32663,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32664,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32664,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32665,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32665,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32800,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
32800,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32810,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
32810,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32815,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
32815,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32820,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
32820,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32850,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
32851,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,8,090,,Mar04,T
32851,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
32852,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,10,090,,Mar04,T
32852,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
32853,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,8,090,,Mar04,T
32853,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
32854,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,10,090,,Mar04,T
32854,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
32855,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT07,
32856,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT07,
32900,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32900,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32905,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32905,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32906,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32906,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32940,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
32940,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
32960,CPEP,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,000,,,
32960,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
32960,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
32960,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
32960,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
32960,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
32960,CPEP,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
32960,CPEP,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,000,,,
32960,CPEP,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,000,,,
32960,CPEP,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,,
32960,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
32960,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
32960,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,10,,000,,,
32997,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
32998,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,,000,,CPT07,
32998,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT07,
32998,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,CPT07,
32998,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,000,,CPT07,
32998,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,,000,,CPT07,
32998,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,CPT07,
32998,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,000,,CPT07,
32998,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,CPT07,
32998,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,000,,CPT07,
32998,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT07,
32998,RUC,"Accessory, Procedure",SD109,"probe, radiofrequency, 3 array (StarBurstSDE)",item,1995,1,0,000,,CPT07,
32998,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,CPT07,
32998,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,000,,CPT07,
32998,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,,000,,CPT07,
32998,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,CPT07,
32998,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,CPT07,
32998,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,CPT07,
32998,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,CPT07,
32998,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,,000,,CPT07,
32998,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,,000,,CPT07,
32998,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,CPT07,
32998,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT07,
32998,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,CPT07,
32998,RUC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,1,,000,,CPT07,
32998,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,CPT07,
32998,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT07,
32999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
33010,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
33011,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
33015,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33015,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33020,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33020,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33025,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33025,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33030,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33030,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33031,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33031,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33050,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33050,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33120,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33120,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33130,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33130,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33140,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33140,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33141,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
33202,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,CPT07,
33202,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
33203,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,CPT07,
33206,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33206,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33207,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33207,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33208,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33208,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33210,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
33211,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
33212,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33212,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33213,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33213,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33214,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33214,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33215,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,,
33216,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33216,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33217,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33217,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33218,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33218,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33220,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33220,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33222,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
33222,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33223,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33223,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33224,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
33225,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
33226,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
33233,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33233,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33234,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33234,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33235,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33235,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33236,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
33236,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33237,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
33237,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33238,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
33238,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33240,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33240,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33241,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33241,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33243,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
33243,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33244,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
33244,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33249,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
33249,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33250,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33250,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33251,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33251,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33254,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT07,
33254,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
33255,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT07,
33255,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
33256,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT07,
33256,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
33257,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,ZZZ,,CPT08,22
33257,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,ZZZ,,CPT08,22
33258,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,ZZZ,,CPT08,22
33258,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,ZZZ,,CPT08,22
33259,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,ZZZ,,CPT08,22
33259,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,ZZZ,,CPT08,22
33261,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33261,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33265,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT07,
33265,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
33266,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT07,
33266,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
33282,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33282,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33284,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33284,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33300,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33300,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33305,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33305,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33310,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33310,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33315,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33315,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33320,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33320,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33321,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33321,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33322,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33322,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33330,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33330,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33332,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33332,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33335,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33335,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33400,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33400,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33401,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33401,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33403,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33403,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33404,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33404,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33405,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33405,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33406,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33406,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33410,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33410,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33411,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33411,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33412,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
33412,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33413,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33413,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33414,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33414,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33415,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33415,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33416,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33416,NPRM,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
33417,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33417,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33420,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33420,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33422,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33422,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33425,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33425,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33426,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33426,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33427,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33427,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33430,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
33430,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33460,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33460,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33463,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33463,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33464,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33464,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33465,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33465,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33468,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33468,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33470,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33470,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33471,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33471,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33472,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33472,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
33474,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33474,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
33475,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
33475,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
33476,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33476,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
33478,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33478,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
33496,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33496,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
33500,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33500,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
33501,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33501,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
33502,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33502,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
33503,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33503,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33504,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33504,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33505,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33505,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33506,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33506,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33507,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,88170,RUC05,
33507,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
33508,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
33510,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33510,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33511,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33511,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33512,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
33512,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33513,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33513,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33514,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33514,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33516,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33516,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,2,090,,,
33517,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
33518,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
33519,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
33521,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
33522,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
33523,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
33530,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
33533,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33533,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33534,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33534,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33535,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33535,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33536,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33536,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33542,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33542,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33545,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33545,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33548,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,88170,RUC05,
33548,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
33572,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
33600,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33600,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33602,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33602,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33606,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33606,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33608,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33608,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33610,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33610,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33611,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33611,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33612,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33612,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33615,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33615,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33617,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33617,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33619,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33619,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Apr06,J
33620,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,1,090,,CPT11,4
33620,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,0,1,090,,CPT11,4
33621,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,1,090,,CPT11,4
33621,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,0,1,090,,CPT11,4
33622,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,1,090,,CPT11,4
33622,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,0,1,090,,CPT11,4
33641,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33641,NPRM,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
33645,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33645,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33647,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33647,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33660,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33660,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33665,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33665,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33670,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33670,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33675,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,CPT07,
33675,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
33676,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,CPT07,
33676,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
33677,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,CPT07,
33677,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
33681,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33681,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
33684,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33684,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33688,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33688,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33690,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33690,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33692,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33692,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33694,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33694,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33697,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33697,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33702,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33702,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33710,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33710,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33720,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33720,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33722,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33722,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33724,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,CPT07,
33724,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
33726,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,CPT07,
33726,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
33730,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33730,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33732,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33732,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33735,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33735,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33736,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33736,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33737,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33737,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33750,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33750,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33755,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33755,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33762,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33762,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33764,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33764,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33766,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33766,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33767,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33767,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33768,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
33770,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33770,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33771,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33771,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33774,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33774,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33775,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33775,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33776,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33776,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33777,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33777,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33778,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33778,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33779,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33779,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33780,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33780,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33781,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33781,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33782,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,1,1,090,,CPT10,6
33782,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,1,090,,CPT10,6
33783,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,1,1,090,,CPT10,6
33783,Ruc,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,1,090,,CPT10,6
33786,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33786,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33788,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33788,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33800,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33800,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33802,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33802,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33803,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33803,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33813,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33813,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33814,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33814,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33820,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33820,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33822,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33822,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33824,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33824,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33840,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33840,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33845,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33845,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33851,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33851,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33852,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33852,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33853,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33853,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33860,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33860,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33863,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
33863,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33864,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,CPT08,23
33864,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT08,23
33870,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
33870,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33875,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33875,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33877,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
33877,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33880,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,88170,RUC05,
33880,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
33881,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,88170,RUC05,
33881,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
33883,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,88170,RUC05,
33883,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
33884,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
33886,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,88170,RUC05,
33886,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
33889,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,RUC05,
33891,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,RUC05,
33910,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33910,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33915,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33915,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33916,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33916,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33917,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33917,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33920,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33920,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33922,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
33922,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
33924,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
33925,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,88170,RUC05,
33925,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
33926,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,88170,RUC05,
33926,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
33930,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
33933,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT07,
33935,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,T
33935,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
33940,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
33944,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
33945,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,T
33945,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
33960,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Feb05,
33961,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,Feb05,
33967,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,93536,,
33968,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar04,S
33970,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
33971,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,,
33971,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33973,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
33974,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
33974,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33975,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,S
33976,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,S
33977,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
33977,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33978,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
33978,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33979,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
33980,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
33980,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
33981,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT10,7
33982,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT10,7
33983,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT10,7
33999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
34001,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
34001,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
34051,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
34051,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
34101,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
34101,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
34111,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
34111,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
34151,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
34151,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
34201,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
34201,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
34203,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
34203,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
34401,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
34401,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
34421,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
34421,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
34451,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
34451,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
34471,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
34471,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
34490,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
34490,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
34501,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
34501,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
34502,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
34502,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
34510,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
34510,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
34520,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
34520,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
34520,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
34520,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
34530,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
34530,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
34530,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
34530,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
34800,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
34800,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
34802,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
34802,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
34803,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
34803,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
34804,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
34804,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
34805,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
34805,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
34806,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,CPT08,24
34808,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
34812,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
34813,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
34820,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
34825,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
34825,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
34826,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
34830,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
34830,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
34831,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
34831,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
34832,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
34832,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
34833,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
34834,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
34900,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
34900,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35001,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
35001,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35002,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
35002,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35005,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
35005,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35011,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35011,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35013,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35013,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35021,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35021,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35022,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35022,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35045,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
35045,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35045,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35045,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
35081,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
35081,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35082,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35082,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35091,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35091,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35092,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35092,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35102,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35102,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35103,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35103,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35111,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
35111,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35112,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35112,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35121,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35121,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35122,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35122,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35131,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35131,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35132,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35132,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35141,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35141,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35142,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35142,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35151,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35151,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35152,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35152,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35180,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35180,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35182,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35182,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35184,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35184,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35188,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35188,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
35189,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35189,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35190,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35190,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35201,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35201,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35206,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
35206,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35206,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35206,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
35207,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
35207,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35207,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35207,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
35211,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35211,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35216,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35216,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35221,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35221,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35226,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
35226,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35226,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35226,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
35231,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35231,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35236,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
35236,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35236,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35236,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
35241,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35241,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35246,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
35246,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35251,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35251,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35256,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
35256,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35256,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,2,090,,,
35256,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
35261,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35261,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35266,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
35266,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35266,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35266,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
35271,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
35271,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35276,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
35276,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35281,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
35281,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35286,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
35286,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35286,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35286,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
35301,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
35301,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35302,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
35302,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT07,
35303,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT07,
35303,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
35304,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT07,
35304,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
35305,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT07,
35305,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
35306,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,CPT07,
35311,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35311,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35321,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35321,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35331,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
35331,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35341,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
35341,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35351,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
35351,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35355,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
35355,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35361,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
35361,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35363,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
35363,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35371,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35371,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35372,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35372,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35390,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
35400,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
35450,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
35452,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
35458,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
35460,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
35471,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,Jan04,9
35471,PEAC,"Accessory, Procedure",SD149,"catheter, balloon inflation device",item,24.9,1,0,000,,Jan04,9
35471,PEAC,"Accessory, Procedure",SD151,"catheter, balloon, low profile PTA",item,431.5,2,0,000,,Jan04,9
35471,PEAC,"Accessory, Procedure",SD173,"guidewire, low profile (SpartaCore)",item,101.25,1,0,000,,Jan04,9
35471,PEAC,"Accessory, Procedure",SD174,"guidewire, steerable (Hi-Torque)",item,90,1,0,000,,Jan04,9
35471,PEAC,"Accessory, Procedure",SD176,"guidewire, torque",item,41,1,0,000,,Jan04,9
35471,PEAC,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,0,000,,Jan04,9
35471,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,0,000,,Jan04,9
35471,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Jan04,9
35471,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Jan04,9
35471,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,Jan04,9
35471,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Jan04,9
35471,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,Jan04,9
35471,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,000,,Jan04,9
35471,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,Jan04,9
35471,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Jan04,9
35471,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Jan04,9
35471,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,Jan04,9
35471,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,,Jan04,9
35471,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,Jan04,9
35472,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,Jan04,9
35472,PEAC,"Accessory, Procedure",SD149,"catheter, balloon inflation device",item,24.9,1,0,000,,Jan04,9
35472,PEAC,"Accessory, Procedure",SD152,"catheter, balloon, PTA",item,243.5,2,0,000,,Jan04,9
35472,PEAC,"Accessory, Procedure",SD174,"guidewire, steerable (Hi-Torque)",item,90,1,0,000,,Jan04,9
35472,PEAC,"Accessory, Procedure",SD176,"guidewire, torque",item,41,1,0,000,,Jan04,9
35472,PEAC,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,0,000,,Jan04,9
35472,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Jan04,9
35472,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Jan04,9
35472,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Jan04,9
35472,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,Jan04,9
35472,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Jan04,9
35472,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,000,,Jan04,9
35472,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Jan04,9
35472,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Jan04,9
35472,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Jan04,9
35472,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Jan04,9
35472,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,Jan04,9
35472,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,,Jan04,9
35472,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,Jan04,9
93229,CMS,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,42,,XXX,,CPT11,
93229,CMS,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,CPT11,
93229,CMS,"Office Supply, Grocery",SK095,"battery, AA",item,0.45,14,,XXX,,CPT11,
93229,CMS,"Office Supply, Grocery",SK106,device shipping cost,item,12,2,,XXX,,CPT11,
93229,CMS,"Office Supply, Grocery",SK113,"communication, wireless per service",item,57.78,1,,XXX,,CPT11,
35475,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,Jan04,9
35475,PEAC,"Accessory, Procedure",SD149,"catheter, balloon inflation device",item,24.9,1,0,000,,Jan04,9
35475,PEAC,"Accessory, Procedure",SD152,"catheter, balloon, PTA",item,243.5,2,0,000,,Jan04,9
35475,PEAC,"Accessory, Procedure",SD174,"guidewire, steerable (Hi-Torque)",item,90,1,0,000,,Jan04,9
35475,PEAC,"Accessory, Procedure",SD176,"guidewire, torque",item,41,1,0,000,,Jan04,9
35475,PEAC,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,0,000,,Jan04,9
35475,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Jan04,9
35475,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Jan04,9
35475,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Jan04,9
35475,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,Jan04,9
35475,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Jan04,9
35475,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,000,,Jan04,9
35475,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Jan04,9
35475,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Jan04,9
35475,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Jan04,9
35475,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Jan04,9
35475,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,Jan04,9
35475,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,,Jan04,9
35475,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,Jan04,9
35476,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,Jan04,9
35476,PEAC,"Accessory, Procedure",SD149,"catheter, balloon inflation device",item,24.9,1,0,000,,Jan04,9
35476,PEAC,"Accessory, Procedure",SD152,"catheter, balloon, PTA",item,243.5,2,0,000,,Jan04,9
35476,PEAC,"Accessory, Procedure",SD174,"guidewire, steerable (Hi-Torque)",item,90,1,0,000,,Jan04,9
35476,PEAC,"Accessory, Procedure",SD176,"guidewire, torque",item,41,1,0,000,,Jan04,9
35476,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,0,000,,Jan04,9
35476,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Jan04,9
35476,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Jan04,9
35476,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,Jan04,9
35476,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Jan04,9
35476,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,Jan04,9
35476,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,000,,Jan04,9
35476,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,Jan04,9
35476,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Jan04,9
35476,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Jan04,9
35476,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,Jan04,9
35476,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,,Jan04,9
35476,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,Jan04,9
35500,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
35501,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35501,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35501,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
35501,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT07,
35506,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35506,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35508,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35508,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35509,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35509,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
35509,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
35509,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT07,
35510,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
35510,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
35511,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35511,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35512,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
35512,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
35515,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35515,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35516,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35516,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35518,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35518,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35521,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
35521,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35522,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
35522,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
35523,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT08,25
35523,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT08,25
35523,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,CPT08,25
35525,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
35525,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
35526,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35526,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35531,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
35531,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35533,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
35533,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35535,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT09,7
35535,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT09,7
35536,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
35536,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35537,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT07,
35537,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
35538,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT07,
35538,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
35539,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT07,
35539,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
35540,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT07,
35540,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
35548,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
35548,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35549,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
35549,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35551,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
35551,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35556,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35556,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35558,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35558,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35560,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35560,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35563,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35563,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35565,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35565,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35566,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35566,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
35570,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT09,8
35570,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT09,8
35571,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35571,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35572,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
35583,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35583,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35585,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
35585,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35585,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35585,CPEP,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,,4,090,,,
35585,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,1,090,,,
35585,CPEP,"Wound Care, Dressings",SG065,"packing, gauze w-iodoform 1in (5 yd uou)",item,5.215,,1,090,,,
35587,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35587,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35587,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,1,090,,,
35587,CPEP,"Wound Care, Dressings",SG065,"packing, gauze w-iodoform 1in (5 yd uou)",item,5.215,,1,090,,,
35600,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
35601,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35601,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
35601,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
35601,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT07,
35606,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35606,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35612,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35612,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
35616,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35616,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35621,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35621,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35623,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35623,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35626,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35626,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35631,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35631,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35632,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT09,9
35632,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT09,9
35633,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT09,9
35633,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT09,9
35634,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT09,9
35634,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT09,9
35636,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35636,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35637,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT07,
35637,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
35638,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT07,
35638,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
35642,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35642,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35645,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35645,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35646,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35646,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
35647,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35647,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
35650,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35650,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35651,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
35651,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35654,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35654,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35656,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35656,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35661,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35661,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35663,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35663,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35665,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35665,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35666,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,10,090,,,
35666,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35666,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35666,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,100,090,,,
35666,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,10,090,,,
35666,CPEP,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
35666,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
35666,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,1,090,,,
35666,CPEP,"Wound Care, Dressings",SG065,"packing, gauze w-iodoform 1in (5 yd uou)",item,5.215,,1,090,,,
35666,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,6,090,,,
35666,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
35671,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,9,090,,,
35671,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35671,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35671,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,90,090,,,
35671,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,9,090,,,
35671,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,18,090,,,
35671,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
35671,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,54,090,,,
35681,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
35682,CMS,NO DETAILS,SX001,ACTIVE,na,,,,ZZZ,,,
35683,CMS,NO DETAILS,SX001,ACTIVE,na,,,,ZZZ,,,
35685,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
35686,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
35691,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35691,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35693,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35693,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35694,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35694,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35695,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35695,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35697,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
35700,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
35701,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35701,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35721,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
35721,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35721,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35721,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
35741,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
35741,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35741,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35741,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
35761,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
35761,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35761,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35761,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
35800,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35800,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35820,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
35840,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35840,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35860,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35860,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35870,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
35870,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35875,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
35875,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35875,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35875,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
35876,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
35876,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35876,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35876,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
35879,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,35301,,
35879,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,35301,,
35879,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35881,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,35301,,
35881,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,35301,,
35881,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
35881,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,,2,090,35301,,
35881,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,360,090,35301,,
35883,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
35883,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT07,
35884,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
35884,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT07,
35901,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
35901,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35901,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
35901,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
35903,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
35903,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
35903,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35903,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
35903,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,11,090,,,
35903,CPEP,"Wound Care, Dressings",SG065,"packing, gauze w-iodoform 1in (5 yd uou)",item,5.215,,1,090,,,
35905,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35905,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
35907,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
35907,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
36000,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
36000,CPEP,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,,
36000,CPEP,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,XXX,,,
36000,CPEP,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
36000,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
36000,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
36000,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,,XXX,,,
36000,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
36002,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,000,,,
36002,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,,000,,,
36002,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,3,,000,,,
36002,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,,000,,,
36002,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,000,,,
36002,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
36002,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,000,,,
36002,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
36002,RUC,"Pharmacy, Rx",SH004,albumin saline,ml,0.08,2,,000,,,
36002,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,,000,,,
36002,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,5,,000,,,
36005,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,0,,
36005,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
36005,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,0,,
36005,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
36005,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,000,,,
36005,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,000,,,
36005,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
36005,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
36005,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,,000,,,
36005,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
36005,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,,000,,,
36005,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,,
36005,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,000,,,
36005,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,000,,,
36010,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,XXX,,Jan04,9
36010,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,Jan04,9
36010,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,Jan04,9
36010,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,Jan04,9
36010,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,Jan04,9
36010,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,XXX,,Jan04,9
36010,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,XXX,,Jan04,9
36010,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,Jan04,9
36010,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,Jan04,9
36010,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,9
36010,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,XXX,,Jan04,9
36010,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,Jan04,9
36010,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,Jan04,9
36010,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,9
36010,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,Jan04,9
36010,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,Jan04,9
36010,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,Jan04,9
36010,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,XXX,,Jan04,9
36010,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,Jan04,9
36010,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,XXX,,Jan04,9
36010,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,Jan04,9
36010,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Jan04,9
36010,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,Jan04,9
36010,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Jan04,9
36011,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,XXX,,Jan04,9
36011,PEAC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,0,XXX,,Jan04,9
36011,PEAC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,0,XXX,,Jan04,9
36011,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,Jan04,9
36011,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,Jan04,9
36011,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,Jan04,9
36011,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,Jan04,9
36011,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,9
36011,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,XXX,,Jan04,9
36011,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,Jan04,9
36011,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,Jan04,9
36011,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,9
36011,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,XXX,,Jan04,9
36011,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,Jan04,9
36011,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,Jan04,9
36011,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,9
36011,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,Jan04,9
36011,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,Jan04,9
36011,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,Jan04,9
36011,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,XXX,,Jan04,9
36011,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,Jan04,9
36011,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,XXX,,Jan04,9
36011,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,Jan04,9
36011,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Jan04,9
36011,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,Jan04,9
36011,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Jan04,9
36012,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,XXX,,Jan04,9
36012,PEAC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,0,XXX,,Jan04,9
36012,PEAC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,0,XXX,,Jan04,9
36012,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,Jan04,9
36012,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,Jan04,9
36012,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,Jan04,9
36012,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,Jan04,9
36012,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,9
36012,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,XXX,,Jan04,9
36012,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,Jan04,9
36012,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,Jan04,9
36012,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,9
36012,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,XXX,,Jan04,9
36012,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,Jan04,9
36012,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,Jan04,9
36012,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,9
36012,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,Jan04,9
36012,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,Jan04,9
36012,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,Jan04,9
36012,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,XXX,,Jan04,9
36012,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,Jan04,9
36012,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,XXX,,Jan04,9
36012,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,Jan04,9
36012,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Jan04,9
36012,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,Jan04,9
36012,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Jan04,9
36013,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,XXX,,Jan04,9
36013,PEAC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,0,XXX,,Jan04,9
36013,PEAC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,0,XXX,,Jan04,9
36013,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,Jan04,9
36013,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,Jan04,9
36013,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,Jan04,9
36013,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,Jan04,9
36013,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,9
36013,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,XXX,,Jan04,9
36013,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,Jan04,9
36013,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,Jan04,9
36013,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,9
36013,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,XXX,,Jan04,9
36013,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,Jan04,9
36013,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,Jan04,9
36013,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,9
36013,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,Jan04,9
36013,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,Jan04,9
36013,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,Jan04,9
36013,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,XXX,,Jan04,9
36013,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,Jan04,9
36013,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,XXX,,Jan04,9
36013,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,Jan04,9
36013,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Jan04,9
36013,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,Jan04,9
36013,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Jan04,9
36014,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,XXX,,Jan04,9
36014,PEAC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,0,XXX,,Jan04,9
36014,PEAC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,0,XXX,,Jan04,9
36014,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,Jan04,9
36014,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,Jan04,9
36014,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,Jan04,9
36014,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,Jan04,9
36014,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,9
36014,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,XXX,,Jan04,9
36014,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,Jan04,9
36014,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,Jan04,9
36014,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,9
36014,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,XXX,,Jan04,9
36014,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,Jan04,9
36014,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,Jan04,9
36014,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,9
36014,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,Jan04,9
36014,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,Jan04,9
36014,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,Jan04,9
36014,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,XXX,,Jan04,9
36014,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,Jan04,9
36014,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,XXX,,Jan04,9
36014,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,Jan04,9
36014,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Jan04,9
36014,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,Jan04,9
36014,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Jan04,9
36015,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,XXX,,Jan04,9
36015,PEAC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,0,XXX,,Jan04,9
36015,PEAC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,0,XXX,,Jan04,9
36015,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,Jan04,9
36015,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,Jan04,9
36015,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,Jan04,9
36015,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,Jan04,9
36015,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,9
36015,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,XXX,,Jan04,9
36015,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,Jan04,9
36015,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,Jan04,9
36015,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,9
36015,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,XXX,,Jan04,9
36015,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,Jan04,9
36015,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,Jan04,9
36015,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,9
36015,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,Jan04,9
36015,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,Jan04,9
36015,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,Jan04,9
36015,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,XXX,,Jan04,9
36015,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,Jan04,9
36015,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,XXX,,Jan04,9
36015,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,Jan04,9
36015,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Jan04,9
36015,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,Jan04,9
36015,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Jan04,9
36100,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,XXX,,Jan04,9
36100,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,Jan04,9
36100,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,Jan04,9
36100,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,Jan04,9
36100,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,Jan04,9
36100,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,9
36100,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,XXX,,Jan04,9
36100,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,Jan04,9
36100,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,Jan04,9
36100,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,9
36100,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,XXX,,Jan04,9
36100,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,Jan04,9
36100,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,Jan04,9
36100,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,9
36100,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,Jan04,9
36100,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,Jan04,9
36100,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,Jan04,9
36100,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,XXX,,Jan04,9
36100,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,Jan04,9
36100,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,XXX,,Jan04,9
36100,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,Jan04,9
36100,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Jan04,9
36100,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,Jan04,9
36100,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Jan04,9
36120,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,XXX,,Jan04,9
36120,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,Jan04,9
36120,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,Jan04,9
36120,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,Jan04,9
36120,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,Jan04,9
36120,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,9
36120,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,XXX,,Jan04,9
36120,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,Jan04,9
36120,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,Jan04,9
36120,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,9
36120,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,Jan04,9
36120,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,Jan04,9
36120,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,9
36120,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,Jan04,9
36120,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,Jan04,9
36120,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,Jan04,9
36120,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,Jan04,9
36120,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,Jan04,9
36120,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Jan04,9
36120,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,Jan04,9
36120,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Jan04,9
36140,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,XXX,,Jan04,9
36140,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,Jan04,9
36140,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,Jan04,9
36140,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,Jan04,9
36140,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,Jan04,9
36140,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,9
36140,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,XXX,,Jan04,9
36140,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,Jan04,9
36140,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,Jan04,9
36140,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,9
36140,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,Jan04,9
36140,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,Jan04,9
36140,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,9
36140,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,Jan04,9
36140,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,Jan04,9
36140,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,Jan04,9
36140,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,Jan04,9
36140,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,Jan04,9
36140,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Jan04,9
36140,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,Jan04,9
36140,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Jan04,9
36147,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,XXX,,CPT10,29
36147,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,CPT10,29
36147,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,XXX,,CPT10,29
36147,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,CPT10,29
36147,RUC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,CPT10,29
36147,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,CPT10,29
36147,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT10,29
36147,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,CPT10,29
36147,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,XXX,,CPT10,29
36147,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,CPT10,29
36147,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,CPT10,29
36147,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,CPT10,29
36147,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,CPT10,29
36147,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,CPT10,29
36147,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,CPT10,29
36147,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,CPT10,29
36147,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,CPT10,29
36147,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,CPT10,29
36147,RUC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,XXX,,CPT10,29
36147,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,XXX,,CPT10,29
36147,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,XXX,,CPT10,29
36147,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,CPT10,29
36147,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,CPT10,29
36147,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,CPT10,29
36147,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,XXX,,CPT10,29
36147,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,CPT10,29
36147,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,CPT10,29
36147,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,XXX,,CPT10,29
36147,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,CPT10,29
36147,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,CPT10,29
36147,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,CPT10,29
36147,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,CPT10,29
36147,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,CPT10,29
36148,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,ZZZ,,CPT10,29
36148,RUC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,ZZZ,,CPT10,29
36148,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,ZZZ,,CPT10,29
36148,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,ZZZ,,CPT10,29
36148,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,ZZZ,,CPT10,29
36148,RUC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,ZZZ,,CPT10,29
36160,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,XXX,,Jan04,9
36160,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,Jan04,9
36160,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,Jan04,9
36160,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,Jan04,9
36160,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,Jan04,9
36160,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,9
36160,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,XXX,,Jan04,9
36160,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,Jan04,9
36160,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,Jan04,9
36160,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,9
36160,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,Jan04,9
36160,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,Jan04,9
36160,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,9
36160,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,Jan04,9
36160,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,Jan04,9
36160,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,Jan04,9
36160,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,Jan04,9
36160,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,Jan04,9
36160,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Jan04,9
36160,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,Jan04,9
36160,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Jan04,9
36200,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,XXX,,Jan04,9
36200,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,Jan04,9
36200,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,Jan04,9
36200,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,Jan04,9
36200,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,Jan04,9
36200,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,XXX,,Jan04,9
36200,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,XXX,,Jan04,9
36200,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,Jan04,9
36200,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,Jan04,9
36200,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,9
36200,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,XXX,,Jan04,9
36200,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,Jan04,9
36200,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,Jan04,9
36200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,9
36200,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,Jan04,9
36200,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,Jan04,9
36200,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,Jan04,9
36200,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,Jan04,9
36200,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,Jan04,9
36200,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Jan04,9
36200,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,Jan04,9
36200,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Jan04,9
36215,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,XXX,,Jan04,9
36215,PEAC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,0,XXX,,Jan04,9
36215,PEAC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,0,XXX,,Jan04,9
36215,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,Jan04,9
36215,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,Jan04,9
36215,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,Jan04,9
36215,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,Jan04,9
36215,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,9
36215,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,XXX,,Jan04,9
36215,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,Jan04,9
36215,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,Jan04,9
36215,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,9
36215,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,XXX,,Jan04,9
36215,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,Jan04,9
36215,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,Jan04,9
36215,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,9
36215,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,Jan04,9
36215,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,Jan04,9
36215,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,Jan04,9
36215,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,XXX,,Jan04,9
36215,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,Jan04,9
36215,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,XXX,,Jan04,9
36215,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,Jan04,9
36215,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Jan04,9
36215,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,Jan04,9
36215,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Jan04,9
36216,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,XXX,,Jan04,9
36216,PEAC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,0,XXX,,Jan04,9
36216,PEAC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,0,XXX,,Jan04,9
36216,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,Jan04,9
36216,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,Jan04,9
36216,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,Jan04,9
36216,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,Jan04,9
36216,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,9
36216,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,XXX,,Jan04,9
36216,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,Jan04,9
36216,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,Jan04,9
36216,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,9
36216,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,XXX,,Jan04,9
36216,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,Jan04,9
36216,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,Jan04,9
36216,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,9
36216,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,Jan04,9
36216,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,Jan04,9
36216,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,Jan04,9
36216,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,XXX,,Jan04,9
36216,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,Jan04,9
36216,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,XXX,,Jan04,9
36216,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,Jan04,9
36216,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Jan04,9
36216,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,Jan04,9
36216,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Jan04,9
36217,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,XXX,,Jan04,9
36217,PEAC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,0,XXX,,Jan04,9
36217,PEAC,"Accessory, Procedure",SD154,"catheter, microcatheter (selective 3rd order)",item,337.88,1,0,XXX,,Jan04,9
36217,PEAC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,0,XXX,,Jan04,9
36217,PEAC,"Accessory, Procedure",SD175,"guidewire, steerable (Transcend)",item,180,1,0,XXX,,Jan04,9
36217,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,Jan04,9
36217,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,Jan04,9
36217,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,Jan04,9
36217,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,Jan04,9
36217,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,9
36217,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,XXX,,Jan04,9
36217,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,Jan04,9
36217,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,Jan04,9
36217,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,9
36217,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,XXX,,Jan04,9
36217,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,Jan04,9
36217,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,Jan04,9
36217,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,9
36217,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,Jan04,9
36217,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,Jan04,9
36217,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,Jan04,9
36217,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,XXX,,Jan04,9
36217,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,Jan04,9
36217,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,XXX,,Jan04,9
36217,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,Jan04,9
36217,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Jan04,9
36217,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,Jan04,9
36217,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Jan04,9
36218,PEAC,"Accessory, Procedure",SD147,"catheter, (Glide)",item,62,1,0,ZZZ,,Jan04,9
36218,PEAC,"Accessory, Procedure",SD153,"catheter, curved",item,17.775,1,0,ZZZ,,Jan04,9
36218,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,ZZZ,,Jan04,9
36245,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,XXX,,Jan04,9
36245,PEAC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,0,XXX,,Jan04,9
36245,PEAC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,0,XXX,,Jan04,9
36245,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,Jan04,9
36245,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,Jan04,9
36245,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,Jan04,9
36245,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,Jan04,9
36245,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,9
36245,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,XXX,,Jan04,9
36245,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,Jan04,9
36245,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,Jan04,9
36245,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,9
36245,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,XXX,,Jan04,9
36245,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,Jan04,9
36245,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,Jan04,9
36245,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,9
36245,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,Jan04,9
36245,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,Jan04,9
36245,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,Jan04,9
36245,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,XXX,,Jan04,9
36245,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,Jan04,9
36245,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,XXX,,Jan04,9
36245,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,Jan04,9
36245,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Jan04,9
36245,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,Jan04,9
36245,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Jan04,9
36246,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,XXX,,Jan04,9
36246,PEAC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,0,XXX,,Jan04,9
36246,PEAC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,0,XXX,,Jan04,9
36246,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,Jan04,9
36246,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,Jan04,9
36246,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,Jan04,9
36246,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,Jan04,9
36246,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,9
36246,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,XXX,,Jan04,9
36246,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,Jan04,9
36246,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,Jan04,9
36246,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,9
36246,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,XXX,,Jan04,9
36246,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,Jan04,9
36246,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,Jan04,9
36246,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,9
36246,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,Jan04,9
36246,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,Jan04,9
36246,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,Jan04,9
36246,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,XXX,,Jan04,9
36246,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,Jan04,9
36246,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,XXX,,Jan04,9
36246,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,Jan04,9
36246,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Jan04,9
36246,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,Jan04,9
36246,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Jan04,9
36247,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,XXX,,Jan04,9
36247,PEAC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,0,XXX,,Jan04,9
36247,PEAC,"Accessory, Procedure",SD154,"catheter, microcatheter (selective 3rd order)",item,337.88,1,0,XXX,,Jan04,9
36247,PEAC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,0,XXX,,Jan04,9
36247,PEAC,"Accessory, Procedure",SD175,"guidewire, steerable (Transcend)",item,180,1,0,XXX,,Jan04,9
36247,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,XXX,,Jan04,9
36247,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,Jan04,9
36247,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,Jan04,9
36247,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,Jan04,9
36247,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,9
36247,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,XXX,,Jan04,9
36247,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,Jan04,9
36247,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,Jan04,9
36247,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,9
36247,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,XXX,,Jan04,9
36247,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,Jan04,9
36247,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,Jan04,9
36247,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,9
36247,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,XXX,,Jan04,9
36247,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,XXX,,Jan04,9
36247,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,Jan04,9
36247,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,XXX,,Jan04,9
36247,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,XXX,,Jan04,9
36247,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,XXX,,Jan04,9
36247,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,Jan04,9
36247,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Jan04,9
36247,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,XXX,,Jan04,9
36247,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Jan04,9
36248,PEAC,"Accessory, Procedure",SD147,"catheter, (Glide)",item,62,1,0,ZZZ,,Jan04,9
36248,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,ZZZ,,Jan04,9
36260,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
36260,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
36260,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
36260,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
36261,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
36261,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
36262,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
36262,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
36299,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
36400,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
36400,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
36400,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,,,
36400,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
36400,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
36405,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
36405,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
36405,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,,,
36405,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
36405,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
36406,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
36406,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
36406,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,,,
36406,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
36406,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
36410,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
36410,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
36410,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,,,
36410,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
36410,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
36415,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
36415,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
36415,PEAC,"Hypodermic, IV",SC005,blood collection capillary tube,item,0.029,1,,XXX,,,
36415,PEAC,"Hypodermic, IV",SC021,lancet,item,0.038,1,,XXX,,,
36415,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
36415,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
36416,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
36416,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
36416,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,,,
36416,PEAC,Lab,SL027,color coded cap and vial (for antigen),item,0.564,1,,XXX,,,
36416,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
36416,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
36420,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,E
36425,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
36430,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Mar04,N
36430,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Mar04,N
36430,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Mar04,N
36430,PEAC,"Hypodermic, IV",SC039,"needle, Huber point",item,3.328,1,0,XXX,,Mar04,N
36430,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,XXX,,Mar04,N
36430,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Mar04,N
36430,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Mar04,N
36430,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,1,0,XXX,,Mar04,N
36430,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Mar04,N
36430,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,XXX,,Mar04,N
36430,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,1,0,XXX,,Mar04,N
36440,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
36450,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
36455,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
36460,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
36468,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,000,,,
36469,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,000,,,
36470,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,010,,,
36470,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
36470,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
36470,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,010,,,
36470,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,010,,,
36470,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
36470,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,010,,,
36470,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,,010,,,
36470,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,010,,,
36470,PEAC,"Pharmacy, Rx",SH062,sclerosing solution inj,ml,2.029,10,,010,,,
36470,PEAC,"Wound Care, Dressings",SG013,"bandage, elastic wrap 6in (Ace)",item,1.539,2,,010,,,
36470,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
36471,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,010,,,
36471,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
36471,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,,
36471,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,010,,,
36471,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,010,,,
36471,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
36471,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,,
36471,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,,010,,,
36471,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,010,,,
36471,PEAC,"Pharmacy, Rx",SH062,sclerosing solution inj,ml,2.029,10,,010,,,
36471,PEAC,"Wound Care, Dressings",SG013,"bandage, elastic wrap 6in (Ace)",item,1.539,2,,010,,,
36471,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
36475,RUC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,1,0,000,,,
36475,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,,
36475,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,1,0,000,,,
36475,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,0,000,,,
36475,RUC,"Accessory, Procedure",SD155,"catheter, RF endovenous occlusion",item,725,1,0,000,,,
36475,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,,
36475,RUC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,000,,,
36475,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,0,000,,,
36475,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,,,
36475,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,,
36475,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,,
36475,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,,
36475,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,0,000,,,
36475,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,000,,,
36475,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,,
36475,RUC,"Gown, Drape",SB048,"sheath-cover, sterile, 96in x 6in (transducer)",item,9.583,1,0,000,,,
36475,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,000,,,
36475,RUC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,0,000,,,
36475,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,,
36475,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,000,,,
36475,RUC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,0,000,,,
36475,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,000,,,
36475,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,000,,,
36475,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,0,000,,,
36475,RUC,"Hypodermic, IV",SC074,iv pressure infusor bag,item,18.46,1,0,000,,,
36475,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,0,000,,,
36475,RUC,"Kit, Pack, Tray",SA026,"kit, radiofrequency introducer",kit,50,1,0,000,,,
36475,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
36475,RUC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,0,000,,,
36475,RUC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,10,0,000,,,
36475,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,000,,,
36475,RUC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,0,000,,,
36475,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,000,,,
36475,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,,
36475,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,100,0,000,,,
36475,RUC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,100,0,000,,,
36475,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,,
36475,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,000,,,
36475,RUC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,60,0,000,,,
36475,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,,
36475,RUC,"Pharmacy, Rx",SH090,sodium bicarbonate 8.4% inj w-needle (1ml uou),item,2.2,2,0,000,,,
36475,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,,
36475,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,,
36475,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,12,0,000,,,
36475,RUC,"Wound Care, Dressings",SG087,"stockings, knee length, 20-30mm compression",pair,49.673,1,0,000,,,
36476,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,0,ZZZ,,,
36476,RUC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,ZZZ,,,
36476,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,ZZZ,,,
36476,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,ZZZ,,,
36476,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,ZZZ,,,
36476,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,0,ZZZ,,,
36476,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,0,ZZZ,,,
36476,RUC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,10,0,ZZZ,,,
36476,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,100,0,ZZZ,,,
36476,RUC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,100,0,ZZZ,,,
36476,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,ZZZ,,,
36476,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,ZZZ,,,
36476,RUC,"Pharmacy, Rx",SH090,sodium bicarbonate 8.4% inj w-needle (1ml uou),item,2.2,2,0,ZZZ,,,
36476,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,ZZZ,,,
36476,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,ZZZ,,,
36476,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,12,0,ZZZ,,,
36478,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,1,0,000,,,
36478,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,,
36478,RUC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,000,,,
36478,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,0,000,,,
36478,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,,
36478,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,,
36478,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,,
36478,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,0,000,,,
36478,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,000,,,
36478,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,,
36478,RUC,"Gown, Drape",SB048,"sheath-cover, sterile, 96in x 6in (transducer)",item,9.583,1,0,000,,,
36478,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,000,,,
36478,RUC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,0,000,,,
36478,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,,
36478,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,000,,,
36478,RUC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,0,000,,,
36478,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,000,,,
36478,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,000,,,
36478,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,0,000,,,
36478,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,0,000,,,
36478,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
36478,RUC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,0,000,,,
36478,CMS,"Kit, Pack, Tray",SA074,"kit, endovascular laser treatment",kit,519,1,0,000,,,
36478,RUC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,10,0,000,,,
36478,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,000,,,
36478,RUC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,0,000,,,
36478,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,000,,,
36478,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,,
36478,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,100,0,000,,,
36478,RUC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,100,0,000,,,
36478,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,,
36478,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,000,,,
36478,RUC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,60,0,000,,,
36478,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,,
36478,RUC,"Pharmacy, Rx",SH090,sodium bicarbonate 8.4% inj w-needle (1ml uou),item,2.2,2,0,000,,,
36478,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,,
36478,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,,
36478,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,12,0,000,,,
36478,RUC,"Wound Care, Dressings",SG087,"stockings, knee length, 20-30mm compression",pair,49.673,1,0,000,,,
36479,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,0,ZZZ,,,
36479,RUC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,ZZZ,,,
36479,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,ZZZ,,,
36479,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,ZZZ,,,
36479,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,ZZZ,,,
36479,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,0,ZZZ,,,
36479,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,0,ZZZ,,,
36479,RUC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,10,0,ZZZ,,,
36479,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,100,0,ZZZ,,,
36479,RUC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,100,0,ZZZ,,,
36479,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,ZZZ,,,
36479,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,ZZZ,,,
36479,RUC,"Pharmacy, Rx",SH090,sodium bicarbonate 8.4% inj w-needle (1ml uou),item,2.2,2,0,ZZZ,,,
36479,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,ZZZ,,,
36479,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,ZZZ,,,
36479,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,12,0,ZZZ,,,
36481,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,Feb09,
36481,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,000,,Feb09,
36481,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Feb09,
36481,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Feb09,
36481,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Feb09,
36481,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,Feb09,
36481,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,Feb09,
36481,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,Feb09,
36481,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Feb09,
36481,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,Feb09,
36481,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,000,,Feb09,
36481,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,Feb09,
36481,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,000,,Feb09,
36481,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,Feb09,
36481,PEAC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,0,000,,Feb09,
36481,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,Feb09,
36481,PEAC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,0,000,,Feb09,
36481,PEAC,"Accessory, Procedure",SD175,"guidewire, steerable (Transcend)",item,180,1,0,000,,Feb09,
36481,PEAC,"Accessory, Procedure",SD154,"catheter, microcatheter (selective 3rd order)",item,337.88,1,0,000,,Feb09,
36481,PEAC,"Accessory, Procedure",SD147,"catheter, (Glide)",item,62,1,0,000,,Feb09,
36481,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,000,,CPT10,
36481,PEAC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,1,0,000,,Feb09,
36481,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,000,,CPT10,
36481,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,Feb09,
36481,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,Feb09,
36481,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,,Feb09,
36481,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Feb09,
36481,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Feb09,
36481,PEAC,"Accessory, Procedure",SD153,"catheter, curved",item,17.775,1,0,000,,Feb09,
36481,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,Feb09,
36481,PEAC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,Feb09,
36481,PEAC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,0,000,,Feb09,
36481,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,Feb09,
36481,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Feb09,
36481,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,Feb09,
36481,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,Feb09,
36481,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,Feb09,
36481,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,Feb09,
36481,PEAC,"Accessory, Procedure",SD171,"guidewire bowl w-lid, sterile",item,3,2,0,000,,Feb09,
36500,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
36510,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
36510,CMS WALK: BOTH SITES,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,000,,Mar04,N
36510,CMS WALK: BOTH SITES,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,Mar04,N
36510,CMS WALK: BOTH SITES,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,Mar04,N
36510,CMS WALK: BOTH SITES,"Hypodermic, IV",SC039,"needle, Huber point",item,3.328,1,0,000,,Mar04,N
36510,CMS WALK: BOTH SITES,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,000,,Mar04,N
36510,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,Mar04,N
36510,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,000,,Mar04,N
36510,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,1,0,000,,Mar04,N
36510,CMS WALK: BOTH SITES,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,1,0,000,,Mar04,N
36510,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,000,,Mar04,N
36510,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,000,,Mar04,N
36511,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
36512,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
36513,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
36514,PEAC,Lab,SL197,label for blood tube,item,0.0035,8,0,000,,,
36514,PEAC,"Hypodermic, IV",SC089,"needle, Vacutainer",item,0.32,1,0,000,,Mar04,D
36514,PEAC,"Hypodermic, IV",SC091,Vacutainer,item,5.9,1,0,000,,Mar04,D
36514,PEAC,"Pharmacy, NonRx",SJ071,ACD-A anticoagulant,item,6.58,1,0,000,93971,,
36514,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,000,,Mar04,D
36514,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,2,0,000,,Mar04,D
36514,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,0,000,,Mar04,D
36514,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,Mar04,D
36514,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,000,,Mar04,D
36514,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Mar04,D
36514,PEAC,"Hypodermic, IV",SC006,blood collection tube (Vacutainer),item,0.201,1,0,000,,Mar04,D
36514,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,8,0,000,,Mar04,D
36514,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,0,000,,Mar04,D
36514,PEAC,"Hypodermic, IV",SC063,syringe-needle 10ml 26g,item,0.273,8,0,000,,Mar04,D
36514,PEAC,"Hypodermic, IV",SC068,blood collection tube needle,item,0.142,1,0,000,,Mar04,D
36514,PEAC,"Hypodermic, IV",SC084,"tubing set, blood warmer",item,7.3958,1,0,000,,Mar04,D
36514,PEAC,"Hypodermic, IV",SC085,"tubing set, plasma exchange",item,173.3333,1,0,000,,Mar04,D
36514,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,0,000,,Mar04,D
36514,PEAC,"Kit, Pack, Tray",SA085,"tray, central line dressing change",tray,2.43,1,0,000,,Mar04,D
36514,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,0,000,,Mar04,D
36514,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,2,0,000,,Mar04,D
36514,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,14,0,000,,Mar04,D
36514,PEAC,"Pharmacy, Rx",SH093,"heparin 5,000 units-ml inj",ml,0.5085,4,0,000,,Mar04,D
36514,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,6,0,000,,Mar04,D
36514,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,000,,Mar04,D
36515,PEAC,Lab,SL197,label for blood tube,item,0.0035,8,0,000,,,
36515,PEAC,"Hypodermic, IV",SC089,"needle, Vacutainer",item,0.32,1,0,000,,Mar04,D
36515,PEAC,"Hypodermic, IV",SC091,Vacutainer,item,5.9,1,0,000,,Mar04,D
36515,PEAC,"Pharmacy, NonRx",SJ071,ACD-A anticoagulant,item,6.58,1,0,000,93971,,
36515,PEAC,"Accessory, Procedure",SD159,"container, 2000ml, transfer pack",item,7.12,2,0,000,,Mar04,D
36515,PEAC,"Accessory, Procedure",SD160,"container, 600ml, transfer pack",item,3.3604,1,0,000,,Mar04,D
36515,PEAC,"Accessory, Procedure",SD185,plasma antibody adsorption column (Prosorba),item,1150,1,0,000,,Mar04,D
36515,PEAC,"Accessory, Procedure",SD187,plasma leukocyte filter,item,49.719,1,0,000,,Mar04,D
36515,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,000,,Mar04,D
36515,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,2,0,000,,Mar04,D
36515,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,0,000,,Mar04,D
36515,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,Mar04,D
36515,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,000,,Mar04,D
36515,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Mar04,D
36515,PEAC,"Hypodermic, IV",SC006,blood collection tube (Vacutainer),item,0.201,1,0,000,,Mar04,D
36515,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,8,0,000,,Mar04,D
36515,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,2,0,000,,Mar04,D
36515,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,0,000,,Mar04,D
36515,PEAC,"Hypodermic, IV",SC063,syringe-needle 10ml 26g,item,0.273,8,0,000,,Mar04,D
36515,PEAC,"Hypodermic, IV",SC065,"adapter, luer lock",item,1.2485,1,0,000,,Mar04,D
36515,PEAC,"Hypodermic, IV",SC066,"adapter, spike (for syringe)",item,4.558,1,0,000,,Mar04,D
36515,PEAC,"Hypodermic, IV",SC068,blood collection tube needle,item,0.142,1,0,000,,Mar04,D
36515,PEAC,"Hypodermic, IV",SC084,"tubing set, blood warmer",item,7.3958,1,0,000,,Mar04,D
36515,PEAC,"Hypodermic, IV",SC086,"tubing set, plasma transfer",item,1.68,1,0,000,,Mar04,D
36515,PEAC,"Hypodermic, IV",SC087,"tubing set, Y-type blood recipient",item,5.75,1,0,000,,Mar04,D
36515,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,0,000,,Mar04,D
36515,PEAC,"Kit, Pack, Tray",SA072,"kit, apheresis treatment",kit,140,1,0,000,,Mar04,D
36515,PEAC,"Kit, Pack, Tray",SA085,"tray, central line dressing change",tray,2.43,1,0,000,,Mar04,D
36515,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,0,000,,Mar04,D
36515,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,2,0,000,,Mar04,D
36515,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,14,0,000,,Mar04,D
36515,PEAC,"Pharmacy, Rx",SH093,"heparin 5,000 units-ml inj",ml,0.5085,4,0,000,,Mar04,D
36515,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,6,0,000,,Mar04,D
36515,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,000,,Mar04,D
36516,PEAC,Lab,SL197,label for blood tube,item,0.0035,8,0,000,,,
36516,PEAC,"Hypodermic, IV",SC089,"needle, Vacutainer",item,0.32,1,0,000,,Mar04,D
36516,PEAC,"Hypodermic, IV",SC091,Vacutainer,item,5.9,1,0,000,,Mar04,D
36516,PEAC,"Pharmacy, NonRx",SJ071,ACD-A anticoagulant,item,6.58,1,0,000,93971,,
36516,PEAC,"Accessory, Procedure",SD186,plasma LDL adsorption column (Liposorber),item,1300,1,0,000,,Mar04,D
36516,PEAC,"Accessory, Procedure",SD188,plasma separator (Liposorber),item,100,1,0,000,,Mar04,D
36516,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,000,,Mar04,D
36516,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,2,0,000,,Mar04,D
36516,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,0,000,,Mar04,D
36516,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,Mar04,D
36516,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,000,,Mar04,D
36516,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Mar04,D
36516,PEAC,"Hypodermic, IV",SC006,blood collection tube (Vacutainer),item,0.201,1,0,000,,Mar04,D
36516,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,8,0,000,,Mar04,D
36516,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,0,000,,Mar04,D
36516,PEAC,"Hypodermic, IV",SC063,syringe-needle 10ml 26g,item,0.273,8,0,000,,Mar04,D
36516,PEAC,"Hypodermic, IV",SC068,blood collection tube needle,item,0.142,1,0,000,,Mar04,D
36516,PEAC,"Hypodermic, IV",SC083,tubing set (Liposorber),item,50,1,0,000,,Mar04,D
36516,PEAC,"Hypodermic, IV",SC084,"tubing set, blood warmer",item,7.3958,1,0,000,,Mar04,D
36516,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,0,000,,Mar04,D
36516,PEAC,"Kit, Pack, Tray",SA085,"tray, central line dressing change",tray,2.43,1,0,000,,Mar04,D
36516,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,0,000,,Mar04,D
36516,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,2,0,000,,Mar04,D
36516,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,14,0,000,,Mar04,D
36516,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,2,0,000,,Mar04,D
36516,PEAC,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,6,0,000,,Mar04,D
36516,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,000,,Mar04,D
36522,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,000,,Sep04,
36522,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,Sep04,
36522,PEAC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,1,0,000,,Sep04,
36522,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,000,,Sep04,
36522,PEAC,"Hypodermic, IV",SC088,"fistula needle, dialysis, 17g",item,1.62,2,0,000,,Sep04,
36522,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,Sep04,
36522,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,000,,Sep04,
36522,PEAC,"Kit, Pack, Tray",SA024,"kit, photopheresis procedure",kit,858,1,0,000,,Sep04,
36522,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Sep04,
36522,PEAC,"Pharmacy, NonRx",SJ075,"methoxsalen, 10ml vial",item,49.5,1,0,000,,Sep04,
36522,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,Sep04,
36522,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,1,0,000,,Sep04,
36522,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,000,,Sep04,
36522,PEAC,"Office Supply, Grocery",SK078,sunscreen lotion (spf15),oz,0.599,1,0,000,,Sep04,
36522,PEAC,"Wound Care, Dressings",SG014,"bandage, elastic, self-adherent wrap 1in (Coban)",item,1.307,1,0,000,,Sep04,
36522,PEAC,"Pharmacy, NonRx",SJ027,"goggles, uv-blocking",item,2.3,1,0,000,,Sep04,
36522,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,000,,Sep04,
36522,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,000,,Sep04,
36522,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,000,,Sep04,
36555,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,,
36555,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,,,
36555,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,,
36555,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,,
36555,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,,
36555,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,,
36555,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,,
36555,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,000,,,
36555,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,000,,,
36555,RUC,"Kit, Pack, Tray",SA009,"kit, CVA catheter, non-tunneled",kit,68,1,0,000,,,
36555,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,,
36555,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
36555,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,,
36555,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,,
36555,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,,
36555,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,,
36555,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,,
36555,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,000,,,
36555,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,,
36555,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,,
36555,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,000,,,
36555,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
36556,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,,
36556,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,,,
36556,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,,
36556,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,,
36556,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,,
36556,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,000,,,
36556,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,,
36556,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,000,,,
36556,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,000,,,
36556,RUC,"Kit, Pack, Tray",SA009,"kit, CVA catheter, non-tunneled",kit,68,1,0,000,,,
36556,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
36556,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,,
36556,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,,
36556,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,,
36556,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,,
36556,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,,
36556,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,000,,,
36556,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,,
36556,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,,
36556,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,000,,,
36556,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
36557,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,010,,,
36557,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
36557,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,,
36557,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,,
36557,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
36557,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,,
36557,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,,
36557,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,,
36557,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,,
36557,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,,
36557,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,010,,,
36557,RUC,"Kit, Pack, Tray",SA010,"kit, CVA catheter, tunneled, without port-pump",kit,308,1,0,010,,,
36557,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,2,0,010,,,
36557,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,,
36557,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
36557,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,,
36557,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,,
36557,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
36557,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
36557,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
36557,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,010,,,
36557,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,,
36557,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,010,,,
36557,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,010,,,
36557,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,,
36558,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,010,,,
36558,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
36558,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,,
36558,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,,
36558,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
36558,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,,
36558,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,,
36558,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,,
36558,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,,
36558,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,,
36558,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,010,,,
36558,RUC,"Kit, Pack, Tray",SA010,"kit, CVA catheter, tunneled, without port-pump",kit,308,1,0,010,,,
36558,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,2,0,010,,,
36558,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,,
36558,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
36558,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,,
36558,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,,
36558,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
36558,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
36558,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
36558,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,010,,,
36558,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,,
36558,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,010,,,
36558,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,010,,,
36558,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,,
36560,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,010,,,
36560,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
36560,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,,
36560,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,,
36560,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
36560,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,,
36560,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,,
36560,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,,
36560,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,,
36560,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,,
36560,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,010,,,
36560,RUC,"Kit, Pack, Tray",SA011,"kit, CVA catheter, tunneled, with subcut port",kit,495,1,0,010,,,
36560,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,2,0,010,,,
36560,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,,
36560,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
36560,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,,
36560,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,,
36560,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
36560,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
36560,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
36560,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,010,,,
36560,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,,
36560,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,010,,,
36560,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,010,,,
36560,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,,
36561,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,010,,,
36561,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
36561,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,,
36561,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,,
36561,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
36561,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,,
36561,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,,
36561,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,,
36561,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,,
36561,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,,
36561,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,010,,,
36561,RUC,"Kit, Pack, Tray",SA011,"kit, CVA catheter, tunneled, with subcut port",kit,495,1,0,010,,,
36561,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,2,0,010,,,
36561,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,,
36561,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
36561,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,,
36561,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,,
36561,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
36561,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
36561,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
36561,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,010,,,
36561,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,,
36561,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,010,,,
36561,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,010,,,
36561,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,,
36563,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,010,,,
36563,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
36563,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,,
36563,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,,
36563,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
36563,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,,
36563,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,,
36563,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,,
36563,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,,
36563,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,,
36563,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,010,,,
36563,RUC,"Kit, Pack, Tray",SA011,"kit, CVA catheter, tunneled, with subcut port",kit,495,1,0,010,,,
36563,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,2,0,010,,,
36563,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,,
36563,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
36563,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,,
36563,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,,
36563,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
36563,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
36563,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
36563,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,010,,,
36563,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,,
36563,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,010,,,
36563,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,010,,,
36563,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,,
36565,RUC,"Accessory, Procedure",SD020,"catheter, CVA, tunneled, dual (Tesio)",item,355,1,0,010,,,
36565,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,2,0,010,,,
36565,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
36565,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,,
36565,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,,
36565,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
36565,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,,
36565,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,,
36565,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,,
36565,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,,
36565,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,,
36565,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,010,,,
36565,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,2,0,010,,,
36565,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,,
36565,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
36565,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,,
36565,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,,
36565,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
36565,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
36565,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
36565,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,010,,,
36565,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,,
36565,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,010,,,
36565,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,010,,,
36565,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,9,0,010,,,
36566,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,2,0,010,,,
36566,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
36566,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,,
36566,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,,
36566,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
36566,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,,
36566,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,,
36566,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,,
36566,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,,
36566,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,,
36566,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,010,,,
36566,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,2,0,010,,,
36566,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,,
36566,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
36566,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,,
36566,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,,
36566,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
36566,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
36566,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
36566,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,010,,,
36566,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,0,010,,,
36566,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,010,,,
36566,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,010,,,
36566,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,,
36566,RUC,"Accessory, Procedure",SD221,"catheter, CVA, system, tunneled w-port, dual (LifeSite)",item,1750,2,0,010,,,
36568,RUC,"Accessory, Procedure",SD022,"catheter, CVA, peripheral, without port-pump",item,70.625,1,0,000,,,
36568,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,,
36568,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,,,
36568,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,,
36568,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,,
36568,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,,
36568,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,,
36568,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,,
36568,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,000,,,
36568,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,000,,,
36568,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,2,0,000,,,
36568,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,,
36568,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
36568,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,,
36568,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,,
36568,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,,
36568,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,,
36568,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,,
36568,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,000,,,
36568,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,,
36568,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,,
36568,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,000,,,
36568,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
36569,RUC,"Accessory, Procedure",SD022,"catheter, CVA, peripheral, without port-pump",item,70.625,1,0,000,,,
36569,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,,
36569,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,,,
36569,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,,
36569,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,,
36569,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,,
36569,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,000,,,
36569,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,,
36569,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,000,,,
36569,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,000,,,
36569,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,2,0,000,,,
36569,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
36569,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,,
36569,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,,
36569,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,,
36569,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,,
36569,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,,
36569,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,000,,,
36569,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,,
36569,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,,
36569,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,000,,,
36569,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
36570,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,010,,,
36570,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
36570,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,,
36570,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,,
36570,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
36570,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,,
36570,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,,
36570,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,,
36570,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,,
36570,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,,
36570,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,010,,,
36570,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,2,0,010,,,
36570,RUC,"Kit, Pack, Tray",SA025,"kit, PICC with subcut port",kit,586,1,0,010,,,
36570,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,,
36570,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
36570,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,,
36570,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,,
36570,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
36570,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
36570,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
36570,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,010,,,
36570,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,,
36570,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,010,,,
36570,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,010,,,
36570,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,,
36571,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,010,,,
36571,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
36571,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,,
36571,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,,
36571,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
36571,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,,
36571,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,,
36571,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,,
36571,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,,
36571,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,,
36571,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,010,,,
36571,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,2,0,010,,,
36571,RUC,"Kit, Pack, Tray",SA025,"kit, PICC with subcut port",kit,586,1,0,010,,,
36571,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,,
36571,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
36571,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,,
36571,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,,
36571,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
36571,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
36571,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
36571,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,010,,,
36571,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,,
36571,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,010,,,
36571,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,010,,,
36571,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,,
36575,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,,
36575,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,,,
36575,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,,
36575,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,,
36575,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,,
36575,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,000,,,
36575,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,,
36575,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,000,,,
36575,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,000,,,
36575,RUC,"Kit, Pack, Tray",SA012,"kit, CVA device repair",kit,94.23,1,0,000,,,
36575,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,,
36575,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,,
36575,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,,
36575,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,,
36575,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,,
36575,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,000,,,
36575,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,,
36575,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,,
36575,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,000,,,
36575,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
36576,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,010,,,
36576,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
36576,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,,
36576,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,,
36576,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
36576,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,,
36576,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,,
36576,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,,
36576,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,,
36576,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,,
36576,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,010,,,
36576,RUC,"Kit, Pack, Tray",SA012,"kit, CVA device repair",kit,94.23,,,010,,,
36576,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,2,0,010,,,
36576,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,,
36576,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
36576,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,,
36576,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,,
36576,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
36576,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
36576,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
36576,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,010,,,
36576,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,,
36576,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,010,,,
36576,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,010,,,
36576,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,,
36578,RUC,"Accessory, Procedure",SD021,"catheter, CVA, non-tunneled",item,106,1,0,010,,,
36578,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,010,,,
36578,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
36578,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,,
36578,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,,
36578,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
36578,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,,
36578,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,,
36578,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,,
36578,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,,
36578,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,,
36578,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,010,,,
36578,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,2,0,010,,,
36578,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,,
36578,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
36578,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,,
36578,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,,
36578,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
36578,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
36578,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
36578,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,010,,,
36578,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,,
36578,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,010,,,
36578,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,010,,,
36578,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,,
36580,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,,
36580,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,,
36580,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,,,
36580,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,,
36580,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,,
36580,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,,
36580,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,000,,,
36580,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,,
36580,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,000,,,
36580,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,000,,,
36580,RUC,"Kit, Pack, Tray",SA009,"kit, CVA catheter, non-tunneled",kit,68,1,0,000,,,
36580,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
36580,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,,
36580,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,,
36580,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,,
36580,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,,
36580,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,,
36580,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,000,,,
36580,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,,
36580,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,,
36580,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,000,,,
36580,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
36581,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,2,0,010,,,
36581,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
36581,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,,
36581,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,,
36581,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
36581,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,,
36581,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,,
36581,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,,
36581,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,,
36581,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,,
36581,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,010,,,
36581,RUC,"Kit, Pack, Tray",SA010,"kit, CVA catheter, tunneled, without port-pump",kit,308,1,0,010,,,
36581,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,2,0,010,,,
36581,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,,
36581,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
36581,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,,
36581,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,,
36581,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
36581,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
36581,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
36581,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,010,,,
36581,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,,
36581,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,010,,,
36581,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,010,,,
36581,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,,
36582,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,010,,,
36582,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
36582,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,,
36582,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,,
36582,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
36582,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,,
36582,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,,
36582,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,,
36582,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,,
36582,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,,
36582,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,010,,,
36582,RUC,"Kit, Pack, Tray",SA011,"kit, CVA catheter, tunneled, with subcut port",kit,495,1,0,010,,,
36582,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,2,0,010,,,
36582,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,,
36582,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
36582,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,,
36582,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,,
36582,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
36582,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
36582,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
36582,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,010,,,
36582,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,,
36582,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,010,,,
36582,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,010,,,
36582,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,,
36583,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,010,,,
36583,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
36583,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,,
36583,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,,
36583,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
36583,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,,
36583,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,,
36583,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,,
36583,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,,
36583,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,,
36583,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,010,,,
36583,RUC,"Kit, Pack, Tray",SA011,"kit, CVA catheter, tunneled, with subcut port",kit,495,1,0,010,,,
36583,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,2,0,010,,,
36583,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,,
36583,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
36583,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,,
36583,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,,
36583,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
36583,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
36583,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
36583,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,010,,,
36583,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,,
36583,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,010,,,
36583,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,010,,,
36583,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,,
36584,RUC,"Accessory, Procedure",SD022,"catheter, CVA, peripheral, without port-pump",item,70.625,1,0,000,,,
36584,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,,
36584,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,,
36584,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,,,
36584,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,,
36584,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,,
36584,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,,
36584,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,000,,,
36584,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,,
36584,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,000,,,
36584,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,000,,,
36584,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
36584,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,,
36584,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,,
36584,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,,
36584,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,,
36584,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,,
36584,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,000,,,
36584,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,,
36584,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,,
36584,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,000,,,
36584,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
36585,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
36585,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,,
36585,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,,
36585,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
36585,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,,
36585,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,,
36585,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,,
36585,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,,
36585,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,,
36585,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,010,,,
36585,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,2,0,010,,,
36585,RUC,"Kit, Pack, Tray",SA025,"kit, PICC with subcut port",kit,586,1,0,010,,,
36585,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,,
36585,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
36585,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,,
36585,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,,
36585,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
36585,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
36585,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
36585,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,010,,,
36585,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,,
36585,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,010,,,
36585,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,010,,,
36585,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,,
36589,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,,
36589,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,,
36589,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
36589,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,,
36589,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,010,,,
36589,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,010,,,
36589,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
36589,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,,
36589,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,,
36589,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
36589,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
36589,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
36589,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,010,,,
36589,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,,
36590,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,,
36590,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,,
36590,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,,
36590,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
36590,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,,
36590,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,,
36590,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,,
36590,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,,
36590,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,,
36590,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,010,,,
36590,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,,
36590,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
36590,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,,
36590,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,010,,,
36590,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,,
36590,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,,
36590,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,,
36590,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,010,,,
36590,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,010,,,
36590,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,,
36591,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
36591,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
36591,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
36591,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
36591,PEAC,"Hypodermic, IV",SC039,"needle, Huber point",item,3.328,1,,XXX,,,
36591,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,,,
36591,PEAC,Lab,SL027,color coded cap and vial (for antigen),item,0.564,3,,XXX,,,
36591,PEAC,Lab,SL085,label for microscope slides,item,0.026,6,,XXX,,,
36591,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,XXX,,,
36591,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,7,,XXX,,,
36591,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,XXX,,,
36591,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
36591,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,XXX,,,
36592,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,XXX,,CPT08,26
36592,RUC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,CPT08,26
36592,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,7,,XXX,,CPT08,26
36592,RUC,Lab,SL085,label for microscope slides,item,0.026,6,,XXX,,CPT08,26
36592,RUC,Lab,SL027,color coded cap and vial (for antigen),item,0.564,3,,XXX,,CPT08,26
36592,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,,XXX,,CPT08,26
36592,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,CPT08,26
36592,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,CPT08,26
36592,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,CPT08,26
36592,RUC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,,XXX,,CPT08,26
36592,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,XXX,,CPT08,26
36592,RUC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,,XXX,,CPT08,26
36592,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,XXX,,CPT08,26
36592,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,4,,XXX,,CPT08,26
36592,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,CPT08,26
36592,RUC,"Pharmacy, NonRx",SJ081,"swab, patient prep, 1.5 ml  (chloraprep)",item,1.04,3,,XXX,,CPT08,26
36593,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
36593,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
36593,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
36593,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
36593,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,,XXX,,,
36593,PEAC,"Hypodermic, IV",SC039,"needle, Huber point",item,3.328,1,,XXX,,,
36593,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,3,,XXX,,,
36593,PEAC,Lab,SL144,thrombin reagent (Thromboquik),ml,2.737,1,,XXX,,,
36593,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
36593,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,,XXX,,,
36593,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,XXX,,,
36595,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,,000,,,
36595,RUC,"Kit, Pack, Tray",SA020,"kit, loop snare (Microvena)",kit,275,1,,000,,,
36596,RUC,"Accessory, Procedure",SD008,"brush, ureteral",item,47.5,1,,000,,,
36596,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,,000,,,
36596,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
36596,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,000,,,
36596,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,,
36596,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
36596,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,,000,,,
36596,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,,000,,,
36597,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,,
36597,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,,
36597,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,000,,,
36597,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,,,
36597,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,,
36597,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,,
36597,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,,
36597,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,000,,,
36597,RUC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,0,000,,,
36597,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,000,,,
36597,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,0,000,,,
36597,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
36597,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,,
36597,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,,
36597,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,,
36597,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,,
36597,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,,
36597,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,000,,,
36597,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,,
36597,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,,
36597,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,000,,,
36597,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
36598,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Jan04,9
36598,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Jan04,9
36598,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,Jan04,9
36598,RUC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,1,0,000,,Aug03,6
36598,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,Aug03,6
36598,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,000,,,
36598,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,000,11975,,
36598,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,000,11975,,
36598,RUC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,000,,,
36598,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,,
36598,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,,
36598,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,000,,,
36598,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,000,,,
36598,RUC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,30,0,000,,,
36598,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,0.5,0,000,,Aug03,7
36598,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,000,,Aug03,7
36598,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,0.5,0,000,,Aug03,7
36598,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,000,,,
36600,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,,
36600,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
36600,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,,
36600,PEAC,"Kit, Pack, Tray",SA003,"kit, arterial blood gas (ABG)",kit,1.875,1,,XXX,,,
36600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
36600,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,1,,XXX,,,
36600,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
36600,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
36620,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,CPT08,rv
36625,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
36640,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
36660,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
36680,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
36800,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
36810,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
36815,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
36818,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
36818,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
36819,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
36819,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
36820,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Feb08,ss
36820,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
36821,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr08,ss
36821,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
36822,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
36822,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
36823,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
36823,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
36825,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
36825,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
36830,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,,
36830,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
36831,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
36831,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
36832,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,,
36832,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
36833,CMS,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,36832,,
36833,CMS,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,36832,,
36833,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
36833,CMS,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,36832,,
36834,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
36835,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
36835,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
36835,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
36835,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
36838,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
36838,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
36860,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,36860,Feb05,
36860,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,000,,Feb05,
36860,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,Feb05,
36860,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,000,,Feb05,
36860,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,0,000,,Feb05,
36860,PEAC,"Accessory, Procedure",SD008,"brush, ureteral",item,47.5,1,0,000,,Feb05,
36860,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,Feb05,
36860,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Feb05,
36861,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
36870,RUC,"Accessory, Procedure",SD032,"catheter, thrombectomy-Fogarty",item,101.75,1,,090,,,
36870,RUC,"Accessory, Procedure",SD088,guidewire,item,9.998,2,,090,,,
36870,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,2,,090,,,
36870,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,090,,,
36870,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,,090,,,
36870,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,090,,,
36870,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,090,,,
36870,RUC,"Kit, Pack, Tray",SA015,"kit, for percutaneous thrombolytic device (Trerotola)",kit,487.5,1,,090,,,
36870,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,090,,,
36870,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,1,090,,,
36870,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,,090,,,
36870,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,090,,,
37140,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
37140,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
37145,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
37145,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
37160,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
37160,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
37180,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
37180,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
37181,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
37181,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
37182,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
37183,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,Oct08,
37183,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,Oct08,
37183,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,,Oct08,
37183,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Oct08,
37183,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Oct08,
37183,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,Oct08,
37183,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,000,,Oct08,
37183,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Oct08,
37183,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Oct08,
37183,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Oct08,
37183,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,Oct08,
37183,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,Oct08,
37183,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,Oct08,
37183,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Oct08,
37183,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,Oct08,
37183,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,000,,Oct08,
37183,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,Oct08,
37183,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,000,,Oct08,
37183,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,Oct08,
37183,PEAC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,0,000,,Oct08,
37183,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,Oct08,
37183,PEAC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,0,000,,Oct08,
37183,PEAC,"Accessory, Procedure",SD175,"guidewire, steerable (Transcend)",item,180,1,0,000,,Oct08,
37183,PEAC,"Accessory, Procedure",SD154,"catheter, microcatheter (selective 3rd order)",item,337.88,1,0,000,,Oct08,
37183,PEAC,"Accessory, Procedure",SD147,"catheter, (Glide)",item,62,1,0,000,,Oct08,
37183,PEAC,"Accessory, Procedure",SD153,"catheter, curved",item,17.775,1,0,000,,Oct08,
37183,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,Oct08,
37183,PEAC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,Oct08,
37183,PEAC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,2,0,000,,Oct08,
37183,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,Oct08,
37183,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Oct08,
37183,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,Oct08,
37183,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,Oct08,
37183,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,Oct08,
37183,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,Oct08,
37183,PEAC,"Accessory, Procedure",SD171,"guidewire bowl w-lid, sterile",item,3,2,0,000,,Oct08,
37183,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,000,,CPT10,
37183,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,,0,000,,Oct08,
37183,PEAC,"Accessory, Procedure",SD238,"stent, GORE VIATORR TIPS Endoprosthesis",item,3450,1,0,000,,Oct08,
37184,RUC,"Kit, Pack, Tray",SA015,"kit, for percutaneous thrombolytic device (Trerotola)",kit,487.5,1,0,000,,RUC05,
37184,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,0,000,,RUC05,
37184,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,RUC05,
37184,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,000,,RUC05,
37184,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,RUC05,
37184,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,RUC05,
37184,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,RUC05,
37184,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,RUC05,
37184,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,RUC05,
37184,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,RUC05,
37184,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,,RUC05,
37184,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,RUC05,
37184,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,RUC05,
37184,RUC,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,0,000,,RUC05,
37184,RUC,"Accessory, Procedure",SD176,"guidewire, torque",item,41,1,0,000,,RUC05,
37184,RUC,"Accessory, Procedure",SD174,"guidewire, steerable (Hi-Torque)",item,90,1,0,000,,RUC05,
37184,RUC,"Accessory, Procedure",SD173,"guidewire, low profile (SpartaCore)",item,101.25,1,0,000,,RUC05,
37184,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,RUC05,
37184,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,RUC05,
37184,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,000,,RUC05,
37184,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,000,,RUC05,
37184,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,000,,RUC05,
37184,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,000,,RUC05,
37184,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,000,,RUC05,
37184,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,000,,RUC05,
37184,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,RUC05,
37184,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,RUC05,
37185,RUC,"Accessory, Procedure",SD176,"guidewire, torque",item,41,1,0,ZZZ,,RUC05,
37185,RUC,"Accessory, Procedure",SD174,"guidewire, steerable (Hi-Torque)",item,90,1,0,ZZZ,,RUC05,
37185,RUC,"Accessory, Procedure",SD173,"guidewire, low profile (SpartaCore)",item,101.25,1,0,ZZZ,,RUC05,
37185,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,ZZZ,,RUC05,
37185,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,ZZZ,,RUC05,
37186,RUC,"Accessory, Procedure",SD176,"guidewire, torque",item,41,1,0,ZZZ,,RUC05,
37186,RUC,"Accessory, Procedure",SD174,"guidewire, steerable (Hi-Torque)",item,90,1,0,ZZZ,,RUC05,
37186,RUC,"Accessory, Procedure",SD173,"guidewire, low profile (SpartaCore)",item,101.25,1,0,ZZZ,,RUC05,
37186,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,ZZZ,,RUC05,
37186,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,ZZZ,,RUC05,
37186,RUC,"Kit, Pack, Tray",SA015,"kit, for percutaneous thrombolytic device (Trerotola)",kit,487.5,1,0,ZZZ,,RUC05,
37187,RUC,"Kit, Pack, Tray",SA015,"kit, for percutaneous thrombolytic device (Trerotola)",kit,487.5,1,0,000,,RUC05,
37187,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,0,000,,RUC05,
37187,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,RUC05,
37187,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,000,,RUC05,
37187,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,RUC05,
37187,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,RUC05,
37187,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,RUC05,
37187,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,RUC05,
37187,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,RUC05,
37187,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,RUC05,
37187,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,,RUC05,
37187,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,RUC05,
37187,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,RUC05,
37187,RUC,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,0,000,,RUC05,
37187,RUC,"Accessory, Procedure",SD176,"guidewire, torque",item,41,1,0,000,,RUC05,
37187,RUC,"Accessory, Procedure",SD174,"guidewire, steerable (Hi-Torque)",item,90,1,0,000,,RUC05,
37187,RUC,"Accessory, Procedure",SD173,"guidewire, low profile (SpartaCore)",item,101.25,1,0,000,,RUC05,
37187,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,RUC05,
37187,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,RUC05,
37187,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,000,,RUC05,
37187,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,000,,RUC05,
37187,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,000,,RUC05,
37187,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,000,,RUC05,
37187,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,000,,RUC05,
37187,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,000,,RUC05,
37187,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,RUC05,
37187,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,RUC05,
37188,RUC,"Kit, Pack, Tray",SA015,"kit, for percutaneous thrombolytic device (Trerotola)",kit,487.5,1,0,000,,RUC05,
37188,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,0,000,,RUC05,
37188,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,RUC05,
37188,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,000,,RUC05,
37188,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,RUC05,
37188,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,RUC05,
37188,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,RUC05,
37188,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,RUC05,
37188,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,RUC05,
37188,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,RUC05,
37188,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,,RUC05,
37188,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,RUC05,
37188,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,RUC05,
37188,RUC,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,0,000,,RUC05,
37188,RUC,"Accessory, Procedure",SD176,"guidewire, torque",item,41,1,0,000,,RUC05,
37188,RUC,"Accessory, Procedure",SD174,"guidewire, steerable (Hi-Torque)",item,90,1,0,000,,RUC05,
37188,RUC,"Accessory, Procedure",SD173,"guidewire, low profile (SpartaCore)",item,101.25,1,0,000,,RUC05,
37188,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,RUC05,
37188,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,RUC05,
37188,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,000,,RUC05,
37188,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,000,,RUC05,
37188,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,000,,RUC05,
37188,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,000,,RUC05,
37188,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,000,,RUC05,
37188,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,000,,RUC05,
37188,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,RUC05,
37188,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,RUC05,
37195,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
37200,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
37201,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
37202,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
37203,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,Jan04,9
37203,PEAC,"Accessory, Procedure",SD174,"guidewire, steerable (Hi-Torque)",item,90,1,0,000,,Jan04,9
37203,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Jan04,9
37203,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Jan04,9
37203,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Jan04,9
37203,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,Jan04,9
37203,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Jan04,9
37203,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,000,,Jan04,9
37203,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Jan04,9
37203,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Jan04,9
37203,PEAC,"Kit, Pack, Tray",SA020,"kit, loop snare (Microvena)",kit,275,1,0,000,,Jan04,9
37203,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Jan04,9
37203,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Jan04,9
37203,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,Jan04,9
37203,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,,Jan04,9
37203,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,Jan04,9
37204,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
37205,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,000,,Apr07,S
37205,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,Apr07,S
37205,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,Apr07,S
37205,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,0,000,,Apr07,S
37205,PEAC,"Accessory, Procedure",SD175,"guidewire, steerable (Transcend)",item,180,1,0,000,,Apr07,S
37205,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,Apr07,S
37205,PEAC,"Accessory, Procedure",SD174,"guidewire, steerable (Hi-Torque)",item,90,1,0,000,,Apr07,S
37205,PEAC,"Accessory, Procedure",SD206,"sheath, peel away",item,68.99,1,0,000,,Apr07,S
37205,PEAC,"Kit, Pack, Tray",SA103,"stent, vascular, deployment system, Cordis SMART",kit,1645,1.5,0,000,,Apr07,S
37205,PEAC,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,0,000,,Apr07,S
37205,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,Apr07,S
37206,PEAC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,ZZZ,,Apr07,S
37206,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,ZZZ,,Apr07,S
37206,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,ZZZ,,Apr07,S
37206,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,0,ZZZ,,Apr07,S
37206,PEAC,"Accessory, Procedure",SD175,"guidewire, steerable (Transcend)",item,180,1,0,ZZZ,,Apr07,S
37206,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,3,0,ZZZ,,Apr07,S
37206,PEAC,"Accessory, Procedure",SD174,"guidewire, steerable (Hi-Torque)",item,90,1,0,ZZZ,,Apr07,S
37206,PEAC,"Accessory, Procedure",SD206,"sheath, peel away",item,68.99,1,0,000,,Apr07,S
37206,PEAC,"Kit, Pack, Tray",SA103,"stent, vascular, deployment system, Cordis SMART",kit,1645,1,0,ZZZ,,Apr07,S
37206,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,ZZZ,,Apr07,S
37207,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
37208,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
37209,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
37210,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT07,
37210,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,,CPT07,
37210,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,CPT07,
37210,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT07,
37210,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,CPT07,
37210,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,CPT07,
37210,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,CPT07,
37210,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,CPT07,
37210,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,CPT07,
37210,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT07,
37210,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,CPT07,
37210,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT07,
37210,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,CPT07,
37210,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,CPT07,
37210,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,CPT07,
37210,RUC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,000,,CPT07,
37210,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,CPT07,
37210,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,CPT07,
37210,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,CPT07,
37210,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,CPT07,
37210,RUC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,0,000,,CPT07,
37210,RUC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,0,000,,CPT07,
37210,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,CPT07,
37210,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,CPT07,
37210,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,000,,CPT07,
37210,RUC,"Accessory, Procedure",SD175,"guidewire, steerable (Transcend)",item,180,1,0,000,,CPT07,
37210,RUC,"Accessory, Procedure",SD154,"catheter, microcatheter (selective 3rd order)",item,337.88,1,0,000,,CPT07,
37210,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,000,,CPT07,
37210,RUC,"Accessory, Procedure",SD153,"catheter, curved",item,17.775,1,0,000,,CPT07,
37210,RUC,"Accessory, Procedure",SD147,"catheter, (Glide)",item,62,1,0,000,,CPT07,
37210,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,0,000,,CPT07,
37210,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,CPT07,
37210,RUC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,1,0,000,,CPT07,
37210,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,CPT07,
37210,RUC,"Accessory, Procedure",SD171,"guidewire bowl w-lid, sterile",item,3,2,0,000,,CPT07,
37210,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,000,,CPT07,
37210,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,000,,CPT07,
37210,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT07,
37210,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,000,,CPT07,
37210,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,000,,CPT07,
37210,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,000,,CPT07,
37210,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,6,0,000,,CPT07,
37210,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,6,0,000,,CPT07,
37210,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT07,
37210,RUC,"Accessory, Procedure",SD219,"agent, embolic, 2 ml uou",unit,258,5,0,000,,CPT07,
37215,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
37216,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
37220,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,27
37220,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,CPT11,27
37220,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,000,,CPT11,27
37220,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT11,27
37220,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,,000,,CPT11,27
37220,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,000,,CPT11,27
37220,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,4,,000,,CPT11,27
37220,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,CPT11,27
37220,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,CPT11,27
37220,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,000,,CPT11,27
37220,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,000,,CPT11,27
37220,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,,000,,CPT11,27
37220,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,,000,,CPT11,27
37220,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,CPT11,27
37220,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,,000,,CPT11,27
37220,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,4,,000,,CPT11,27
37220,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,,000,,CPT11,27
37220,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,,000,,CPT11,27
37220,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,,000,,CPT11,27
37220,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,CPT11,27
37220,RUC,"Accessory, Procedure",SD171,"guidewire bowl w-lid, sterile",item,3,2,,000,,CPT11,27
37220,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,000,,CPT11,27
37220,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,CPT11,27
37220,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,000,,CPT11,27
37220,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,000,,CPT11,27
37220,RUC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,,000,,CPT11,27
37220,RUC,"Accessory, Procedure",SD249,"Sterile Radio-opaque ruler (le Maitre, documentation available)",item,46.95,1,,000,,CPT11,27
37220,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,,000,,CPT11,27
37220,RUC,"Accessory, Procedure",SD250,"introducer sheath, Ansel [45 cm 6 Fr Ansel]",item,90,1,,000,,CPT11,27
37220,RUC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,,000,,CPT11,27
37220,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,,000,,CPT11,27
37220,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,,000,,CPT11,27
37220,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,,000,,CPT11,27
37220,RUC,"Accessory, Procedure",SD147,"catheter, (Glide)",item,62,1,,000,,CPT11,27
37220,RUC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,,000,,CPT11,27
37220,RUC,"Hypodermic, IV",SC096,"Quick Cross Catheter (Sprectranetics, documentation available)",item,197,1,,000,,CPT11,27
37220,RUC,"Accessory, Procedure",SD151,"catheter, balloon, low profile PTA",item,431.5,2,,000,,CPT11,27
37220,RUC,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,,000,,CPT11,27
37220,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,000,,CPT11,27
37220,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,6,,000,,CPT11,27
37220,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,000,,CPT11,27
37220,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,,000,,CPT11,27
37220,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,,000,,CPT11,27
37220,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,,000,,CPT11,27
37220,RUC,"Pharmacy, Rx",SH095,protamine sulfate 10 mg/ml (5ml uou vial),item,225,1,,000,,CPT11,27
37220,RUC,"Pharmacy, Rx",SH096,nitroglycerin injection USP 5 mg/mL (10ml uou vial),item,175,1,,000,,CPT11,27
37221,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,27
37221,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,CPT11,27
37221,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,000,,CPT11,27
37221,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT11,27
37221,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,,000,,CPT11,27
37221,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,000,,CPT11,27
37221,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,4,,000,,CPT11,27
37221,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,CPT11,27
37221,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,CPT11,27
37221,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,000,,CPT11,27
37221,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,000,,CPT11,27
37221,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,,000,,CPT11,27
37221,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,,000,,CPT11,27
37221,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,CPT11,27
37221,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,,000,,CPT11,27
37221,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,4,,000,,CPT11,27
37221,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,,000,,CPT11,27
37221,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,,000,,CPT11,27
37221,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,,000,,CPT11,27
37221,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,CPT11,27
37221,RUC,"Accessory, Procedure",SD171,"guidewire bowl w-lid, sterile",item,3,2,,000,,CPT11,27
37221,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,000,,CPT11,27
37221,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,CPT11,27
37221,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,000,,CPT11,27
37221,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,000,,CPT11,27
37221,RUC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,,000,,CPT11,27
37221,RUC,"Accessory, Procedure",SD249,"Sterile Radio-opaque ruler (le Maitre, documentation available)",item,46.95,1,,000,,CPT11,27
37221,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,,000,,CPT11,27
37221,RUC,"Accessory, Procedure",SD250,"introducer sheath, Ansel [45 cm 6 Fr Ansel]",item,90,1,,000,,CPT11,27
37221,RUC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,,000,,CPT11,27
37221,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,,000,,CPT11,27
37221,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,,000,,CPT11,27
37221,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,,000,,CPT11,27
37221,RUC,"Accessory, Procedure",SD147,"catheter, (Glide)",item,62,1,,000,,CPT11,27
37221,RUC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,,000,,CPT11,27
37221,RUC,"Hypodermic, IV",SC096,"Quick Cross Catheter (Sprectranetics, documentation available)",item,197,1,,000,,CPT11,27
37221,RUC,"Accessory, Procedure",SD151,"catheter, balloon, low profile PTA",item,431.5,1,,000,,CPT11,27
37221,RUC,"Kit, Pack, Tray",SA103,"stent, vascular, deployment system, Cordis SMART",kit,1645,1,,000,,CPT11,27
37221,RUC,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,,000,,CPT11,27
37221,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,000,,CPT11,27
37221,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,6,,000,,CPT11,27
37221,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,000,,CPT11,27
37221,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,,000,,CPT11,27
37221,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,,000,,CPT11,27
37221,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,10,,000,,CPT11,27
37221,RUC,"Pharmacy, Rx",SH095,protamine sulfate 10 mg/ml (5ml uou vial),item,225,1,,000,,CPT11,27
37221,RUC,"Pharmacy, Rx",SH096,nitroglycerin injection USP 5 mg/mL (10ml uou vial),item,175,1,,000,,CPT11,27
37224,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,27
37224,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,CPT11,27
37224,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,000,,CPT11,27
37224,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT11,27
37224,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,,000,,CPT11,27
37224,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,000,,CPT11,27
37224,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,4,,000,,CPT11,27
37224,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,CPT11,27
37224,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,CPT11,27
37224,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,000,,CPT11,27
37224,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,000,,CPT11,27
37224,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,,000,,CPT11,27
37224,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,,000,,CPT11,27
37224,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,CPT11,27
37224,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,,000,,CPT11,27
37224,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,4,,000,,CPT11,27
37224,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,,000,,CPT11,27
37224,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,,000,,CPT11,27
37224,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,,000,,CPT11,27
37224,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,CPT11,27
37224,RUC,"Accessory, Procedure",SD171,"guidewire bowl w-lid, sterile",item,3,2,,000,,CPT11,27
37224,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,000,,CPT11,27
37224,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,CPT11,27
37224,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,000,,CPT11,27
37224,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,000,,CPT11,27
37224,RUC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,,000,,CPT11,27
37224,RUC,"Accessory, Procedure",SD249,"Sterile Radio-opaque ruler (le Maitre, documentation available)",item,46.95,1,,000,,CPT11,27
37224,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,,000,,CPT11,27
37224,RUC,"Accessory, Procedure",SD250,"introducer sheath, Ansel [45 cm 6 Fr Ansel]",item,90,1,,000,,CPT11,27
37224,RUC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,,000,,CPT11,27
37224,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,,000,,CPT11,27
37224,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,,000,,CPT11,27
37224,RUC,"Accessory, Procedure",SD252,"guidewire, Amplatz wire 260 cm",item,47,1,,000,,CPT11,27
37224,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,,000,,CPT11,27
37224,RUC,"Accessory, Procedure",SD147,"catheter, (Glide)",item,62,1,,000,,CPT11,27
37224,RUC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,,000,,CPT11,27
37224,RUC,"Hypodermic, IV",SC096,"Quick Cross Catheter (Sprectranetics, documentation available)",item,197,1,,000,,CPT11,27
37224,RUC,"Accessory, Procedure",SD151,"catheter, balloon, low profile PTA",item,431.5,3,,000,,CPT11,27
37224,RUC,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,,000,,CPT11,27
37224,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,000,,CPT11,27
37224,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,000,,CPT11,27
37224,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,000,,CPT11,27
37224,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,,000,,CPT11,27
37224,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,,000,,CPT11,27
37224,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,,000,,CPT11,27
37224,RUC,"Pharmacy, Rx",SH095,protamine sulfate 10 mg/ml (5ml uou vial),item,225,1,,000,,CPT11,27
37224,RUC,"Pharmacy, Rx",SH096,nitroglycerin injection USP 5 mg/mL (10ml uou vial),item,175,1,,000,,CPT11,27
37225,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,27
37225,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,CPT11,27
37225,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,000,,CPT11,27
37225,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT11,27
37225,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,,000,,CPT11,27
37225,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,000,,CPT11,27
37225,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,4,,000,,CPT11,27
37225,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,CPT11,27
37225,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,CPT11,27
37225,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,000,,CPT11,27
37225,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,000,,CPT11,27
37225,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,70,,000,,CPT11,27
37225,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,,000,,CPT11,27
37225,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,CPT11,27
37225,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,,000,,CPT11,27
37225,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,4,,000,,CPT11,27
37225,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,,000,,CPT11,27
37225,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,,000,,CPT11,27
37225,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,,000,,CPT11,27
37225,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,CPT11,27
37225,RUC,"Accessory, Procedure",SD171,"guidewire bowl w-lid, sterile",item,3,2,,000,,CPT11,27
37225,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,000,,CPT11,27
37225,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,CPT11,27
37225,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,000,,CPT11,27
37225,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,000,,CPT11,27
37225,RUC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,,000,,CPT11,27
37225,RUC,"Accessory, Procedure",SD249,"Sterile Radio-opaque ruler (le Maitre, documentation available)",item,46.95,1,,000,,CPT11,27
37225,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,,000,,CPT11,27
37225,RUC,"Accessory, Procedure",SD250,"introducer sheath, Ansel [45 cm 6 Fr Ansel]",item,90,1,,000,,CPT11,27
37225,RUC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,,000,,CPT11,27
37225,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,,000,,CPT11,27
37225,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,,000,,CPT11,27
37225,RUC,"Accessory, Procedure",SD252,"guidewire, Amplatz wire 260 cm",item,47,1,,000,,CPT11,27
37225,RUC,"Accessory, Procedure",SD173,"guidewire, low profile (SpartaCore)",item,101.25,1,,000,,CPT11,27
37225,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,,000,,CPT11,27
37225,RUC,"Accessory, Procedure",SD147,"catheter, (Glide)",item,62,1,,000,,CPT11,27
37225,RUC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,,000,,CPT11,27
37225,RUC,"Hypodermic, IV",SC096,"Quick Cross Catheter (Sprectranetics, documentation available)",item,197,1,,000,,CPT11,27
37225,RUC,"Accessory, Procedure",SD151,"catheter, balloon, low profile PTA",item,431.5,4,,000,,CPT11,27
37225,RUC,"Accessory, Procedure",SD253,atherectomy device  (Spectronetics laser or Fox Hollow),kit,4979.67,1,,000,,CPT11,27
37225,RUC,"Accessory, Procedure",SD255,"Reentry device (Frontier, Outback, Pioneer)",item,,1,,000,,CPT11,27
37225,RUC,"Accessory, Procedure",SD256,"Embolic  Protection Device Spider FX (EV3, documentation available)",item,1365,1,,000,,CPT11,27
37225,RUC,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,,000,,CPT11,27
37225,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,000,,CPT11,27
37225,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,000,,CPT11,27
37225,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,000,,CPT11,27
37225,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,,000,,CPT11,27
37225,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,,000,,CPT11,27
37225,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,10,,000,,CPT11,27
37225,RUC,"Pharmacy, Rx",SH095,protamine sulfate 10 mg/ml (5ml uou vial),item,225,1,,000,,CPT11,27
37225,RUC,"Pharmacy, Rx",SH096,nitroglycerin injection USP 5 mg/mL (10ml uou vial),item,175,1,,000,,CPT11,27
37226,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,27
37226,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,CPT11,27
37226,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,000,,CPT11,27
37226,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT11,27
37226,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,,000,,CPT11,27
37226,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,000,,CPT11,27
37226,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,4,,000,,CPT11,27
37226,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,CPT11,27
37226,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,CPT11,27
37226,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,000,,CPT11,27
37226,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,000,,CPT11,27
37226,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,70,,000,,CPT11,27
37226,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,,000,,CPT11,27
37226,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,CPT11,27
37226,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,,000,,CPT11,27
37226,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,4,,000,,CPT11,27
37226,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,,000,,CPT11,27
37226,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,,000,,CPT11,27
37226,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,,000,,CPT11,27
37226,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,CPT11,27
37226,RUC,"Accessory, Procedure",SD171,"guidewire bowl w-lid, sterile",item,3,2,,000,,CPT11,27
37226,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,000,,CPT11,27
37226,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,CPT11,27
37226,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,000,,CPT11,27
37226,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,000,,CPT11,27
37226,RUC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,,000,,CPT11,27
37226,RUC,"Accessory, Procedure",SD249,"Sterile Radio-opaque ruler (le Maitre, documentation available)",item,46.95,1,,000,,CPT11,27
37226,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,,000,,CPT11,27
37226,RUC,"Accessory, Procedure",SD250,"introducer sheath, Ansel [45 cm 6 Fr Ansel]",item,90,1,,000,,CPT11,27
37226,RUC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,,000,,CPT11,27
37226,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,,000,,CPT11,27
37226,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,,000,,CPT11,27
37226,RUC,"Accessory, Procedure",SD252,"guidewire, Amplatz wire 260 cm",item,47,1,,000,,CPT11,27
37226,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,,000,,CPT11,27
37226,RUC,"Accessory, Procedure",SD147,"catheter, (Glide)",item,62,1,,000,,CPT11,27
37226,RUC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,,000,,CPT11,27
37226,RUC,"Hypodermic, IV",SC096,"Quick Cross Catheter (Sprectranetics, documentation available)",item,197,1,,000,,CPT11,27
37226,RUC,"Accessory, Procedure",SD151,"catheter, balloon, low profile PTA",item,431.5,3,,000,,CPT11,27
37226,RUC,"Accessory, Procedure",SD254,"covered stent (VIABAHN, Gore)",item,3768,1,,000,,CPT11,27
37226,RUC,"Accessory, Procedure",SD255,"Reentry device (Frontier, Outback, Pioneer)",item,,1,,000,,CPT11,27
37226,RUC,"Accessory, Procedure",SD256,"Embolic  Protection Device Spider FX (EV3, documentation available)",item,1365,1,,000,,CPT11,27
37226,RUC,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,,000,,CPT11,27
37226,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,000,,CPT11,27
37226,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,000,,CPT11,27
37226,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,000,,CPT11,27
37226,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,,000,,CPT11,27
37226,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,,000,,CPT11,27
37226,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,10,,000,,CPT11,27
37226,RUC,"Pharmacy, Rx",SH095,protamine sulfate 10 mg/ml (5ml uou vial),item,225,1,,000,,CPT11,27
37226,RUC,"Pharmacy, Rx",SH096,nitroglycerin injection USP 5 mg/mL (10ml uou vial),item,175,1,,000,,CPT11,27
37227,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,27
37227,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,CPT11,27
37227,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,000,,CPT11,27
37227,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT11,27
37227,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,,000,,CPT11,27
37227,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,000,,CPT11,27
37227,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,4,,000,,CPT11,27
37227,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,CPT11,27
37227,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,CPT11,27
37227,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,000,,CPT11,27
37227,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,000,,CPT11,27
37227,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,70,,000,,CPT11,27
37227,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,,000,,CPT11,27
37227,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,CPT11,27
37227,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,,000,,CPT11,27
37227,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,4,,000,,CPT11,27
37227,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,,000,,CPT11,27
37227,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,,000,,CPT11,27
37227,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,,000,,CPT11,27
37227,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,CPT11,27
37227,RUC,"Accessory, Procedure",SD171,"guidewire bowl w-lid, sterile",item,3,2,,000,,CPT11,27
37227,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,000,,CPT11,27
37227,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,CPT11,27
37227,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,000,,CPT11,27
37227,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,000,,CPT11,27
37227,RUC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,,000,,CPT11,27
37227,RUC,"Accessory, Procedure",SD249,"Sterile Radio-opaque ruler (le Maitre, documentation available)",item,46.95,1,,000,,CPT11,27
37227,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,,000,,CPT11,27
37227,RUC,"Accessory, Procedure",SD250,"introducer sheath, Ansel [45 cm 6 Fr Ansel]",item,90,1,,000,,CPT11,27
37227,RUC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,,000,,CPT11,27
37227,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,,000,,CPT11,27
37227,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,,000,,CPT11,27
37227,RUC,"Accessory, Procedure",SD252,"guidewire, Amplatz wire 260 cm",item,47,1,,000,,CPT11,27
37227,RUC,"Accessory, Procedure",SD147,"catheter, (Glide)",item,62,1,,000,,CPT11,27
37227,RUC,"Accessory, Procedure",SD173,"guidewire, low profile (SpartaCore)",item,101.25,1,,000,,CPT11,27
37227,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,,000,,CPT11,27
37227,RUC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,,000,,CPT11,27
37227,RUC,"Hypodermic, IV",SC096,"Quick Cross Catheter (Sprectranetics, documentation available)",item,197,1,,000,,CPT11,27
37227,RUC,"Accessory, Procedure",SD151,"catheter, balloon, low profile PTA",item,431.5,4,,000,,CPT11,27
37227,RUC,"Accessory, Procedure",SD253,atherectomy device  (Spectronetics laser or Fox Hollow),kit,4979.67,1,,000,,CPT11,27
37227,RUC,"Accessory, Procedure",SD254,"covered stent (VIABAHN, Gore)",item,3768,1,,000,,CPT11,27
37227,RUC,"Accessory, Procedure",SD255,"Reentry device (Frontier, Outback, Pioneer)",item,,1,,000,,CPT11,27
37227,RUC,"Accessory, Procedure",SD256,"Embolic  Protection Device Spider FX (EV3, documentation available)",item,1365,1,,000,,CPT11,27
37227,RUC,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,,000,,CPT11,27
37227,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,000,,CPT11,27
37227,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,000,,CPT11,27
37227,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,000,,CPT11,27
37227,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,,000,,CPT11,27
37227,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,,000,,CPT11,27
37227,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,10,,000,,CPT11,27
37227,RUC,"Pharmacy, Rx",SH095,protamine sulfate 10 mg/ml (5ml uou vial),item,225,1,,000,,CPT11,27
37227,RUC,"Pharmacy, Rx",SH096,nitroglycerin injection USP 5 mg/mL (10ml uou vial),item,175,1,,000,,CPT11,27
37228,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,27
37228,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,CPT11,27
37228,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,000,,CPT11,27
37228,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT11,27
37228,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,,000,,CPT11,27
37228,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,000,,CPT11,27
37228,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,4,,000,,CPT11,27
37228,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,CPT11,27
37228,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,CPT11,27
37228,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,000,,CPT11,27
37228,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,000,,CPT11,27
37228,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,70,,000,,CPT11,27
37228,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,,000,,CPT11,27
37228,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,CPT11,27
37228,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,,000,,CPT11,27
37228,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,4,,000,,CPT11,27
37228,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,,000,,CPT11,27
37228,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,,000,,CPT11,27
37228,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,,000,,CPT11,27
37228,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,CPT11,27
37228,RUC,"Accessory, Procedure",SD171,"guidewire bowl w-lid, sterile",item,3,2,,000,,CPT11,27
37228,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,000,,CPT11,27
37228,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,CPT11,27
37228,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,000,,CPT11,27
37228,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,000,,CPT11,27
37228,RUC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,,000,,CPT11,27
37228,RUC,"Accessory, Procedure",SD249,"Sterile Radio-opaque ruler (le Maitre, documentation available)",item,46.95,1,,000,,CPT11,27
37228,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,,000,,CPT11,27
37228,RUC,"Accessory, Procedure",SD250,"introducer sheath, Ansel [45 cm 6 Fr Ansel]",item,90,1,,000,,CPT11,27
37228,RUC,"Accessory, Procedure",SD251,Sheath Shuttle (Cook),item,,1,,000,,CPT11,27
37228,RUC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,,000,,CPT11,27
37228,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,,000,,CPT11,27
37228,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,,000,,CPT11,27
37228,RUC,"Accessory, Procedure",SD252,"guidewire, Amplatz wire 260 cm",item,47,1,,000,,CPT11,27
37228,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,,000,,CPT11,27
37228,RUC,"Accessory, Procedure",SD147,"catheter, (Glide)",item,62,1,,000,,CPT11,27
37228,RUC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,,000,,CPT11,27
37228,RUC,"Accessory, Procedure",SD173,"guidewire, low profile (SpartaCore)",item,101.25,2,,000,,CPT11,27
37228,RUC,"Hypodermic, IV",SC096,"Quick Cross Catheter (Sprectranetics, documentation available)",item,197,1,,000,,CPT11,27
37228,RUC,"Accessory, Procedure",SD151,"catheter, balloon, low profile PTA",item,431.5,2,,000,,CPT11,27
37228,RUC,"Accessory, Procedure",SD256,"Embolic  Protection Device Spider FX (EV3, documentation available)",item,1365,1,,000,,CPT11,27
37228,RUC,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,,000,,CPT11,27
37228,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,000,,CPT11,27
37228,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,6,,000,,CPT11,27
37228,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,000,,CPT11,27
37228,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,,000,,CPT11,27
37228,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,,000,,CPT11,27
37228,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,,000,,CPT11,27
37228,RUC,"Pharmacy, Rx",SH095,protamine sulfate 10 mg/ml (5ml uou vial),item,225,1,,000,,CPT11,27
37228,RUC,"Pharmacy, Rx",SH096,nitroglycerin injection USP 5 mg/mL (10ml uou vial),item,175,1,,000,,CPT11,27
37228,RUC,"Accessory, Procedure",SD154,"catheter, microcatheter (selective 3rd order)",item,337.88,1,,000,,CPT11,27
37229,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,27
37229,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,CPT11,27
37229,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,000,,CPT11,27
37229,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT11,27
37229,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,,000,,CPT11,27
37229,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,000,,CPT11,27
37229,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,4,,000,,CPT11,27
37229,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,CPT11,27
37229,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,CPT11,27
37229,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,000,,CPT11,27
37229,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,000,,CPT11,27
37229,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,70,,000,,CPT11,27
37229,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,,000,,CPT11,27
37229,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,CPT11,27
37229,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,,000,,CPT11,27
37229,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,4,,000,,CPT11,27
37229,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,,000,,CPT11,27
37229,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,,000,,CPT11,27
37229,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,,000,,CPT11,27
37229,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD171,"guidewire bowl w-lid, sterile",item,3,2,,000,,CPT11,27
37229,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,000,,CPT11,27
37229,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,CPT11,27
37229,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,000,,CPT11,27
37229,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,000,,CPT11,27
37229,RUC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD249,"Sterile Radio-opaque ruler (le Maitre, documentation available)",item,46.95,1,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD250,"introducer sheath, Ansel [45 cm 6 Fr Ansel]",item,90,1,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD251,Sheath Shuttle (Cook),item,,1,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD252,"guidewire, Amplatz wire 260 cm",item,47,1,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD173,"guidewire, low profile (SpartaCore)",item,101.25,3,,000,,CPT11,27
37229,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD147,"catheter, (Glide)",item,62,1,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD154,"catheter, microcatheter (selective 3rd order)",item,337.88,1,,000,,CPT11,27
37229,RUC,"Hypodermic, IV",SC096,"Quick Cross Catheter (Sprectranetics, documentation available)",item,197,1,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD151,"catheter, balloon, low profile PTA",item,431.5,2,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD253,atherectomy device  (Spectronetics laser or Fox Hollow),kit,4979.67,1,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD255,"Reentry device (Frontier, Outback, Pioneer)",item,,1,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,,000,,CPT11,27
37229,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,000,,CPT11,27
37229,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,000,,CPT11,27
37229,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,,000,,CPT11,27
37229,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,,000,,CPT11,27
37229,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,10,,000,,CPT11,27
37229,RUC,"Pharmacy, Rx",SH095,protamine sulfate 10 mg/ml (5ml uou vial),item,225,1,,000,,CPT11,27
37229,RUC,"Pharmacy, Rx",SH096,nitroglycerin injection USP 5 mg/mL (10ml uou vial),item,175,1,,000,,CPT11,27
37229,RUC,"Accessory, Procedure",SD256,"Embolic  Protection Device Spider FX (EV3, documentation available)",item,1365,1,,000,,CPT11,27
37229,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,6,,000,,CPT11,27
37230,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,27
37230,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,CPT11,27
37230,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,000,,CPT11,27
37230,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT11,27
37230,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,,000,,CPT11,27
37230,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,000,,CPT11,27
37230,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,4,,000,,CPT11,27
37230,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,CPT11,27
37230,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,CPT11,27
37230,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,000,,CPT11,27
37230,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,000,,CPT11,27
37230,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,70,,000,,CPT11,27
37230,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,,000,,CPT11,27
37230,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,CPT11,27
37230,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,,000,,CPT11,27
37230,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,4,,000,,CPT11,27
37230,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,,000,,CPT11,27
37230,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,,000,,CPT11,27
37230,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,,000,,CPT11,27
37230,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD171,"guidewire bowl w-lid, sterile",item,3,2,,000,,CPT11,27
37230,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,000,,CPT11,27
37230,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,CPT11,27
37230,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,000,,CPT11,27
37230,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,000,,CPT11,27
37230,RUC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD249,"Sterile Radio-opaque ruler (le Maitre, documentation available)",item,46.95,1,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD250,"introducer sheath, Ansel [45 cm 6 Fr Ansel]",item,90,1,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD251,Sheath Shuttle (Cook),item,,1,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD252,"guidewire, Amplatz wire 260 cm",item,47,1,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD173,"guidewire, low profile (SpartaCore)",item,101.25,3,,000,,CPT11,27
37230,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD147,"catheter, (Glide)",item,62,1,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD154,"catheter, microcatheter (selective 3rd order)",item,337.88,1,,000,,CPT11,27
37230,RUC,"Hypodermic, IV",SC096,"Quick Cross Catheter (Sprectranetics, documentation available)",item,197,1,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD151,"catheter, balloon, low profile PTA",item,431.5,2,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD266,"stent, self expanding 2-5 mm XPERT (Abbott)",item,2495,1,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD255,"Reentry device (Frontier, Outback, Pioneer)",item,,1,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,,000,,CPT11,27
37230,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,000,,CPT11,27
37230,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,000,,CPT11,27
37230,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,,000,,CPT11,27
37230,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,,000,,CPT11,27
37230,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,10,,000,,CPT11,27
37230,RUC,"Pharmacy, Rx",SH095,protamine sulfate 10 mg/ml (5ml uou vial),item,225,1,,000,,CPT11,27
37230,RUC,"Pharmacy, Rx",SH096,nitroglycerin injection USP 5 mg/mL (10ml uou vial),item,175,1,,000,,CPT11,27
37230,RUC,"Accessory, Procedure",SD256,"Embolic  Protection Device Spider FX (EV3, documentation available)",item,1365,1,,000,,CPT11,27
37230,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,6,,000,,CPT11,27
37231,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,27
37231,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,CPT11,27
37231,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,000,,CPT11,27
37231,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT11,27
37231,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,,000,,CPT11,27
37231,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,,000,,CPT11,27
37231,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,4,,000,,CPT11,27
37231,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,CPT11,27
37231,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,CPT11,27
37231,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,000,,CPT11,27
37231,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,000,,CPT11,27
37231,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,70,,000,,CPT11,27
37231,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,,000,,CPT11,27
37231,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,CPT11,27
37231,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,,000,,CPT11,27
37231,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,4,,000,,CPT11,27
37231,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,,000,,CPT11,27
37231,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,,000,,CPT11,27
37231,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,,000,,CPT11,27
37231,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD171,"guidewire bowl w-lid, sterile",item,3,2,,000,,CPT11,27
37231,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,000,,CPT11,27
37231,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,000,,CPT11,27
37231,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,000,,CPT11,27
37231,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,000,,CPT11,27
37231,RUC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD249,"Sterile Radio-opaque ruler (le Maitre, documentation available)",item,46.95,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD250,"introducer sheath, Ansel [45 cm 6 Fr Ansel]",item,90,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD251,Sheath Shuttle (Cook),item,,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD172,"guidewire, cerebral (Bentson)",item,14.5,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD252,"guidewire, Amplatz wire 260 cm",item,47,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD173,"guidewire, low profile (SpartaCore)",item,101.25,3,,000,,CPT11,27
37231,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD147,"catheter, (Glide)",item,62,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD148,"catheter, (SIM2F1)",item,17,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD154,"catheter, microcatheter (selective 3rd order)",item,337.88,1,,000,,CPT11,27
37231,RUC,"Hypodermic, IV",SC096,"Quick Cross Catheter (Sprectranetics, documentation available)",item,197,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD151,"catheter, balloon, low profile PTA",item,431.5,2,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD253,atherectomy device  (Spectronetics laser or Fox Hollow),kit,4979.67,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD266,"stent, self expanding 2-5 mm XPERT (Abbott)",item,2495,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD255,"Reentry device (Frontier, Outback, Pioneer)",item,,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,,000,,CPT11,27
37231,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,000,,CPT11,27
37231,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,000,,CPT11,27
37231,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,000,,CPT11,27
37231,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,,000,,CPT11,27
37231,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,,000,,CPT11,27
37231,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,10,,000,,CPT11,27
37231,RUC,"Pharmacy, Rx",SH095,protamine sulfate 10 mg/ml (5ml uou vial),item,225,1,,000,,CPT11,27
37231,RUC,"Pharmacy, Rx",SH096,nitroglycerin injection USP 5 mg/mL (10ml uou vial),item,175,1,,000,,CPT11,27
37231,RUC,"Accessory, Procedure",SD256,"Embolic  Protection Device Spider FX (EV3, documentation available)",item,1365,1,,000,,CPT11,27
37231,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,6,,000,,CPT11,27
37250,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
37251,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
37500,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
37500,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
37500,RUC,"Wound Care, Dressings",SG012,"bandage, elastic wrap 4in (Ace)",item,1.179,,3,090,,,
37500,RUC,"Wound Care, Dressings",SG013,"bandage, elastic wrap 6in (Ace)",item,1.539,,3,090,,,
37500,RUC,"Wound Care, Dressings",SG040,"dressing, 5in x 9in (Adaptic)",item,2.318,,3,090,,,
37501,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
37565,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
37565,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
37600,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
37600,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
37605,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
37605,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
37606,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
37606,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
37607,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
37607,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
37607,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
37607,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
37609,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
37609,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
37609,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,010,,,
37609,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
37609,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
37609,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
37609,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,1,010,,,
37609,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
37609,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,,010,,,
37609,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,,010,,,
37609,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,010,,,
37609,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,5,,010,,,
37609,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,5,1,010,,,
37609,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
37609,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
37609,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
37609,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
37609,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
37609,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,010,,,
37609,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
37609,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
37609,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
37609,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
37609,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
37609,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,010,,,
37609,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,010,,,
37609,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
37609,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
37615,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
37615,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
37616,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
37616,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
37617,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
37617,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
37618,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
37618,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
37620,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
37620,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
37650,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
37650,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
37660,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
37660,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
37700,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
37700,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
37718,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,88170,RUC05,
37718,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
37722,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,88170,RUC05,
37722,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
37735,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
37735,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
37760,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
37760,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
37761,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,30
37761,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,30
37765,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,090,,Feb10,21
37765,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Feb10,21
37765,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Feb10,21
37765,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,090,,Feb10,21
37765,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,Feb10,21
37765,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,090,,Feb10,21
37765,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,090,,Feb10,21
37765,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,Feb10,21
37765,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,Feb10,21
37765,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,090,,Feb10,21
37765,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,090,,Feb10,21
37765,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,090,,Feb10,21
37765,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,090,,Feb10,21
37765,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,,090,,Feb10,21
37765,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,090,,Feb10,21
37765,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,090,,Feb10,21
37765,RUC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,090,,Feb10,21
37765,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,,090,,Feb10,21
37765,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,,090,,Feb10,21
37765,RUC,"Hypodermic, IV",SC074,iv pressure infusor bag,item,18.46,1,,090,,Feb10,21
37765,RUC,"Accessory, Procedure",SD124,"tourniquet, non-latex 1in x 18in",item,0.226,1,,090,,Feb10,21
37765,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,1,,090,,Feb10,21
37765,RUC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,090,,Feb10,21
37765,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,090,,Feb10,21
37765,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,Feb10,21
37765,RUC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,,090,,Feb10,21
37765,RUC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,,090,,Feb10,21
37765,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,090,,Feb10,21
37765,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,,090,,Feb10,21
37765,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,090,,Feb10,21
37765,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,090,,Feb10,21
37765,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,090,,Feb10,21
37765,RUC,"Wound Care, Dressings",SG087,"stockings, knee length, 20-30mm compression",pair,49.673,1,,090,,Feb10,21
37765,RUC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,,090,,Feb10,21
37765,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,090,,Feb10,21
37765,RUC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,60,,090,,Feb10,21
37765,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,090,,Feb10,21
37765,RUC,"Pharmacy, Rx",SH090,sodium bicarbonate 8.4% inj w-needle (1ml uou),item,2.2,2,,090,,Feb10,21
37765,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,090,,Feb10,21
37765,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,090,,Feb10,21
37765,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,090,,Feb10,21
37765,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,100,,090,,Feb10,21
37765,RUC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,100,,090,,Feb10,21
37765,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,090,,Feb10,21
37765,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,090,,Feb10,21
37765,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,090,,Feb10,21
37765,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,,090,,Feb10,21
37766,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,090,,Feb10,21
37766,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Feb10,21
37766,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Feb10,21
37766,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,090,,Feb10,21
37766,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,Feb10,21
37766,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,090,,Feb10,21
37766,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,090,,Feb10,21
37766,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,Feb10,21
37766,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,090,,Feb10,21
37766,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,090,,Feb10,21
37766,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,090,,Feb10,21
37766,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,090,,Feb10,21
37766,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,090,,Feb10,21
37766,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,,090,,Feb10,21
37766,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,090,,Feb10,21
37766,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,090,,Feb10,21
37766,RUC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,090,,Feb10,21
37766,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,,090,,Feb10,21
37766,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,,090,,Feb10,21
37766,RUC,"Hypodermic, IV",SC074,iv pressure infusor bag,item,18.46,1,,090,,Feb10,21
37766,RUC,"Accessory, Procedure",SD124,"tourniquet, non-latex 1in x 18in",item,0.226,1,,090,,Feb10,21
37766,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,1,,090,,Feb10,21
37766,RUC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,090,,Feb10,21
37766,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,090,,Feb10,21
37766,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,090,,Feb10,21
37766,RUC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,,090,,Feb10,21
37766,RUC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,,090,,Feb10,21
37766,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,,090,,Feb10,21
37766,RUC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,,090,,Feb10,21
37766,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,090,,Feb10,21
37766,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,090,,Feb10,21
37766,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,090,,Feb10,21
37766,RUC,"Wound Care, Dressings",SG087,"stockings, knee length, 20-30mm compression",pair,49.673,1,,090,,Feb10,21
37766,RUC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,,090,,Feb10,21
37766,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,,090,,Feb10,21
37766,RUC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,100,,090,,Feb10,21
37766,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,090,,Feb10,21
37766,RUC,"Pharmacy, Rx",SH090,sodium bicarbonate 8.4% inj w-needle (1ml uou),item,2.2,2,,090,,Feb10,21
37766,RUC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,090,,Feb10,21
37766,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,090,,Feb10,21
37766,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,090,,Feb10,21
37766,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,100,,090,,Feb10,21
37766,RUC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,100,,090,,Feb10,21
37766,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,090,,Feb10,21
37766,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,090,,Feb10,21
37766,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,090,,Feb10,21
37766,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,,090,,Feb10,21
37780,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
37780,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
37785,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Jan04,19
37785,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Jan04,19
37785,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Jan04,19
37785,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Jan04,19
37785,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Jan04,19
37785,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Jan04,19
37785,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Jan04,19
37785,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Jan04,19
37785,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,3,0,090,,Jan04,19
37785,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,0,090,,Jan04,19
37785,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Jan04,19
37785,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Jan04,19
37785,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Jan04,19
37785,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,090,,Jan04,19
37785,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,090,,Jan04,19
37785,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Jan04,19
37785,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Jan04,19
37785,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Jan04,19
37785,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Jan04,19
37785,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,60,0,090,,Jan04,19
37785,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Jan04,19
37785,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,090,,Jan04,19
37785,PEAC,"Wound Care, Dressings",SG013,"bandage, elastic wrap 6in (Ace)",item,1.539,2,0,090,,Jan04,19
37785,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,4,0,090,,Jan04,19
37785,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Jan04,19
37785,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,090,,Jan04,19
37788,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,,
37788,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
37788,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
37788,CPEP,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,,2,090,,,
37790,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
37790,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
37790,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
37790,CPEP,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,,2,090,,,
37799,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
38100,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
38100,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
38101,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
38101,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
38102,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
38115,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
38115,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
38120,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,38100,,
38120,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,38100,,
38129,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
38200,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
38204,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
38205,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
38206,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
38207,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
38208,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
38209,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
38210,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
38211,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
38212,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
38213,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
38214,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
38215,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
38220,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,,
38220,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
38220,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
38220,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,XXX,,,
38220,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
38220,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,,,
38220,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,,,
38220,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
38220,PEAC,"Kit, Pack, Tray",SA062,"tray, bone marrow biopsy-aspiration",tray,24.271,1,,XXX,,,
38220,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
38220,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,,XXX,,,
38220,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,2,,XXX,,,
38220,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,XXX,,,
38221,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,,
38221,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
38221,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
38221,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,XXX,,,
38221,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
38221,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,,,
38221,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,,,
38221,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
38221,PEAC,"Kit, Pack, Tray",SA062,"tray, bone marrow biopsy-aspiration",tray,24.271,1,,XXX,,,
38221,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,2,,XXX,,,
38221,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
38221,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,,XXX,,,
38221,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,2,,XXX,,,
38221,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,XXX,,,
38230,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,Feb05,Q
38240,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
38241,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
38242,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
38300,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
38300,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
38300,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,010,,,
38300,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
38300,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
38300,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
38300,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,1,010,,,
38300,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
38300,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,,010,,,
38300,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,,010,,,
38300,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,2,,010,,,
38300,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,5,,010,,,
38300,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,5,1,010,,,
38300,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
38300,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
38300,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
38300,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
38300,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
38300,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,010,,,
38300,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,,
38300,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
38300,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
38300,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
38300,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
38300,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,010,,,
38300,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,,010,,,
38300,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
38300,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,,
38305,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Jan04,19
38305,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Jan04,19
38308,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Jan04,19
38308,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Jan04,19
38380,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
38380,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
38381,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
38381,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
38382,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
38382,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
38500,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
38500,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
38500,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
38500,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
38500,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
38500,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
38500,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
38500,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
38500,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
38500,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
38500,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
38500,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,1,,010,,,
38500,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
38500,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,1,1,010,,,
38500,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
38505,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
38505,PEAC,"Hypodermic, IV",SC032,"needle, biopsy for breast-prostate core sample",item,28.42,1,,000,,,
38505,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
38505,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
38505,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
38505,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
38505,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
38505,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,000,,,
38510,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
38510,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,010,,,
38510,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
38510,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
38510,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
38510,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
38510,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
38510,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
38510,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
38510,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,010,,,
38510,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
38510,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
38510,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
38510,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,010,,,
38510,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
38510,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
38510,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,1,,010,,,
38510,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
38510,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,1,1,010,,,
38510,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
38520,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,I
38520,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
38525,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
38525,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
38530,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
38530,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
38542,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr08,ss
38542,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
38550,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
38550,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
38555,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
38555,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
38562,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
38562,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
38564,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
38564,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
38570,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,010,,,
38570,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,010,,,
38570,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,010,,,
38570,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,010,,,
38571,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,010,,,
38571,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,010,,,
38571,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,010,,,
38571,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,010,,,
38572,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,010,,,
38572,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,010,,,
38572,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,010,,,
38572,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,010,,,
38589,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
38700,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
38700,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
38720,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
38720,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
38724,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
38724,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
38740,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
38740,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
38745,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
38745,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
38746,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
38747,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
38760,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
38760,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
38765,CPEP,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,,1,090,,,
38765,CPEP,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,,1,090,,,
38765,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
38765,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
38765,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,15,090,,,
38765,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,60,090,,,
38765,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,6,090,,,
38765,CPEP,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,,5,090,,,
38765,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,4,090,,,
38765,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,,
38765,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,36,090,,,
38770,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
38770,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
38780,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
38780,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
38790,CPEP,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,1,,000,,,
38790,CPEP,"Accessory, Procedure",SD088,guidewire,item,9.998,1,,000,,,
38790,CPEP,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,,000,,,
38790,CPEP,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,,000,,,
38790,CPEP,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
38790,CPEP,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,,000,,,
38790,CPEP,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
38790,CPEP,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,000,,,
38790,CPEP,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,000,,,
38790,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,000,,,
38790,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,3,,000,,,
38790,CPEP,"Gown, Drape",SB033,"mask, surgical",item,0.196,3,,000,,,
38790,CPEP,"Hypodermic, IV",SC002,angiocatheter set,item,11.272,1,,000,,,
38790,CPEP,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,,000,,,
38790,CPEP,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,,000,,,
38790,CPEP,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,000,,,
38790,CPEP,"Hypodermic, IV",SC041,"needle, arterial (Seldinger)",item,5.175,1,0,000,,,
38790,CPEP,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,000,,,
38790,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,,000,,,
38790,CPEP,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,3,,000,,,
38790,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,2,,000,,,
38790,CPEP,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,,
38790,CPEP,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,000,,,
38790,CPEP,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,,000,,,
38790,CPEP,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,,
38790,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,,000,,,
38792,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
38794,CPEP,NO DETAILS,SX004,CODE NOT COSTED,na,,,,090,,,
38999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
39000,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
39000,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
39010,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
39010,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
39200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,,
39200,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
39220,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
39220,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
39400,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
39400,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,010,,,
39499,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
39501,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
39501,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
39503,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
39503,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
39540,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
39540,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
39541,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
39541,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
39545,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
39545,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
39560,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,39501,,
39560,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
39561,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,39502,,
39561,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
39599,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
40490,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,000,,,
40490,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,000,,,
40490,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,,
40490,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,,
40490,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,000,,,
40490,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,0,000,,,
40490,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,000,,,
40490,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
40490,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,000,,,
40490,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,,
40490,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,,
40490,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,0,000,,,
40490,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,0,000,,,
40490,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,000,,,
40490,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,,
40490,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,,
40490,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,000,,,
40490,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,000,,,
40490,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
40500,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
40500,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
40500,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
40500,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
40500,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
40500,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,0,090,,Aug03,6
40500,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
40500,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Aug03,6
40500,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
40500,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
40500,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
40500,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
40500,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
40500,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
40500,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
40500,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
40500,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
40500,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
40500,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
40500,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
40510,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
40510,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
40510,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
40510,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
40510,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
40510,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,0,090,,Aug03,6
40510,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
40510,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Aug03,6
40510,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
40510,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
40510,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
40510,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
40510,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
40510,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,6
40510,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
40510,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
40510,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
40510,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
40510,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
40510,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
40520,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
40520,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
40520,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
40520,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
40520,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
40520,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,0,090,,Aug03,6
40520,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
40520,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Aug03,6
40520,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
40520,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
40520,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
40520,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
40520,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
40520,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,6
40520,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
40520,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
40520,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
40520,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
40520,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
40520,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
40525,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
40525,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
40525,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
40525,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
40527,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
40527,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
40527,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
40527,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
40530,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
40530,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
40530,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
40530,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
40530,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
40530,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,0,090,,Aug03,6
40530,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
40530,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Aug03,6
40530,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
40530,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
40530,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
40530,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
40530,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
40530,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,6
40530,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
40530,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
40530,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
40530,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
40530,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
40530,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
40650,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
40650,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
40650,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
40650,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
40650,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
40650,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,0,090,,Aug03,6
40650,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
40650,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Aug03,6
40650,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
40650,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
40650,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
40650,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
40650,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
40650,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,6
40650,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
40650,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
40650,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
40650,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
40650,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
40650,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
40652,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
40652,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
40652,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
40652,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
40652,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
40652,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,0,090,,Aug03,6
40652,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
40652,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Aug03,6
40652,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
40652,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
40652,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
40652,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
40652,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
40652,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,6
40652,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
40652,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
40652,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
40652,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
40652,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
40652,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
40654,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Aug03,6
40654,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
40654,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
40654,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
40654,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Aug03,6
40654,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,0,090,,Aug03,6
40654,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
40654,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Aug03,6
40654,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
40654,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Aug03,6
40654,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,090,,Aug03,6
40654,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,Aug03,6
40654,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
40654,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Aug03,6
40654,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
40654,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,090,,Aug03,6
40654,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Aug03,6
40654,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Aug03,6
40654,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,090,,Aug03,6
40654,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
40700,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
40700,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
40700,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
40700,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
40701,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
40701,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
40701,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
40701,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
40702,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
40702,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
40702,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
40702,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
40720,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
40720,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
40720,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
40720,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
40761,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
40761,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
40761,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
40761,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
40799,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
40800,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Mar03,9
40800,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,010,,Mar03,9
40800,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,010,,Mar03,9
40800,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Mar03,9
40800,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,9
40800,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,9
40800,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,9
40800,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar03,9
40800,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,010,,Mar03,9
40800,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar03,9
40800,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,9
40800,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar03,9
40800,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar03,9
40800,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar03,9
40800,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Mar03,9
40800,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Mar03,9
40800,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Mar03,9
40800,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,9
40800,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,Mar03,9
40800,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,9
40800,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,010,,Mar03,9
40800,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,9
40800,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,010,,Mar03,9
40800,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar03,9
40800,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,0,010,,Mar03,9
40800,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Mar03,9
40800,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,010,,Mar03,9
40800,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,010,,Mar03,9
40800,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,9
40800,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,0,010,,Mar03,9
40801,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Mar03,9
40801,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,010,,Mar03,9
40801,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,010,,Mar03,9
40801,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Mar03,9
40801,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,9
40801,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,9
40801,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,Mar03,9
40801,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar03,9
40801,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,010,,Mar03,9
40801,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar03,9
40801,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,9
40801,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar03,9
40801,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar03,9
40801,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar03,9
40801,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Mar03,9
40801,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Mar03,9
40801,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Mar03,9
40801,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,9
40801,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,Mar03,9
40801,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,9
40801,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,010,,Mar03,9
40801,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,9
40801,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,010,,Mar03,9
40801,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar03,9
40801,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,0,010,,Mar03,9
40801,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Mar03,9
40801,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,010,,Mar03,9
40801,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,010,,Mar03,9
40801,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,9
40801,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,0,010,,Mar03,9
40804,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Mar03,9
40804,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,010,,Mar03,9
40804,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,010,,Mar03,9
40804,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Mar03,9
40804,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,9
40804,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,9
40804,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,9
40804,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar03,9
40804,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,010,,Mar03,9
40804,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar03,9
40804,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,9
40804,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar03,9
40804,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar03,9
40804,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar03,9
40804,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Mar03,9
40804,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Mar03,9
40804,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Mar03,9
40804,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,9
40804,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,Mar03,9
40804,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,9
40804,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,010,,Mar03,9
40804,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,9
40804,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,010,,Mar03,9
40804,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar03,9
40804,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,0,010,,Mar03,9
40804,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Mar03,9
40804,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,010,,Mar03,9
40804,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,010,,Mar03,9
40804,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,9
40805,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Mar03,9
40805,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,010,,Mar03,9
40805,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,010,,Mar03,9
40805,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Mar03,9
40805,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,9
40805,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,9
40805,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,Mar03,9
40805,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar03,9
40805,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,010,,Mar03,9
40805,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar03,9
40805,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,9
40805,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar03,9
40805,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar03,9
40805,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar03,9
40805,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Mar03,9
40805,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Mar03,9
40805,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Mar03,9
40805,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,9
40805,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,Mar03,9
40805,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,9
40805,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,010,,Mar03,9
40805,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,9
40805,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,010,,Mar03,9
40805,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar03,9
40805,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,0,010,,Mar03,9
40805,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Mar03,9
40805,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,010,,Mar03,9
40805,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,010,,Mar03,9
40805,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,9
40805,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,0,010,,Mar03,9
40806,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,Mar03,9
40806,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,Mar03,9
40806,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,000,,Mar03,9
40806,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,000,,Mar03,9
40806,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,000,,Mar03,9
40806,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,Mar03,9
40806,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,000,,Mar03,9
40806,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Mar03,9
40806,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,000,,Mar03,9
40806,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,Mar03,9
40806,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Mar03,9
40806,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,Mar03,9
40806,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Mar03,9
40806,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Mar03,9
40806,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,000,,Mar03,9
40806,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,Mar03,9
40806,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,9
40806,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Mar03,9
40806,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,Mar03,9
40806,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,0,000,,Mar03,9
40806,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,000,,Mar03,9
40806,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,000,,Mar03,9
40806,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,Mar03,9
40808,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Mar03,9
40808,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,010,,Mar03,9
40808,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,010,,Mar03,9
40808,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Mar03,9
40808,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,9
40808,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,9
40808,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,9
40808,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar03,9
40808,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,010,,Mar03,9
40808,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar03,9
40808,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,9
40808,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar03,9
40808,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar03,9
40808,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar03,9
40808,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Mar03,9
40808,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Mar03,9
40808,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Mar03,9
40808,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,9
40808,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,9
40808,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,9
40808,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,010,,Mar03,9
40808,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,9
40808,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar03,9
40808,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,0,010,,Mar03,9
40808,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Mar03,9
40808,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,010,,Mar03,9
40808,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,010,,Mar03,9
40808,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,9
40810,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Mar03,9
40810,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,010,,Mar03,9
40810,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,010,,Mar03,9
40810,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Mar03,9
40810,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,9
40810,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,9
40810,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,9
40810,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar03,9
40810,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,010,,Mar03,9
40810,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar03,9
40810,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,9
40810,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar03,9
40810,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar03,9
40810,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar03,9
40810,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Mar03,9
40810,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Mar03,9
40810,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Mar03,9
40810,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,9
40810,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,9
40810,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,9
40810,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,010,,Mar03,9
40810,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,9
40810,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar03,9
40810,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,0,010,,Mar03,9
40810,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Mar03,9
40810,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,010,,Mar03,9
40810,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,010,,Mar03,9
40810,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,9
40812,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Mar03,9
40812,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,010,,Mar03,9
40812,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,010,,Mar03,9
40812,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Mar03,9
40812,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,9
40812,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,9
40812,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,Mar03,9
40812,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar03,9
40812,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,010,,Mar03,9
40812,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar03,9
40812,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,9
40812,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar03,9
40812,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar03,9
40812,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar03,9
40812,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Mar03,9
40812,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Mar03,9
40812,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Mar03,9
40812,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,9
40812,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,Mar03,9
40812,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,9
40812,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,010,,Mar03,9
40812,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,9
40812,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar03,9
40812,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,0,010,,Mar03,9
40812,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Mar03,9
40812,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,010,,Mar03,9
40812,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,010,,Mar03,9
40812,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,9
40814,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,090,,Mar03,9
40814,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,3,2,090,,Mar03,9
40814,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,3,2,090,,Mar03,9
40814,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,9
40814,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,9
40814,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,9
40814,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,9
40814,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,9
40814,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,090,,Mar03,9
40814,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,9
40814,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,9
40814,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,9
40814,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,9
40814,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,9
40814,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Mar03,9
40814,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Mar03,9
40814,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,9
40814,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,9
40814,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Mar03,9
40814,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,9
40814,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,9
40814,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar03,9
40814,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,9
40814,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,6,0,090,,Mar03,9
40814,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar03,9
40814,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,090,,Mar03,9
40814,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,090,,Mar03,9
40814,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,9
40816,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,090,,Mar03,9
40816,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,3,2,090,,Mar03,9
40816,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,3,2,090,,Mar03,9
40816,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,9
40816,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,9
40816,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,9
40816,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,9
40816,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,9
40816,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,090,,Mar03,9
40816,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,9
40816,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,9
40816,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,9
40816,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,9
40816,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,9
40816,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Mar03,9
40816,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,2,0,090,,Mar03,9
40816,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,9
40816,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,9
40816,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Mar03,9
40816,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,9
40816,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,9
40816,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar03,9
40816,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,9
40816,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,6,0,090,,Mar03,9
40816,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar03,9
40816,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,090,,Mar03,9
40816,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,090,,Mar03,9
40816,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,9
40818,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,090,,Mar03,9
40818,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,3,2,090,,Mar03,9
40818,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,3,2,090,,Mar03,9
40818,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,9
40818,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,9
40818,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,9
40818,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,9
40818,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,9
40818,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,090,,Mar03,9
40818,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,9
40818,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,9
40818,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,9
40818,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,9
40818,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,9
40818,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Mar03,9
40818,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,2,0,090,,Mar03,9
40818,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,9
40818,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,9
40818,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Mar03,9
40818,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,9
40818,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,9
40818,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar03,9
40818,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,9
40818,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,6,0,090,,Mar03,9
40818,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar03,9
40818,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,090,,Mar03,9
40818,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,090,,Mar03,9
40818,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,9
40819,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,090,,Mar03,9
40819,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,3,2,090,,Mar03,9
40819,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,3,2,090,,Mar03,9
40819,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,9
40819,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,9
40819,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,9
40819,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,9
40819,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,9
40819,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,090,,Mar03,9
40819,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,9
40819,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,9
40819,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,9
40819,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,9
40819,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,9
40819,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Mar03,9
40819,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,2,0,090,,Mar03,9
40819,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,9
40819,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,9
40819,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Mar03,9
40819,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,9
40819,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,9
40819,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar03,9
40819,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,9
40819,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,6,0,090,,Mar03,9
40819,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar03,9
40819,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,090,,Mar03,9
40819,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,090,,Mar03,9
40819,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,9
40820,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,010,,Mar04,J
40820,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,3,2,010,,Mar04,J
40820,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,3,2,010,,Mar04,J
40820,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Mar04,J
40820,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar04,J
40820,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar04,J
40820,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,J
40820,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,J
40820,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,3,2,010,,Mar04,J
40820,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,010,,Mar04,J
40820,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,J
40820,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,4,2,010,,Mar04,J
40820,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,2,010,,Mar04,J
40820,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,J
40820,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,010,,Mar04,J
40820,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,3,2,010,,Mar04,J
40820,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Mar04,J
40820,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar04,J
40820,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,3,2,010,,Mar04,J
40820,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,J
40820,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,Mar04,J
40820,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,3,2,010,,Mar04,J
40820,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Mar04,J
40820,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,14,12,010,,Mar04,J
40820,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,010,,Mar04,J
40820,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Mar04,J
40820,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,3,2,010,,Mar04,J
40820,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,010,,Mar04,J
40820,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,J
40830,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Mar03,9
40830,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,010,,Mar03,9
40830,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,010,,Mar03,9
40830,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Mar03,9
40830,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,9
40830,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,9
40830,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,9
40830,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar03,9
40830,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,010,,Mar03,9
40830,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar03,9
40830,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,9
40830,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar03,9
40830,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar03,9
40830,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar03,9
40830,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Mar03,9
40830,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Mar03,9
40830,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Mar03,9
40830,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,9
40830,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,Mar03,9
40830,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,9
40830,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,9
40830,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,010,,Mar03,9
40830,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar03,9
40830,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,0,010,,Mar03,9
40830,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Mar03,9
40830,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,010,,Mar03,9
40830,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,010,,Mar03,9
40830,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,9
40831,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Mar03,9
40831,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,010,,Mar03,9
40831,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,010,,Mar03,9
40831,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Mar03,9
40831,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,9
40831,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,9
40831,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,Mar03,9
40831,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar03,9
40831,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,010,,Mar03,9
40831,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar03,9
40831,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,9
40831,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar03,9
40831,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar03,9
40831,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar03,9
40831,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Mar03,9
40831,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Mar03,9
40831,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Mar03,9
40831,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,9
40831,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,010,,Mar03,9
40831,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,9
40831,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,9
40831,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,010,,Mar03,9
40831,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar03,9
40831,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,0,010,,Mar03,9
40831,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Mar03,9
40831,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,010,,Mar03,9
40831,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,010,,Mar03,9
40831,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,9
40831,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,0,010,,Mar03,9
40840,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
40840,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
40840,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
40840,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
40840,PEAC,"Cutters, Closures, Cautery",SF051,"suture, polyester, 0 to 3-0 (Mersilene)",item,3.8953,2,0,090,,Aug03,6
40840,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
40840,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
40840,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
40840,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
40840,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
40840,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
40840,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
40840,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
40840,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
40840,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
40840,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
40840,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
40840,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
40840,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
40840,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
40840,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
40840,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
40840,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
40840,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
40840,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
40840,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
40840,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Aug03,6
40840,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
40840,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,8,0,090,,Aug03,6
40840,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,1,0,090,,Aug03,6
40840,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
40840,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,1,0,090,,Aug03,6
40840,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
40842,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
40842,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
40842,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
40842,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
40842,PEAC,"Cutters, Closures, Cautery",SF051,"suture, polyester, 0 to 3-0 (Mersilene)",item,3.8953,2,0,090,,Aug03,6
40842,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
40842,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
40842,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
40842,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
40842,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
40842,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
40842,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
40842,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
40842,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
40842,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
40842,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
40842,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
40842,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
40842,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
40842,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
40842,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
40842,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
40842,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
40842,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
40842,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
40842,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
40842,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Aug03,6
40842,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
40842,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,8,0,090,,Aug03,6
40842,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,1,0,090,,Aug03,6
40842,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
40842,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,1,0,090,,Aug03,6
40842,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
40843,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
40843,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
40843,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
40843,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
40843,PEAC,"Cutters, Closures, Cautery",SF051,"suture, polyester, 0 to 3-0 (Mersilene)",item,3.8953,4,0,090,,Aug03,6
40843,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
40843,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
40843,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
40843,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,4,0,090,,Aug03,6
40843,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
40843,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
40843,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
40843,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
40843,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
40843,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
40843,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
40843,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
40843,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
40843,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
40843,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
40843,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
40843,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
40843,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,6
40843,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
40843,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
40843,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,2,0,090,,Aug03,6
40843,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Aug03,6
40843,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
40843,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,8,0,090,,Aug03,6
40843,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,1,0,090,,Aug03,6
40843,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
40843,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,1,0,090,,Aug03,6
40843,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
40844,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
40844,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
40844,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
40844,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
40844,PEAC,"Cutters, Closures, Cautery",SF051,"suture, polyester, 0 to 3-0 (Mersilene)",item,3.8953,4,0,090,,Aug03,6
40844,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
40844,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
40844,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
40844,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,4,0,090,,Aug03,6
40844,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
40844,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
40844,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
40844,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
40844,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
40844,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
40844,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
40844,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
40844,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
40844,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
40844,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
40844,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
40844,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
40844,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,6
40844,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
40844,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
40844,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
40844,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Aug03,6
40844,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
40844,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,12,0,090,,Aug03,6
40844,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,1,0,090,,Aug03,6
40844,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
40844,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,1,0,090,,Aug03,6
40844,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
40845,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
40845,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
40845,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
40845,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
40845,PEAC,"Cutters, Closures, Cautery",SF051,"suture, polyester, 0 to 3-0 (Mersilene)",item,3.8953,4,0,090,,Aug03,6
40845,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
40845,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
40845,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
40845,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,4,0,090,,Aug03,6
40845,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
40845,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
40845,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
40845,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
40845,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
40845,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
40845,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
40845,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
40845,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
40845,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
40845,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
40845,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
40845,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
40845,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,6,5,090,,Aug03,6
40845,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
40845,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
40845,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
40845,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Aug03,6
40845,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
40845,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,12,0,090,,Aug03,6
40845,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,1,0,090,,Aug03,6
40845,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
40845,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,1,0,090,,Aug03,6
40845,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,090,,Aug03,6
40899,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
41000,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
41000,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,010,,,
41000,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
41000,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
41000,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
41000,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
41000,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
41000,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,010,,,
41000,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
41000,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
41000,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
41000,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,010,,,
41000,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
41000,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,010,,,
41005,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,010,,Aug03,6
41005,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,010,,Aug03,6
41005,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,010,,Aug03,6
41005,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,010,,Aug03,6
41005,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Aug03,6
41005,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Aug03,6
41005,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Aug03,6
41005,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,010,,Aug03,6
41005,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Aug03,6
41005,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Aug03,6
41005,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,010,,Aug03,6
41005,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Aug03,6
41005,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Aug03,6
41005,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Aug03,6
41005,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Aug03,6
41005,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,010,,Aug03,6
41005,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Aug03,6
41005,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Aug03,6
41005,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Aug03,6
41005,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Aug03,6
41005,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Aug03,6
41005,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Aug03,6
41005,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Aug03,6
41005,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Aug03,6
41005,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,010,,Aug03,6
41005,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,010,,Aug03,6
41005,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Aug03,6
41005,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Aug03,6
41005,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,010,,Aug03,6
41005,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Aug03,6
41005,PEAC,"Wound Care, Dressings",SG064,"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)",item,4.08,1,0,010,,Aug03,6
41005,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,0,010,,Aug03,6
41006,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
41006,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
41006,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
41006,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
41006,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
41006,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
41006,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
41006,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Aug03,6
41006,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
41006,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
41006,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
41006,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
41006,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
41006,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
41006,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
41006,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
41006,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
41006,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
41006,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
41006,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
41006,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
41006,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,6
41006,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
41006,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
41006,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
41006,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
41006,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
41006,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
41006,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
41006,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
41006,PEAC,"Wound Care, Dressings",SG064,"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)",item,4.08,1,0,090,,Aug03,6
41006,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,0,090,,Aug03,6
41007,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
41007,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
41007,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
41007,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
41007,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
41007,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
41007,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
41007,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Aug03,6
41007,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
41007,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
41007,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
41007,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
41007,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
41007,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
41007,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
41007,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
41007,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
41007,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
41007,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
41007,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
41007,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
41007,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,6
41007,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
41007,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
41007,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
41007,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
41007,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
41007,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
41007,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
41007,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
41007,PEAC,"Wound Care, Dressings",SG064,"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)",item,4.08,1,0,090,,Aug03,6
41007,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,0,090,,Aug03,6
41008,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
41008,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
41008,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
41008,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
41008,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
41008,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
41008,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
41008,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Aug03,6
41008,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
41008,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
41008,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
41008,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
41008,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
41008,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
41008,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
41008,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
41008,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
41008,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
41008,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
41008,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
41008,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
41008,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,6
41008,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
41008,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
41008,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
41008,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
41008,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
41008,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
41008,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
41008,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
41008,PEAC,"Wound Care, Dressings",SG064,"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)",item,4.08,1,0,090,,Aug03,6
41008,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,0,090,,Aug03,6
41009,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
41009,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
41009,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
41009,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
41009,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
41009,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
41009,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
41009,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Aug03,6
41009,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
41009,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
41009,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
41009,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
41009,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
41009,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
41009,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
41009,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
41009,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
41009,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
41009,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
41009,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
41009,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
41009,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,6
41009,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
41009,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
41009,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
41009,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
41009,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
41009,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
41009,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
41009,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
41009,PEAC,"Wound Care, Dressings",SG064,"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)",item,4.08,1,0,090,,Aug03,6
41009,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,0,090,,Aug03,6
41010,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Mar04,J
41010,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,010,,Mar04,J
41010,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,010,,Mar04,J
41010,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Mar04,J
41010,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar04,J
41010,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar04,J
41010,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,J
41010,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar04,J
41010,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,J
41010,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,J
41010,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Mar04,J
41010,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,010,,Mar04,J
41010,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,J
41010,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,J
41010,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,J
41010,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,J
41010,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,010,,Mar04,J
41010,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Mar04,J
41010,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Mar04,J
41010,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar04,J
41010,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Mar04,J
41010,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,J
41010,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,J
41010,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar04,J
41010,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,1,010,,Mar04,J
41010,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,010,,Mar04,J
41010,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,J
41010,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,0,010,,Mar04,J
41010,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Mar04,J
41010,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar04,J
41010,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,010,,Mar04,J
41010,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,J
41015,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
41015,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
41015,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,6,4,090,,Aug03,6
41015,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
41015,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
41015,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
41015,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
41015,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,4,2,090,,Aug03,6
41015,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,2,090,,Aug03,6
41015,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
41015,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
41015,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
41015,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
41015,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
41015,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
41015,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
41015,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,6
41015,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,2,2,090,,Aug03,6
41015,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
41015,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,15,5,090,,Aug03,6
41015,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
41015,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
41015,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
41015,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
41015,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
41015,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,0,2,090,,Aug03,6
41015,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
41015,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,2,0,090,,Aug03,6
41016,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
41016,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
41016,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,6,4,090,,Aug03,6
41016,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
41016,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
41016,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
41016,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
41016,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,4,2,090,,Aug03,6
41016,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,2,090,,Aug03,6
41016,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
41016,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
41016,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
41016,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
41016,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
41016,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
41016,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
41016,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,6
41016,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,2,2,090,,Aug03,6
41016,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
41016,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,15,5,090,,Aug03,6
41016,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
41016,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
41016,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
41016,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
41016,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
41016,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,0,2,090,,Aug03,6
41016,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
41016,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,2,0,090,,Aug03,6
41017,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
41017,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
41017,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,6,4,090,,Aug03,6
41017,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
41017,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
41017,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
41017,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
41017,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,4,2,090,,Aug03,6
41017,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,2,090,,Aug03,6
41017,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
41017,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
41017,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
41017,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
41017,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
41017,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
41017,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
41017,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,6
41017,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,2,2,090,,Aug03,6
41017,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
41017,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,15,5,090,,Aug03,6
41017,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
41017,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
41017,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
41017,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
41017,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
41017,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,0,2,090,,Aug03,6
41017,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
41017,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,2,0,090,,Aug03,6
41018,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
41018,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
41018,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,6,4,090,,Aug03,6
41018,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
41018,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
41018,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
41018,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
41018,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,4,2,090,,Aug03,6
41018,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,2,090,,Aug03,6
41018,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
41018,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
41018,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
41018,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
41018,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
41018,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
41018,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
41018,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,6
41018,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,2,2,090,,Aug03,6
41018,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
41018,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,15,5,090,,Aug03,6
41018,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
41018,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
41018,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
41018,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
41018,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
41018,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,0,2,090,,Aug03,6
41018,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
41018,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,2,0,090,,Aug03,6
41019,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,CPT08,28
41100,PEAC,"Accessory, Procedure",SD006,bite block,item,1.5,1,,010,,,
41100,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
41100,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
41100,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
41100,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
41100,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
41100,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
41100,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,,010,,,
41100,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,,010,,,
41100,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,1,010,,,
41100,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
41100,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,1,010,,,
41100,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,1,010,,,
41100,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,1,010,,,
41100,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,,010,,,
41100,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
41100,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,010,,,
41100,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
41100,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,1,010,,,
41100,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,,010,,,
41100,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
41100,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,,010,,,
41100,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,010,,,
41100,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,010,,,
41100,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,010,,,
41100,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,1,010,,,
41100,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
41105,PEAC,"Accessory, Procedure",SD006,bite block,item,1.5,1,,010,,,
41105,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
41105,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
41105,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
41105,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
41105,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
41105,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
41105,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,,010,,,
41105,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,,010,,,
41105,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,1,010,,,
41105,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
41105,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,1,010,,,
41105,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,1,010,,,
41105,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,1,010,,,
41105,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,,010,,,
41105,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
41105,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,010,,,
41105,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
41105,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,1,010,,,
41105,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,,010,,,
41105,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
41105,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,,010,,,
41105,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,010,,,
41105,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,010,,,
41105,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,010,,,
41105,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,1,010,,,
41105,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
41108,PEAC,"Accessory, Procedure",SD006,bite block,item,1.5,1,,010,,,
41108,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
41108,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
41108,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
41108,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
41108,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
41108,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
41108,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,,010,,,
41108,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,,010,,,
41108,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,1,010,,,
41108,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
41108,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,1,010,,,
41108,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,1,010,,,
41108,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,1,010,,,
41108,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,,010,,,
41108,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
41108,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,010,,,
41108,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
41108,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,1,010,,,
41108,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,,010,,,
41108,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,010,,,
41108,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,,010,,,
41108,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,010,,,
41108,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,010,,,
41108,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,010,,,
41108,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,1,010,,,
41108,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
41110,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Mar03,9
41110,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,010,,Mar03,9
41110,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,010,,Mar03,9
41110,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Mar03,9
41110,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar03,9
41110,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,9
41110,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,9
41110,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar03,9
41110,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,010,,Mar03,9
41110,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar03,9
41110,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,9
41110,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar03,9
41110,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar03,9
41110,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar03,9
41110,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Mar03,9
41110,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Mar03,9
41110,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Mar03,9
41110,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,9
41110,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,9
41110,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar03,9
41110,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,010,,Mar03,9
41110,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,9
41110,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar03,9
41110,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,0,010,,Mar03,9
41110,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Mar03,9
41110,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,010,,Mar03,9
41110,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,010,,Mar03,9
41110,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,9
41112,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,090,,Mar03,9
41112,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,3,2,090,,Mar03,9
41112,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,3,2,090,,Mar03,9
41112,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,9
41112,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,9
41112,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,9
41112,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,9
41112,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,9
41112,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,090,,Mar03,9
41112,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,9
41112,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,9
41112,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,9
41112,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,9
41112,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,9
41112,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Mar03,9
41112,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,2,0,090,,Mar03,9
41112,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,9
41112,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,9
41112,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Mar03,9
41112,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,9
41112,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,9
41112,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar03,9
41112,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,9
41112,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,6,0,090,,Mar03,9
41112,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar03,9
41112,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,090,,Mar03,9
41112,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,090,,Mar03,9
41112,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,9
41113,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,090,,Mar03,9
41113,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,3,2,090,,Mar03,9
41113,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,3,2,090,,Mar03,9
41113,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar03,9
41113,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,9
41113,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,9
41113,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,9
41113,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,9
41113,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,0,090,,Mar03,9
41113,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,9
41113,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,9
41113,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,9
41113,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,9
41113,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,9
41113,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Mar03,9
41113,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,2,0,090,,Mar03,9
41113,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,9
41113,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,9
41113,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Mar03,9
41113,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar03,9
41113,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,9
41113,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar03,9
41113,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,9
41113,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,6,0,090,,Mar03,9
41113,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar03,9
41113,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,090,,Mar03,9
41113,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,090,,Mar03,9
41113,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,9
41114,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3.5,090,,Mar03,9
41114,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3.5,090,,Mar03,9
41114,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3.5,090,,Mar03,9
41114,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar03,9
41114,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar03,9
41115,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Mar04,J
41115,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,010,,Mar04,J
41115,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,010,,Mar04,J
41115,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Mar04,J
41115,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar04,J
41115,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar04,J
41115,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,J
41115,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar04,J
41115,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,J
41115,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,J
41115,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Mar04,J
41115,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,010,,Mar04,J
41115,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,J
41115,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,J
41115,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,J
41115,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,J
41115,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,010,,Mar04,J
41115,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Mar04,J
41115,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Mar04,J
41115,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar04,J
41115,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Mar04,J
41115,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,J
41115,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,J
41115,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Mar04,J
41115,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,010,,Mar04,J
41115,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,1,010,,Mar04,J
41115,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,010,,Mar04,J
41115,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,J
41115,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,0,010,,Mar04,J
41115,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Mar04,J
41115,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar04,J
41115,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,010,,Mar04,J
41115,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,J
41116,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,090,,Mar04,J
41116,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,090,,Mar04,J
41116,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,090,,Mar04,J
41116,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar04,J
41116,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar04,J
41116,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar04,J
41116,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar04,J
41116,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar04,J
41116,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar04,J
41116,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar04,J
41116,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,1,090,,Mar04,J
41116,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Mar04,J
41116,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar04,J
41116,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar04,J
41116,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar04,J
41116,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar04,J
41116,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Mar04,J
41116,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Mar04,J
41116,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Mar04,J
41116,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Mar04,J
41116,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar04,J
41116,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar04,J
41116,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2.5,1.5,090,,Mar04,J
41116,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar04,J
41116,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar04,J
41116,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,1,090,,Mar04,J
41116,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar04,J
41116,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar04,J
41116,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,0,090,,Mar04,J
41116,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar04,J
41116,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Mar04,J
41116,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Mar04,J
41116,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar04,J
41120,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
41120,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4,090,,Mar04,I
41120,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,4,090,,Mar04,I
41120,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
41120,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
41120,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
41120,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
41120,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
41120,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
41120,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
41120,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
41120,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Mar04,I
41120,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Mar04,I
41130,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
41130,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4,090,,Mar04,I
41130,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,4,090,,Mar04,I
41130,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
41130,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
41130,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
41130,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
41130,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
41130,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
41130,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
41130,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
41130,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Mar04,I
41130,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Mar04,I
41135,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
41135,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4,090,,Mar04,I
41135,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,4,090,,Mar04,I
41135,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
41135,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
41135,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
41135,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
41135,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
41135,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
41135,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
41135,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
41135,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
41135,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
41135,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Mar04,I
41135,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Mar04,I
41140,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,Mar04,I
41140,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,5,090,,Mar04,I
41140,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,5,090,,Mar04,I
41140,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,5,090,,Mar04,I
41140,PEAC,"Accessory, Procedure",SD209,tracheostomy tube,item,20.934,,1,090,,Mar04,I
41140,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,Mar04,I
41140,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,Mar04,I
41140,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,5,090,,Mar04,I
41140,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,5,090,,Mar04,I
41140,PEAC,"Kit, Pack, Tray",SA035,"kit, tracheostomy care",kit,2.085,,2,090,,Mar04,I
41140,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
41140,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
41140,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
41140,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
41140,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
41140,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Mar04,I
41140,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Mar04,I
41145,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,6.5,090,,Mar04,I
41145,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,6.5,090,,Mar04,I
41145,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,6.5,090,,Mar04,I
41145,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6.5,090,,Mar04,I
41145,PEAC,"Accessory, Procedure",SD209,tracheostomy tube,item,20.934,,1,090,,Mar04,I
41145,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,5.5,090,,Mar04,I
41145,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6.5,090,,Mar04,I
41145,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6.5,090,,Mar04,I
41145,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,6.5,090,,Mar04,I
41145,PEAC,"Kit, Pack, Tray",SA035,"kit, tracheostomy care",kit,2.085,,2,090,,Mar04,I
41145,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,5,090,,Mar04,I
41145,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
41145,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
41145,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
41145,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,5,090,,Mar04,I
41145,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,10,090,,Mar04,I
41145,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,20,090,,Mar04,I
41150,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,Mar04,I
41150,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,5,090,,Mar04,I
41150,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,5,090,,Mar04,I
41150,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,5,090,,Mar04,I
41150,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,Mar04,I
41150,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,Mar04,I
41150,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,5,090,,Mar04,I
41150,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,5,090,,Mar04,I
41150,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
41150,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
41150,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
41150,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
41150,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
41150,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Mar04,I
41150,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Mar04,I
41153,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,Mar04,I
41153,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,5,090,,Mar04,I
41153,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,5,090,,Mar04,I
41153,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,5,090,,Mar04,I
41153,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,Mar04,I
41153,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,Mar04,I
41153,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,5,090,,Mar04,I
41153,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,5,090,,Mar04,I
41153,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
41153,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
41153,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
41153,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
41153,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
41153,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Mar04,I
41153,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Mar04,I
41155,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,Mar04,I
41155,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,5,090,,Mar04,I
41155,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,5,090,,Mar04,I
41155,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,5,090,,Mar04,I
41155,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,Mar04,I
41155,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,Mar04,I
41155,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,5,090,,Mar04,I
41155,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,5,090,,Mar04,I
41155,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Mar04,I
41155,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Mar04,I
41155,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
41155,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
41155,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Mar04,I
41155,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Mar04,I
41155,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Mar04,I
41250,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,010,,Feb05,
41250,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Feb05,
41250,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Feb05,
41250,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,0,010,,Feb05,
41250,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Feb05,
41250,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,2,1,010,,Feb05,
41250,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,010,,Feb05,
41250,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Feb05,
41250,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Feb05,
41250,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Feb05,
41250,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Feb05,
41250,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,010,,Feb05,
41250,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Feb05,
41250,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,010,,Feb05,
41250,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Feb05,
41250,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,Feb05,Feb05,
41250,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,0,010,Feb05,Feb05,
41250,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,010,Feb05,Feb05,
41251,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,010,,Feb05,
41251,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Feb05,
41251,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Feb05,
41251,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,0,010,,Feb05,
41251,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Feb05,
41251,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,2,1,010,,Feb05,
41251,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,010,,Feb05,
41251,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Feb05,
41251,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Feb05,
41251,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Feb05,
41251,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Feb05,
41251,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,010,,Feb05,
41251,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Feb05,
41251,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,010,,Feb05,
41251,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Feb05,
41251,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,Feb05,Feb05,
41251,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,0,010,Feb05,Feb05,
41251,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,010,Feb05,Feb05,
41252,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,010,,Feb05,
41252,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Feb05,
41252,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Feb05,
41252,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,0,010,,Feb05,
41252,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Feb05,
41252,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,2,1,010,,Feb05,
41252,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,010,,Feb05,
41252,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Feb05,
41252,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Feb05,
41252,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Feb05,
41252,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Feb05,
41252,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,010,,Feb05,
41252,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Feb05,
41252,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,010,,Feb05,
41252,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Feb05,
41252,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,Feb05,Feb05,
41252,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,0,010,Feb05,Feb05,
41252,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,010,Feb05,Feb05,
41500,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
41500,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,2,090,,Mar04,I
41500,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,2,090,,Mar04,I
41500,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,090,,Mar04,I
41500,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
41500,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
41500,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
41500,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
41500,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,2,090,,Mar04,I
41500,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,I
41500,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
41500,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
41500,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
41510,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
41510,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,2,090,,Mar04,I
41510,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,2,090,,Mar04,I
41510,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,090,,Mar04,I
41510,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
41510,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
41510,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
41510,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
41510,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,2,090,,Mar04,I
41510,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,I
41510,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
41510,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
41510,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
41512,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,CPT09,10
41512,RUC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,3,090,,CPT09,10
41512,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,CPT09,10
41512,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,3,090,,CPT09,10
41512,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT09,10
41512,RUC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,CPT09,10
41512,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,3,090,,CPT09,10
41512,RUC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3,090,,CPT09,10
41512,RUC,"Accessory, Procedure",SD070,endosheath,item,9.5,,3,090,,CPT09,10
41512,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,CPT09,10
41512,RUC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,,3,090,,CPT09,10
41512,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT09,10
41512,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,3,090,,CPT09,10
41512,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,CPT09,10
41520,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,090,,Mar04,J
41520,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,3,2,090,,Mar04,J
41520,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,3,2,090,,Mar04,J
41520,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Mar04,J
41520,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar04,J
41520,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar04,J
41520,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar04,J
41520,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar04,J
41520,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar04,J
41520,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar04,J
41520,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Mar04,J
41520,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Mar04,J
41520,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar04,J
41520,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar04,J
41520,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar04,J
41520,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar04,J
41520,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Mar04,J
41520,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Mar04,J
41520,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Mar04,J
41520,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Mar04,J
41520,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar04,J
41520,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar04,J
41520,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Mar04,J
41520,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar04,J
41520,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,3,2,090,,Mar04,J
41520,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,Mar04,J
41520,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar04,J
41520,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,6,0,090,,Mar04,J
41520,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Mar04,J
41520,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Mar04,J
41520,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Mar04,J
41520,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar04,J
41530,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,010,,CPT09,11
41530,RUC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,3,2,010,,CPT09,11
41530,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,3,2,010,,CPT09,11
41530,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,CPT09,11
41530,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,CPT09,11
41530,RUC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,010,,CPT09,11
41530,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,3,2,010,,CPT09,11
41530,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,CPT09,11
41530,RUC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,3,2,010,,CPT09,11
41530,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,3,2,010,,CPT09,11
41530,RUC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,3,2,010,,CPT09,11
41530,RUC,"Accessory, Procedure",SD070,endosheath,item,9.5,3,2,010,,CPT09,11
41530,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,2,010,,CPT09,11
41530,RUC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,3,2,010,,CPT09,11
41530,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,7,2,010,,CPT09,11
41530,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,3,2,010,,CPT09,11
41530,RUC,"Accessory, Procedure",SD109,"probe, radiofrequency, 3 array (StarBurstSDE)",item,1995,1,0,010,,CPT09,11
41530,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,CPT09,11
41530,RUC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,1,0,010,,CPT09,11
41530,RUC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,2,0,010,,CPT09,11
41530,RUC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,0,010,,CPT09,11
41530,RUC,"Office Supply, Grocery",SK073,skin marking ink (tattoo),ml,0.221,1,0,010,,CPT09,11
41530,RUC,"Pharmacy, Rx",SH090,sodium bicarbonate 8.4% inj w-needle (1ml uou),item,2.2,1,0,010,,CPT09,11
41530,RUC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,010,,CPT09,11
41530,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,010,,CPT09,11
41599,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
41800,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
41800,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,Sep04,
41800,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
41800,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,Sep04,Sep04,
41800,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,4,2,010,Sep04,Sep04,
41800,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,2,010,Sep04,Sep04,
41800,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,Sep04,Sep04,
41800,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,1,010,,Sep04,
41800,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,010,,Sep04,
41800,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Sep04,
41800,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Sep04,
41800,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
41800,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Sep04,
41800,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,2,1,010,,Sep04,
41800,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Sep04,
41800,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Sep04,
41800,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,1,010,,Sep04,
41800,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Sep04,
41800,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,010,,Sep04,
41800,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,010,,Sep04,
41800,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Sep04,
41800,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Sep04,
41800,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,0,010,,Sep04,
41800,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,010,,Sep04,
41800,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Sep04,
41800,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Sep04,
41800,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,6,4,010,,Sep04,
41800,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,2,1,010,,Sep04,
41800,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,010,,Sep04,
41800,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,010,,Sep04,
41800,PEAC,"Wound Care, Dressings",SG064,"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)",item,4.08,3,0,010,,Sep04,
41800,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,010,88170,Sep04,
41805,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
41805,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,Sep04,
41805,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
41805,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,3,2,010,,Sep04,
41805,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,Sep04,Sep04,
41805,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,6,4,010,Sep04,Sep04,
41805,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,6,4,010,Sep04,Sep04,
41805,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,Sep04,Sep04,
41805,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,3,2,010,,Sep04,
41805,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Sep04,
41805,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Sep04,
41805,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,3,2,010,,Sep04,
41805,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,010,,Sep04,
41805,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,3,2,010,,Sep04,
41805,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,3,2,010,,Sep04,
41805,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Sep04,
41805,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Sep04,
41805,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
41805,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Sep04,
41805,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Sep04,
41805,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,010,,Sep04,
41805,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Sep04,
41805,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,6,4,010,,Sep04,
41805,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,010,,Sep04,
41805,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Sep04,
41805,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,3,2,010,,Sep04,
41805,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Sep04,
41805,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,010,88170,Sep04,
41806,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
41806,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,Sep04,
41806,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
41806,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,3,2,010,,Sep04,
41806,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,Sep04,Sep04,
41806,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,6,4,010,Sep04,Sep04,
41806,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,6,4,010,Sep04,Sep04,
41806,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,Sep04,Sep04,
41806,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,3,2,010,,Sep04,
41806,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Sep04,
41806,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Sep04,
41806,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,3,2,010,,Sep04,
41806,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,010,,Sep04,
41806,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,3,2,010,,Sep04,
41806,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,3,2,010,,Sep04,
41806,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Sep04,
41806,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Sep04,
41806,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
41806,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Sep04,
41806,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Sep04,
41806,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,010,,Sep04,
41806,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Sep04,
41806,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,6,4,010,,Sep04,
41806,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,010,,Sep04,
41806,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Sep04,
41806,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,3,2,010,,Sep04,
41806,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Sep04,
41806,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,010,88170,Sep04,
41806,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,3,2,010,,Sep04,
41820,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,000,,,
41821,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,000,,,
41822,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
41822,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,Sep04,
41822,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
41822,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,0,010,,Sep04,
41822,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,Sep04,Sep04,
41822,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,Sep04,Sep04,
41822,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,Sep04,Sep04,
41822,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,Sep04,Sep04,
41822,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Sep04,
41822,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Sep04,
41822,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Sep04,
41822,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Sep04,
41822,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,010,,Sep04,
41822,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,010,,Sep04,
41822,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,010,,Sep04,
41822,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Sep04,
41822,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Sep04,
41822,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
41822,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Sep04,
41822,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,Sep04,
41822,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,010,,Sep04,
41822,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Sep04,
41822,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,010,,Sep04,
41822,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,010,,Sep04,
41822,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Sep04,
41822,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,010,,Sep04,
41822,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Sep04,
41823,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
41823,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
41823,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
41823,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
41823,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
41823,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
41823,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
41823,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
41823,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
41823,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
41823,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
41823,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
41823,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
41823,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
41823,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
41823,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
41823,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
41823,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
41823,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
41823,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
41823,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
41823,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
41823,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
41823,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
41823,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
41823,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
41823,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
41825,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
41825,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,Sep04,
41825,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
41825,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,0,010,,Sep04,
41825,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,Sep04,Sep04,
41825,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,Sep04,Sep04,
41825,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,Sep04,Sep04,
41825,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,Sep04,Sep04,
41825,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Sep04,
41825,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Sep04,
41825,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Sep04,
41825,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Sep04,
41825,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,010,,Sep04,
41825,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,010,,Sep04,
41825,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,010,,Sep04,
41825,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Sep04,
41825,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Sep04,
41825,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
41825,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Sep04,
41825,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Sep04,
41825,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,010,,Sep04,
41825,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Sep04,
41825,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,010,,Sep04,
41825,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,010,,Sep04,
41825,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Sep04,
41825,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,010,,Sep04,
41825,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Sep04,
41825,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,010,88170,Sep04,
41826,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
41826,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,Sep04,
41826,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,2,010,,Sep04,
41826,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,1,010,,Sep04,
41826,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,Sep04,Sep04,
41826,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,Sep04,Sep04,
41826,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,2,010,Sep04,Sep04,
41826,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,Sep04,Sep04,
41826,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Sep04,
41826,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Sep04,
41826,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Sep04,
41826,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Sep04,
41826,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,010,,Sep04,
41826,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,3,2,010,,Sep04,
41826,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,3,2,010,,Sep04,
41826,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Sep04,
41826,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Sep04,
41826,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
41826,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Sep04,
41826,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,Sep04,
41826,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,010,,Sep04,
41826,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Sep04,
41826,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,010,,Sep04,
41826,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,010,,Sep04,
41826,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Sep04,
41826,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,010,,Sep04,
41826,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Sep04,
41826,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,010,88170,Sep04,
41827,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
41827,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
41827,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
41827,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
41827,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
41827,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
41827,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
41827,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
41827,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
41827,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
41827,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
41827,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
41827,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
41827,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
41827,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
41827,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
41827,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
41827,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
41827,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
41827,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
41827,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
41827,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,6
41827,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
41827,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Aug03,6
41827,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
41827,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
41827,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
41827,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
41827,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
41827,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
41827,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
41828,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
41828,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Sep04,
41828,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
41828,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Sep04,
41828,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,Sep04,Sep04,
41828,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,Sep04,Sep04,
41828,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,Sep04,Sep04,
41828,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,Sep04,Sep04,
41828,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Sep04,
41828,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Sep04,
41828,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Sep04,
41828,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Sep04,
41828,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,010,,Sep04,
41828,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,010,,Sep04,
41828,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,010,,Sep04,
41828,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Sep04,
41828,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,Sep04,
41828,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,010,,Sep04,
41828,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Sep04,
41828,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,010,,Sep04,
41828,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Sep04,
41828,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,010,,Sep04,
41828,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Sep04,
41830,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Sep04,
41830,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,010,,Sep04,
41830,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,2,010,,Sep04,
41830,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,1,010,,Sep04,
41830,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,Sep04,Sep04,
41830,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,Sep04,Sep04,
41830,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,2,010,Sep04,Sep04,
41830,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,Sep04,Sep04,
41830,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Sep04,
41830,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,010,,Sep04,
41830,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Sep04,
41830,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Sep04,
41830,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,3,2,010,,Sep04,
41830,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,3,2,010,,Sep04,
41830,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,3,2,010,,Sep04,
41830,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Sep04,
41830,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Sep04,
41830,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Sep04,
41830,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Sep04,
41830,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Sep04,
41830,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,010,,Sep04,
41830,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Sep04,
41830,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,010,,Sep04,
41830,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,010,,Sep04,
41830,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Sep04,
41830,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,010,,Sep04,
41830,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Sep04,
41830,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,010,88170,Sep04,
41830,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,010,,Sep04,
41850,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,000,,,
41870,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,000,,,
41872,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
41872,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
41872,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
41872,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
41872,PEAC,"Cutters, Closures, Cautery",SF050,"suture, plain, gut, 2-0 to 6-0",item,4.2615,2,0,090,,Aug03,6
41872,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
41872,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
41872,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
41872,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
41872,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
41872,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
41872,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
41872,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
41872,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
41872,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
41872,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
41872,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
41872,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
41872,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,6
41872,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
41872,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
41872,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
41872,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
41872,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
41872,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
41872,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
41872,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
41874,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
41874,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
41874,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
41874,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
41874,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
41874,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
41874,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
41874,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
41874,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
41874,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
41874,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
41874,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
41874,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
41874,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
41874,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
41874,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
41874,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
41874,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
41874,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,6
41874,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
41874,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
41874,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
41874,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Aug03,6
41874,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
41874,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
41874,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
41874,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
41899,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
42000,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
42000,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,010,,,
42000,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
42000,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
42000,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
42000,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
42000,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
42000,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,010,,,
42000,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
42000,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
42000,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
42000,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,010,,,
42000,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
42000,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,010,,,
42100,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,010,,Feb05,
42100,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,010,,Feb05,
42100,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,010,,Feb05,
42100,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Feb05,
42100,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Feb05,
42100,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Feb05,
42100,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Feb05,
42100,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,010,,Feb05,
42100,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,1,010,,Feb05,
42100,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Feb05,
42100,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Feb05,
42100,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Feb05,
42104,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Feb05,
42104,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,2,1,010,,Feb05,
42104,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,010,,Feb05,
42104,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Feb05,
42104,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Feb05,
42104,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Feb05,
42104,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Feb05,
42104,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,0,010,,Feb05,
42104,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,010,,Feb05,
42104,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Feb05,
42104,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Feb05,
42104,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Feb05,
42104,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,010,,Feb05,
42104,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,010,,Feb05,
42104,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Feb05,
42106,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,010,,Feb05,
42106,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Feb05,
42106,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,0,010,,Feb05,
42106,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Feb05,
42106,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,2,1,010,,Feb05,
42106,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,010,,Feb05,
42106,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Feb05,
42106,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Feb05,
42106,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Feb05,
42106,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Feb05,
42106,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,010,,Feb05,
42106,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Feb05,
42106,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,010,Feb05,Feb05,
42106,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,Feb05,Feb05,
42106,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Feb05,
42106,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,Feb05,
42106,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,010,,Feb05,
42106,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Feb05,
42107,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,090,,Feb05,
42107,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,090,,Feb05,
42107,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,090,,Feb05,
42107,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Feb05,
42107,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Feb05,
42107,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Feb05,
42107,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,2,0,090,,Feb05,
42107,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Feb05,
42107,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Feb05,
42107,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Feb05,
42107,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Feb05,
42107,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Feb05,
42107,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Feb05,
42107,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Feb05,
42107,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Feb05,
42107,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Feb05,
42107,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Feb05,
42107,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Feb05,
42107,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Feb05,
42107,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Feb05,
42107,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Feb05,
42107,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Feb05,
42107,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,5,0,090,,Feb05,
42107,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Feb05,
42107,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Feb05,
42107,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,6,0,090,,Feb05,
42107,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,1,090,,Feb05,
42120,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
42120,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,3,090,,Mar04,I
42120,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,3,090,,Mar04,I
42120,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
42120,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
42120,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
42120,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
42120,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
42120,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,3,090,,Mar04,I
42120,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
42120,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
42120,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,6,090,,Mar04,I
42120,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,12,090,,Mar04,I
42140,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
42140,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
42140,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
42140,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
42140,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
42140,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
42140,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
42140,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,2,0,090,,Aug03,6
42140,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
42140,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
42140,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
42140,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
42140,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
42140,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
42140,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
42140,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
42140,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
42140,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Aug03,6
42140,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
42140,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2.5,1.5,090,,Aug03,6
42140,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
42140,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
42140,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
42140,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,5,0,090,,Aug03,6
42140,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
42140,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
42140,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,6,0,090,,Aug03,6
42145,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
42145,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Mar04,I
42145,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
42145,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
42145,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
42145,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
42145,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
42145,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr08,ss
42145,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42145,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
42145,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
42160,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,010,,Feb05,
42160,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Feb05,
42160,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,0,010,,Feb05,
42160,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,Feb05,
42160,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,2,1,010,,Feb05,
42160,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,010,,Feb05,
42160,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Feb05,
42160,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Feb05,
42160,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Feb05,
42160,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,010,,Feb05,
42160,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,010,,Feb05,
42160,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,010,,Feb05,
42160,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Feb05,
42160,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Feb05,
42160,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Feb05,
42180,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
42180,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,010,,,
42180,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
42180,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
42180,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
42180,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
42180,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
42180,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,,010,,,
42180,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,,010,,,
42180,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,010,,,
42180,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
42180,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
42180,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
42180,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
42180,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
42180,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,010,,,
42180,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
42180,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,010,,,
42182,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
42182,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,010,,,
42182,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
42182,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
42182,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
42182,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
42182,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
42182,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,,010,,,
42182,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,,010,,,
42182,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,010,,,
42182,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
42182,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
42182,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
42182,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
42182,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
42182,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,010,,,
42182,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
42182,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,010,,,
42200,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
42200,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
42200,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,Mar04,I
42200,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,090,,Mar04,I
42200,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,1,090,,Mar04,I
42200,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,1,090,,Mar04,I
42200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
42200,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42200,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
42200,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
42205,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
42205,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Mar04,I
42205,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,Mar04,I
42205,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,090,,Mar04,I
42205,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,1,090,,Mar04,I
42205,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,1,090,,Mar04,I
42205,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
42205,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42205,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
42205,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
42210,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
42210,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Mar04,I
42210,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,Mar04,I
42210,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,090,,Mar04,I
42210,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,1,090,,Mar04,I
42210,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,1,090,,Mar04,I
42210,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
42210,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42210,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
42210,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Mar04,I
42215,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3.5,090,,Mar04,I
42215,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,7,090,,Mar04,I
42215,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,Mar04,I
42215,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,090,,Mar04,I
42215,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,1,090,,Mar04,I
42215,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,1,090,,Mar04,I
42215,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
42215,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42215,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
42215,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
42220,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
42220,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Mar04,I
42220,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,Mar04,I
42220,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,090,,Mar04,I
42220,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,1,090,,Mar04,I
42220,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,1,090,,Mar04,I
42220,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
42220,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42220,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
42220,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
42225,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3.5,090,,Mar04,I
42225,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,7,090,,Mar04,I
42225,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
42225,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
42225,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
42225,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
42225,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
42225,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,3.5,090,,Mar04,I
42225,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
42225,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42225,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
42225,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
42225,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
42225,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
42225,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
42226,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
42226,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
42226,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
42226,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
42226,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
42226,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
42226,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
42226,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,3.5,090,,Mar04,I
42226,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
42226,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42226,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
42226,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
42226,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
42226,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
42226,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
42227,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
42227,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
42227,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
42227,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
42227,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
42227,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
42227,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
42227,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,3,090,,Mar04,I
42227,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
42227,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42227,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
42227,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
42227,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
42227,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
42227,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
42235,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Mar04,I
42235,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
42235,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,4,090,,Mar04,I
42235,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
42235,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Mar04,I
42235,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Mar04,I
42235,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2,090,,Mar04,I
42235,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,3,090,,Mar04,I
42235,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
42235,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42235,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
42235,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
42235,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
42235,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
42235,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
42260,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
42260,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
42260,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
42260,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
42260,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
42260,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
42260,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
42260,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Aug03,6
42260,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
42260,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
42260,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
42260,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
42260,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
42260,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
42260,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
42260,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
42260,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
42260,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
42260,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,6
42260,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
42260,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
42260,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,Aug03,6
42260,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
42260,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
42260,PEAC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,Aug03,6
42260,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
42260,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,8,0,090,,Aug03,6
42260,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,1,0,090,,Aug03,6
42260,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
42260,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,1,0,090,,Aug03,6
42260,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
42280,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,,,Sep04,
42280,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,010,,Sep04,
42280,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Sep04,
42280,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,010,,Sep04,
42280,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,010,,Sep04,
42280,PEAC,Lab,SL202,"tissue conditioner, coesoft (0.5 oz, each, liquid and powder)",item,8.54,1,0,010,,Sep04,
42280,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Sep04,
42280,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,010,,Sep04,
42280,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,0,010,,Sep04,
42280,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,010,,Sep04,
42280,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Sep04,
42280,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,010,,Sep04,
42280,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,0,010,,Sep04,
42280,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,010,,Sep04,
42280,PEAC,"Pharmacy, NonRx",SJ038,petroleum jelly,oz,0.281,1,0,010,,Sep04,
42280,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,4,0,010,,Sep04,
42280,PEAC,Lab,SL046,dental impression tray,item,0.446,1,0,010,,Sep04,
42280,PEAC,Lab,SL047,dental stone powder,lb,1.598,0.75,0,010,,Sep04,
42280,PEAC,Lab,SL081,"impression material, alginate (dental)",lb,7.5,0.18,0,010,,Sep04,
42280,PEAC,Lab,SL150,"wax, bite registration wafer",item,0.323,1,0,010,,Sep04,
42281,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
42281,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,010,,,
42281,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
42281,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
42281,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,,010,,,
42281,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,,010,,,
42281,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,010,,,
42281,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
42281,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
42281,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
42281,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
42281,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,010,,,
42281,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
42281,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,010,,,
42299,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
42300,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
42300,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,010,,,
42300,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
42300,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
42300,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,,010,,,
42300,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
42300,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,010,,,
42300,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
42300,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
42300,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
42300,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
42300,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
42300,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
42300,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,010,,,
42300,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,,010,,,
42305,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,I
42305,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
42310,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
42310,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,010,,,
42310,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
42310,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
42310,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,010,,,
42310,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
42310,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
42310,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
42310,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,010,,,
42310,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
42310,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,010,,,
42320,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
42320,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,010,,,
42320,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
42320,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
42320,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
42320,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
42320,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
42320,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,,010,,,
42320,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
42320,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,010,,,
42320,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
42320,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
42320,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
42320,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
42320,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
42320,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
42320,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,010,,,
42320,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,,010,,,
42330,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
42330,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,010,,,
42330,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
42330,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
42330,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
42330,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
42330,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
42330,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,010,,,
42330,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
42330,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
42330,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
42330,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
42330,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,010,,,
42330,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
42330,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,010,,,
42335,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
42335,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
42335,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
42335,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
42335,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
42335,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
42335,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
42335,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,2,0,090,,Aug03,6
42335,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
42335,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
42335,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
42335,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
42335,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
42335,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
42335,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
42335,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
42335,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
42335,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
42335,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
42335,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
42335,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
42335,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Aug03,6
42335,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
42335,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,6
42335,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
42335,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,2,0,090,,Aug03,6
42335,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
42335,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
42335,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,5,0,090,,Aug03,6
42335,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
42335,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
42335,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
42335,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
42335,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,0,090,,Aug03,6
42340,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
42340,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
42340,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
42340,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
42340,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
42340,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
42340,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
42340,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,2,0,090,,Aug03,6
42340,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
42340,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
42340,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
42340,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
42340,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
42340,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
42340,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
42340,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
42340,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
42340,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
42340,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
42340,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
42340,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
42340,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Aug03,6
42340,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
42340,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,6
42340,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
42340,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,2,0,090,,Aug03,6
42340,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
42340,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Aug03,6
42340,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
42340,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,5,0,090,,Aug03,6
42340,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
42340,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
42340,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
42340,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
42340,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,0,090,,Aug03,6
42400,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
42400,PEAC,"Hypodermic, IV",SC032,"needle, biopsy for breast-prostate core sample",item,28.42,1,,000,,,
42400,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
42400,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
42400,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,000,,,
42400,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
42400,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
42400,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,000,,,
42405,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
42405,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
42405,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
42405,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
42405,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
42405,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
42405,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
42405,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
42405,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
42405,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
42405,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
42405,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
42405,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,1,,010,,,
42405,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
42405,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,1,1,010,,,
42405,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
42408,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
42408,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
42408,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
42408,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
42408,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
42408,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
42408,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
42408,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,2,0,090,,Aug03,6
42408,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
42408,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
42408,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
42408,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
42408,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
42408,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
42408,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
42408,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
42408,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
42408,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
42408,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
42408,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
42408,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Aug03,6
42408,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
42408,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,6
42408,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,2,0,090,,Aug03,6
42408,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
42408,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
42408,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,5,0,090,,Aug03,6
42408,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
42408,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
42408,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
42408,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
42408,PEAC,"Wound Care, Dressings",SG064,"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)",item,4.08,1,0,090,,Aug03,6
42409,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
42409,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
42409,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
42409,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
42409,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
42409,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
42409,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
42409,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,2,0,090,,Aug03,6
42409,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
42409,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
42409,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
42409,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
42409,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
42409,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
42409,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
42409,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
42409,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
42409,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
42409,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
42409,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
42409,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Aug03,6
42409,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
42409,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,6
42409,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,2,0,090,,Aug03,6
42409,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
42409,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
42409,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,5,0,090,,Aug03,6
42409,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
42409,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
42409,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
42409,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
42409,PEAC,"Wound Care, Dressings",SG064,"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)",item,4.08,1,0,090,,Aug03,6
42410,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
42410,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
42415,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Apr08,df
42415,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
42420,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
42420,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
42425,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
42425,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
42426,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
42426,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
42440,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Feb08,ss
42440,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
42450,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,090,,Mar04,I
42450,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,2,1,090,,Mar04,I
42450,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,090,,Mar04,I
42450,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Mar04,I
42450,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar04,I
42450,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar04,I
42450,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar04,I
42450,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar04,I
42450,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,090,,Mar04,I
42450,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,2,090,,Mar04,I
42450,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,2,090,,Mar04,I
42450,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,2,090,,Mar04,I
42450,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,090,,Mar04,I
42450,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,1,0,090,,Mar04,I
42450,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar04,I
42450,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Mar04,I
42450,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar04,I
42450,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar04,I
42450,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar04,I
42450,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,5,0,090,,Mar04,I
42450,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar04,I
42500,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,090,,Mar04,I
42500,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,2,1,090,,Mar04,I
42500,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,090,,Mar04,I
42500,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Mar04,I
42500,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar04,I
42500,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar04,I
42500,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar04,I
42500,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar04,I
42500,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,090,,Mar04,I
42500,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,2,090,,Mar04,I
42500,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,2,090,,Mar04,I
42500,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,2,090,,Mar04,I
42500,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,090,,Mar04,I
42500,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,1,0,090,,Mar04,I
42500,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar04,I
42500,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Mar04,I
42500,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar04,I
42500,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar04,I
42500,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar04,I
42500,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,5,0,090,,Mar04,I
42500,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar04,I
42505,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,090,,Mar04,I
42505,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,2,1,090,,Mar04,I
42505,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,090,,Mar04,I
42505,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Mar04,I
42505,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar04,I
42505,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar04,I
42505,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar04,I
42505,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar04,I
42505,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,1,090,,Mar04,I
42505,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,2,090,,Mar04,I
42505,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,2,090,,Mar04,I
42505,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,2,090,,Mar04,I
42505,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,090,,Mar04,I
42505,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,1,0,090,,Mar04,I
42505,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar04,I
42505,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Mar04,I
42505,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar04,I
42505,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar04,I
42505,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar04,I
42505,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,5,0,090,,Mar04,I
42505,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar04,I
42507,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
42507,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
42507,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3,090,,Mar04,I
42507,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
42507,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
42507,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
42507,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
42507,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
42508,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3.5,090,,Mar04,I
42508,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3.5,090,,Mar04,I
42508,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3.5,090,,Mar04,I
42508,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2.5,090,,Mar04,I
42508,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3.5,090,,Mar04,I
42508,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3.5,090,,Mar04,I
42508,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3.5,090,,Mar04,I
42508,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
42508,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42508,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
42509,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3.5,090,,Mar04,I
42509,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3.5,090,,Mar04,I
42509,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3.5,090,,Mar04,I
42509,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2.5,090,,Mar04,I
42509,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3.5,090,,Mar04,I
42509,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3.5,090,,Mar04,I
42509,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3.5,090,,Mar04,I
42509,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
42509,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42509,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
42510,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
42510,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
42510,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3,090,,Mar04,I
42510,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
42510,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
42510,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
42510,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
42510,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
42550,PEAC,"Hypodermic, IV",SC047,sialography infusion unit,item,24,1,0,000,,Jan04,7
42600,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
42600,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
42600,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
42600,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
42600,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
42600,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
42600,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
42600,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,2,0,090,,Aug03,6
42600,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Aug03,6
42600,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
42600,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
42600,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
42600,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
42600,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
42600,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
42600,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
42600,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
42600,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
42600,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
42600,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
42600,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
42600,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Aug03,6
42600,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
42600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Aug03,6
42600,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Aug03,6
42600,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
42600,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Aug03,6
42600,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
42600,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,5,0,090,,Aug03,6
42600,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
42600,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
42600,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
42600,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
42650,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
42650,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,000,,,
42650,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
42650,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,,000,,,
42650,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
42650,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
42660,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
42660,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,000,,,
42660,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
42660,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,000,,,
42660,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,,000,,,
42660,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
42660,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
42665,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,6
42665,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Aug03,6
42665,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Aug03,6
42665,PEAC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,090,,Aug03,6
42665,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Aug03,6
42665,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Aug03,6
42665,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,6
42665,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,2,0,090,,Aug03,6
42665,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
42665,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,Aug03,6
42665,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
42665,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Aug03,6
42665,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Aug03,6
42665,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
42665,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Aug03,6
42665,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
42665,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Aug03,6
42665,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,090,,Aug03,6
42665,PEAC,"Hypodermic, IV",SC037,"needle, dental",item,0.086,1,0,090,,Aug03,6
42665,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Aug03,6
42665,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Aug03,6
42665,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Aug03,6
42665,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,6
42665,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Aug03,6
42665,PEAC,"Pharmacy, Rx",SH023,chlorhexidine 0.12% (Peridex),oz,0.408,2,0,090,,Aug03,6
42665,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,5,0,090,,Aug03,6
42665,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,0,090,,Aug03,6
42665,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Aug03,6
42665,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,0,090,,Aug03,6
42665,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Aug03,6
42699,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
42700,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,,
42700,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,2,1,010,,,
42700,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,010,,,
42700,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
42700,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
42700,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
42700,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
42700,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,010,,,
42700,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
42700,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
42700,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
42700,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,010,,,
42700,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
42700,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,010,,,
42720,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,,
42720,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,2,1,010,,,
42720,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,010,,,
42720,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
42720,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
42720,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
42720,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
42720,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,010,,,
42720,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
42720,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
42720,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
42720,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,010,,,
42720,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
42720,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,010,,,
42725,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,090,,Mar04,I
42725,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,1,090,,Mar04,I
42725,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,1,090,,Mar04,I
42725,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,090,,Mar04,I
42725,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,1,090,,Mar04,I
42725,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,1,090,,Mar04,I
42725,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Mar04,I
42725,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42725,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
42800,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
42800,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,010,,,
42800,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
42800,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
42800,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
42800,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
42800,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
42800,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
42800,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
42800,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
42800,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,1,,010,,,
42800,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
42802,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
42802,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,010,,,
42802,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
42802,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
42802,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
42802,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
42802,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,1,,010,,,
42802,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
42802,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
42802,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,4,2,010,,,
42802,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
42802,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,1,,010,,,
42802,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,010,,,
42802,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
42804,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
42804,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,010,,,
42804,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
42804,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
42804,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
42804,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
42804,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,1,,010,,,
42804,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
42804,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
42804,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,4,2,010,,,
42804,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
42804,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,1,,010,,,
42804,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,010,,,
42804,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
42806,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
42806,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,010,,,
42806,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
42806,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
42806,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
42806,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
42806,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,1,,010,,,
42806,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
42806,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
42806,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,4,2,010,,,
42806,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
42806,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,1,,010,,,
42806,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,010,,,
42806,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
42808,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
42808,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,010,,,
42808,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
42808,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
42808,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
42808,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
42808,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
42808,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
42808,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
42808,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,010,,,
42808,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,010,,,
42809,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
42809,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,,010,,,
42809,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
42809,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
42809,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
42809,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
42809,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,010,,,
42809,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,010,,,
42810,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Jan04,21
42810,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,0,090,,Jan04,21
42810,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,0,090,,Jan04,21
42810,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Jan04,21
42810,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Jan04,21
42810,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Jan04,21
42810,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Jan04,21
42810,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Jan04,21
42810,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Jan04,21
42810,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Jan04,21
42810,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Jan04,21
42810,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,3,2,090,,Jan04,21
42810,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,090,,Jan04,21
42810,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,1,0,090,,Jan04,21
42810,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Jan04,21
42810,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Jan04,21
42810,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Jan04,21
42810,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Jan04,21
42810,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Jan04,21
42810,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Jan04,21
42810,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,5,0,090,,Jan04,21
42810,PEAC,"Wound Care, Dressings",SG004,adhesive liquid (Mastisol) (0.67ml uou),item,2.166,1,0,090,,Jan04,21
42810,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Jan04,21
42815,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2.5,090,,Mar04,I
42815,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2.5,090,,Mar04,I
42815,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,2.5,090,,Mar04,I
42815,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1.5,090,,Mar04,I
42815,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2.5,090,,Mar04,I
42815,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2.5,090,,Mar04,I
42815,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2.5,090,,Mar04,I
42815,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,I
42815,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42815,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,5,090,,Mar04,I
42820,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Mar04,I
42820,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
42821,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1.5,090,,Mar04,I
42821,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
42825,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,I
42825,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
42826,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1.5,090,,Mar04,I
42826,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
42830,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1.5,090,,Mar04,I
42830,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
42831,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,I
42831,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
42835,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1.5,090,,Mar04,I
42835,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
42836,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1.5,090,,Mar04,I
42836,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
42842,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
42842,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,3,090,,Mar04,I
42842,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,3,090,,Mar04,I
42842,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
42842,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
42842,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
42842,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
42842,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
42842,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,2,090,,Mar04,I
42842,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
42842,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
42842,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
42842,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
42844,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
42844,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4,090,,Mar04,I
42844,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,4,090,,Mar04,I
42844,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
42844,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
42844,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
42844,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
42844,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
42844,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,3,090,,Mar04,I
42844,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
42844,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
42844,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,6,090,,Mar04,I
42844,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,12,090,,Mar04,I
42845,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,Mar04,I
42845,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,5,090,,Mar04,I
42845,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,5,090,,Mar04,I
42845,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,5,090,,Mar04,I
42845,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
42845,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,Mar04,I
42845,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,5,090,,Mar04,I
42845,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,5,090,,Mar04,I
42845,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,3,090,,Mar04,I
42845,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
42845,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
42845,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,6,090,,Mar04,I
42845,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,12,090,,Mar04,I
42860,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1.5,090,,Mar04,I
42860,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
42870,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2.5,090,,Mar04,I
42870,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,2.5,090,,Mar04,I
42870,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,2.5,090,,Mar04,I
42870,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2.5,090,,Mar04,I
42870,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
42870,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2.5,090,,Mar04,I
42870,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2.5,090,,Mar04,I
42870,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,2.5,090,,Mar04,I
42870,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,2,090,,Mar04,I
42870,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,I
42870,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
42870,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
42870,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
42890,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
42890,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4,090,,Mar04,I
42890,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,4,090,,Mar04,I
42890,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
42890,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
42890,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
42890,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
42890,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
42890,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,2,090,,Mar04,I
42890,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
42890,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
42890,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
42890,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
42892,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
42892,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4,090,,Mar04,I
42892,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,4,090,,Mar04,I
42892,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
42892,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
42892,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
42892,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
42892,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
42892,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,3,090,,Mar04,I
42892,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Mar04,I
42892,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42892,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
42892,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
42892,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,6,090,,Mar04,I
42892,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,12,090,,Mar04,I
42894,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,Mar04,I
42894,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,5,090,,Mar04,I
42894,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,5,090,,Mar04,I
42894,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,5,090,,Mar04,I
42894,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,Mar04,I
42894,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,Mar04,I
42894,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,5,090,,Mar04,I
42894,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,5,090,,Mar04,I
42894,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,3,090,,Mar04,I
42894,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Mar04,I
42894,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42894,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
42894,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
42894,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,6,090,,Mar04,I
42894,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,12,090,,Mar04,I
42900,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,010,,,
42900,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,,1,010,,,
42900,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,010,,,
42900,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,,1,010,,,
42900,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,1,010,,,
42900,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,010,,,
42900,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,1,010,,,
42950,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3.5,090,,Mar04,I
42950,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,3.5,090,,Mar04,I
42950,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,3.5,090,,Mar04,I
42950,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3.5,090,,Mar04,I
42950,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
42950,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3.5,090,,Mar04,I
42950,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3.5,090,,Mar04,I
42950,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3.5,090,,Mar04,I
42950,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,2,090,,Mar04,I
42950,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,I
42950,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
42950,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
42950,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
42953,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Mar04,I
42953,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,4,090,,Mar04,I
42953,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,4,090,,Mar04,I
42953,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Mar04,I
42953,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Mar04,I
42953,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Mar04,I
42953,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Mar04,I
42953,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,4,090,,Mar04,I
42953,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,3,090,,Mar04,I
42953,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,I
42953,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42953,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
42953,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,Mar04,I
42953,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,6,090,,Mar04,I
42953,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,12,090,,Mar04,I
42955,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Mar04,I
42955,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,3,090,,Mar04,I
42955,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,,3,090,,Mar04,I
42955,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,3,090,,Mar04,I
42955,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Mar04,I
42955,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,Mar04,I
42955,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,3,090,,Mar04,I
42955,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,3,090,,Mar04,I
42955,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,2,090,,Mar04,I
42955,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
42955,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,I
42955,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Mar04,I
42955,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,2,090,,Mar04,I
42955,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,4,090,,Mar04,I
42955,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Mar04,I
42960,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,010,,,
42960,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,,1,010,,,
42960,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,010,,,
42960,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,010,,,
42960,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,1,010,,,
42960,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,010,,,
42960,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,1,010,,,
42960,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,1,010,,,
42960,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,1,010,,,
42961,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,090,,Mar04,I
42961,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,1,090,,Mar04,I
42961,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,1,090,,Mar04,I
42961,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
42961,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,090,,Mar04,I
42961,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,1,090,,Mar04,I
42961,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,1,090,,Mar04,I
42961,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,I
42961,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
42962,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,090,,Mar04,I
42962,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,1,090,,Mar04,I
42962,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,1,090,,Mar04,I
42962,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
42962,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,090,,Mar04,I
42962,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,1,090,,Mar04,I
42962,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,1,090,,Mar04,I
42962,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
42962,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
42970,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,090,,Mar04,I
42970,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,1,090,,Mar04,I
42970,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,1,090,,Mar04,I
42970,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
42970,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,090,,Mar04,I
42970,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,1,090,,Mar04,I
42970,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,1,090,,Mar04,I
42970,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,I
42970,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
42971,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,090,,Mar04,I
42971,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,1,090,,Mar04,I
42971,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,1,090,,Mar04,I
42971,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
42971,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,090,,Mar04,I
42971,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,1,090,,Mar04,I
42971,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,1,090,,Mar04,I
42971,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,I
42971,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
42972,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,090,,Mar04,I
42972,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,1,090,,Mar04,I
42972,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,1,090,,Mar04,I
42972,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Mar04,I
42972,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,1,090,,Mar04,I
42972,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,1,090,,Mar04,I
42972,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,,1,090,,Mar04,I
42972,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,I
42972,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,10,090,,Mar04,I
42999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
43020,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,I
43020,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
43030,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,I
43030,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,I
43045,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43045,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43100,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43100,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43101,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43101,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43107,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
43107,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
43108,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43108,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43112,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
43112,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
43113,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43113,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43116,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43116,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43117,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
43117,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
43118,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43118,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43121,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
43121,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
43122,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
43122,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
43123,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43123,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43124,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43124,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
43130,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43130,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43135,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43135,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
43200,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
43200,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
43200,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
43200,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
43200,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,,
43200,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
43200,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
43200,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
43200,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,000,,,
43200,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
43200,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
43200,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
43200,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
43200,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
43200,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
43200,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
43200,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,000,,,
43200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
43200,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
43200,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,000,,,
43200,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
43200,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
43200,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
43200,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
43200,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
43201,RUC,"Accessory, Procedure",SD006,bite block,item,1.5,1,,000,,,
43201,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
43201,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,,000,,,
43201,RUC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,1,,000,,,
43201,RUC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
43201,RUC,"Accessory, Procedure",SD124,"tourniquet, non-latex 1in x 18in",item,0.226,1,,000,,,
43201,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
43201,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
43201,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
43201,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
43201,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
43201,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
43201,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,000,,,
43201,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
43201,RUC,"Hypodermic, IV",SC044,"needle, variceal injection",item,36,1,,000,,,
43201,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,3,,000,,,
43201,RUC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
43201,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,3,,000,,,
43201,RUC,"Kit, Pack, Tray",SA021,"kit, needle-free injection system",kit,9.492,1,0,000,,,
43201,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
43201,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,000,,,
43201,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
43201,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,000,,,
43201,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
43201,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,000,,,
43201,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,000,,,
43202,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
43202,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
43202,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
43202,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
43202,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
43202,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,,000,,,
43202,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,,
43202,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
43202,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
43202,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
43202,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,000,,,
43202,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
43202,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
43202,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
43202,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
43202,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
43202,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
43202,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
43202,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
43202,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,000,,,
43202,PEAC,"Kit, Pack, Tray",SA021,"kit, needle-free injection system",kit,9.492,1,,000,,,
43202,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
43202,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
43202,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
43202,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,000,,,
43202,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
43202,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
43202,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
43202,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
43202,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
43204,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43205,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43215,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43216,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43217,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
43217,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
43217,PEAC,"Accessory, Procedure",SD068,endoscopic polypectomy snare,item,19.7,1,,000,,,
43217,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
43217,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
43217,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
43217,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,,
43217,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
43217,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
43217,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
43217,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,000,,,
43217,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
43217,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
43217,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
43217,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
43217,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
43217,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
43217,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
43217,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
43217,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,000,,,
43217,PEAC,"Kit, Pack, Tray",SA021,"kit, needle-free injection system",kit,9.492,1,,000,,,
43217,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
43217,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
43217,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
43217,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,000,,,
43217,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
43217,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
43217,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
43217,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,1,,000,,,
43217,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
43219,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43220,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43226,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43227,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43228,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43328,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,0,1,090,,CPT11,7
43231,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43232,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43234,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
43234,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
43234,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
43234,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
43234,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
43234,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
43234,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
43234,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
43234,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
43234,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
43234,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
43234,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
43234,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
43234,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
43234,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
43234,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
43234,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
43234,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
43234,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,3,,000,,,
43234,PEAC,"Kit, Pack, Tray",SA021,"kit, needle-free injection system",kit,9.492,1,,000,,,
43234,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
43234,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
43234,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
43234,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,000,,,
43234,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
43234,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
43234,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
43234,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,1,,000,,,
43234,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
43235,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
43235,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
43235,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
43235,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
43235,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
43235,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
43235,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
43235,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
43235,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
43235,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
43235,PEAC,"Kit, Pack, Tray",SA021,"kit, needle-free injection system",kit,9.492,1,,000,,,
43235,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
43235,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
43235,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
43235,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,000,,,
43235,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
43235,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,000,,,
43235,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
43235,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,000,,,
43236,RUC,"Accessory, Procedure",SD006,bite block,item,1.5,1,,000,,,
43236,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
43236,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,,000,,,
43236,RUC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,1,,000,,,
43236,RUC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
43236,RUC,"Accessory, Procedure",SD124,"tourniquet, non-latex 1in x 18in",item,0.226,1,,000,,,
43236,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
43236,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
43236,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
43236,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
43236,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
43236,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
43236,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,000,,,
43236,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
43236,RUC,"Hypodermic, IV",SC044,"needle, variceal injection",item,36,1,,000,,,
43236,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,3,,000,,,
43236,RUC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
43236,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,3,,000,,,
43236,RUC,"Kit, Pack, Tray",SA021,"kit, needle-free injection system",kit,9.492,1,0,000,,,
43236,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
43236,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,000,,,
43236,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
43236,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,000,,,
43236,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
43236,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,000,,,
43236,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,000,,,
43237,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43238,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43239,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
43239,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
43239,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
43239,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
43239,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
43239,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
43239,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
43239,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
43239,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
43239,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
43239,PEAC,"Kit, Pack, Tray",SA021,"kit, needle-free injection system",kit,9.492,1,,000,,,
43239,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
43239,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
43239,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
43239,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,000,,,
43239,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
43239,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,000,,,
43239,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
43239,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,000,,,
43240,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43241,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43242,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43243,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43244,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43245,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43246,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43247,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43248,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43249,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43250,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43251,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43255,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43256,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43257,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43258,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43259,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43260,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43261,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43262,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43263,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43264,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43265,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43267,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43268,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43269,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43271,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43272,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43273,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,CPT09,12
43279,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT09,13
43279,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT09,13
43280,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,43324,,
43280,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
43281,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,9
43281,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT10,9
43282,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,9
43282,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT10,9
43289,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
43300,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43300,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43305,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43305,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
43310,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43310,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
43312,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
43312,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
43313,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
43313,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
43314,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
43314,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
43320,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43320,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43325,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43325,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43327,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,2,090,,CPT11,7
43327,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,0,1,090,,CPT11,7
43328,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,2,090,,CPT11,7
43330,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43330,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43331,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43331,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43332,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,2,090,,CPT11,7
43332,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,0,1,090,,CPT11,7
43333,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,2,090,,CPT11,7
43333,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,0,1,090,,CPT11,7
43334,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,2,090,,CPT11,7
43334,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,0,1,090,,CPT11,7
43335,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,2,090,,CPT11,7
43335,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,0,1,090,,CPT11,7
43336,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,3,090,,CPT11,7
43336,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,0,1,090,,CPT11,7
43337,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,3,090,,CPT11,7
43337,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,0,1,090,,CPT11,7
43340,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43340,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43341,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43341,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43350,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43350,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43351,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43351,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43352,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43352,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43360,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43360,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43361,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43361,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43400,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43400,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43401,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43401,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43405,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43405,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43410,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43410,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43415,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43415,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43420,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43420,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43425,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
43425,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43450,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,,
43450,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
43450,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,000,,,
43450,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
43450,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
43450,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,,,
43450,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
43450,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
43450,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
43450,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,000,,,
43450,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
43453,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
43453,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
43453,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
43453,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
43453,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
43453,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
43453,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
43453,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
43453,PEAC,"Hypodermic, IV",SC044,"needle, variceal injection",item,36,1,,000,,,
43453,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
43453,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
43453,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,,,
43453,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
43453,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
43453,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
43453,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
43453,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,000,,,
43453,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
43453,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,000,,,
43453,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
43453,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
43456,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
43456,PEAC,"Accessory, Procedure",SD019,"catheter, balloon, ureteral-GI (strictures)",item,166,1,,000,,,
43456,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
43456,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
43456,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
43456,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
43456,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
43456,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
43456,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
43456,PEAC,"Hypodermic, IV",SC044,"needle, variceal injection",item,36,1,,000,,,
43456,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
43456,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
43456,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,,,
43456,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
43456,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
43456,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
43456,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
43456,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,000,,,
43456,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
43456,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,000,,,
43456,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
43456,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
43458,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
43458,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
43458,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
43458,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
43458,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
43458,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
43458,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
43458,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
43458,PEAC,"Hypodermic, IV",SC044,"needle, variceal injection",item,36,1,,000,,,
43458,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
43458,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
43458,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,,,
43458,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
43458,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
43458,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
43458,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
43458,PEAC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,000,,,
43458,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
43458,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,000,,,
43458,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
43458,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
43460,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43469,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,90,,,
43496,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,090,,,
43499,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
43500,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43500,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
43501,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43501,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43502,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43502,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43510,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43510,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
43520,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43520,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
43605,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43605,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
43610,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43610,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
43611,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43611,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43620,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43620,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43621,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43621,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43622,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43622,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43631,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43631,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43632,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43632,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43633,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43633,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43634,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43634,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43635,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
43640,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43640,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43641,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43641,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43644,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
43644,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
43645,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
43645,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
43647,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,090,,CPT07,
43648,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,090,,CPT07,
43651,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
43651,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
43652,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
43652,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
43653,RUC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,,1,090,43830,,
43653,RUC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,1,090,43830,,
43653,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,,2,090,43830,,
43653,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,43830,,
43653,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,43830,,
43659,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
43752,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
43754,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,CPT11,8
43754,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,CPT11,8
43754,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT11,8
43754,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,CPT11,8
43754,RUC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,1,0,000,,CPT11,8
43754,RUC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,CPT11,8
43754,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,000,,CPT11,8
43754,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,5,0,000,,CPT11,8
43754,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,CPT11,8
43754,RUC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,10,0,000,,CPT11,8
43754,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,CPT11,8
43754,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT11,8
43754,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT11,8
43754,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,CPT11,8
43754,RUC,"Hypodermic, IV",SC065,"adapter, luer lock",item,1.2485,1,0,000,,CPT11,8
43754,RUC,"Wound Care, Dressings",SG078,"tape, surgical occlusive 1in (Blenderm)",inch,0.007,12,0,000,,CPT11,8
43754,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,CPT11,8
43754,RUC,"Accessory, Procedure",SD121,"suction specimen trap, sterile",item,2.54,1,0,000,,CPT11,8
43754,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,CPT11,8
43754,RUC,Infection Control,SM008,biohazard specimen transport bag,item,0.035,1,0,000,,CPT11,8
43754,RUC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,1,0,000,,CPT11,8
43754,RUC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,000,,CPT11,8
43755,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,CPT11,8
43755,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,CPT11,8
43755,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT11,8
43755,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,12,0,000,,CPT11,8
43755,RUC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,1,0,000,,CPT11,8
43755,RUC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,CPT11,8
43755,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,000,,CPT11,8
43755,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,CPT11,8
43755,RUC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,000,,CPT11,8
43755,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,000,,CPT11,8
43755,RUC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,10,0,000,,CPT11,8
43755,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,CPT11,8
43755,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT11,8
43755,RUC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,0,000,,CPT11,8
43755,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT11,8
43755,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,CPT11,8
43755,RUC,"Hypodermic, IV",SC065,"adapter, luer lock",item,1.2485,1,0,000,,CPT11,8
43755,RUC,"Wound Care, Dressings",SG078,"tape, surgical occlusive 1in (Blenderm)",inch,0.007,12,0,000,,CPT11,8
43755,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,CPT11,8
43755,RUC,"Accessory, Procedure",SD121,"suction specimen trap, sterile",item,2.54,1,0,000,,CPT11,8
43755,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,CPT11,8
43755,RUC,Infection Control,SM008,biohazard specimen transport bag,item,0.035,4,0,000,,CPT11,8
43755,RUC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,1,0,000,,CPT11,8
43755,RUC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,000,,CPT11,8
43756,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,CPT11,8
43756,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,CPT11,8
43756,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT11,8
43756,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,CPT11,8
43756,RUC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,1,0,000,,CPT11,8
43756,RUC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,CPT11,8
43756,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,000,,CPT11,8
43756,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,CPT11,8
43756,RUC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,10,0,000,,CPT11,8
43756,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,CPT11,8
43756,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT11,8
43756,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT11,8
43756,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,CPT11,8
43756,RUC,"Hypodermic, IV",SC065,"adapter, luer lock",item,1.2485,1,0,000,,CPT11,8
43756,RUC,"Wound Care, Dressings",SG078,"tape, surgical occlusive 1in (Blenderm)",inch,0.007,12,0,000,,CPT11,8
43756,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,CPT11,8
43756,RUC,"Accessory, Procedure",SD121,"suction specimen trap, sterile",item,2.54,1,0,000,,CPT11,8
43756,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,CPT11,8
43756,RUC,Infection Control,SM008,biohazard specimen transport bag,item,0.035,1,0,000,,CPT11,8
43756,RUC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,1,0,000,,CPT11,8
43756,RUC,"Office Supply, Grocery",SK028,"film, fluoroscopic 14 x 17",item,3.69,1,0,000,,CPT11,8
43756,RUC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,000,,CPT11,8
43757,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,CPT11,8
43757,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,CPT11,8
43757,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT11,8
43757,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,9,0,000,,CPT11,8
43757,RUC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,1,0,000,,CPT11,8
43757,RUC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,CPT11,8
43757,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,000,,CPT11,8
43757,RUC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,000,,CPT11,8
43757,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,000,,CPT11,8
43757,RUC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,10,0,000,,CPT11,8
43757,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,CPT11,8
43757,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT11,8
43757,RUC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,0,000,,CPT11,8
43757,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT11,8
43757,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,CPT11,8
43757,RUC,"Hypodermic, IV",SC065,"adapter, luer lock",item,1.2485,1,0,000,,CPT11,8
43757,RUC,"Wound Care, Dressings",SG078,"tape, surgical occlusive 1in (Blenderm)",inch,0.007,12,0,000,,CPT11,8
43757,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,CPT11,8
43757,RUC,"Accessory, Procedure",SD121,"suction specimen trap, sterile",item,2.54,1,0,000,,CPT11,8
43757,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,CPT11,8
43757,RUC,Infection Control,SM008,biohazard specimen transport bag,item,0.035,3,0,000,,CPT11,8
43757,RUC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,1,0,000,,CPT11,8
43757,RUC,"Office Supply, Grocery",SK028,"film, fluoroscopic 14 x 17",item,3.69,1,0,000,,CPT11,8
43757,RUC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,000,,CPT11,8
43760,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,CPT08,rv
43760,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,CPT08,rv
43760,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT08,rv
43760,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,CPT08,rv
43760,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,CPT08,rv
43760,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,CPT08,rv
43760,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,CPT08,rv
43760,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,Feb05,CPT08,rv
43760,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,0,000,,CPT08,rv
43760,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,010,,CPT08,rv
43760,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,15350,CPT08,rv
43760,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,CPT08,rv
43760,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,CPT08,rv
43760,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,15350,CPT08,rv
43760,RUC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,000,,CPT08,rv
43760,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT08,rv
43760,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,CPT08,rv
43760,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,CPT08,rv
43760,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,CPT08,rv
43760,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,CPT08,rv
43760,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT08,rv
43760,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,CPT08,rv
43760,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,,CPT08,rv
43760,RUC,"Kit, Pack, Tray",SA095,"kit, gastrostomy, low profile device (Mic-Key)",item,210,1,0,000,,CPT08,rv
43760,RUC,"Accessory, Procedure",SD229,"gastrostomy, stoma measuring device (Mic-Key)",item,10,1,0,000,,CPT08,rv
43761,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,0,000,,Feb05,
43770,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,88170,RUC05,
43770,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
43770,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,88170,RUC05,
43770,RUC,"Hypodermic, IV",SC039,"needle, Huber point",item,3.328,,2,090,,RUC05,
43770,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,2,090,,RUC05,
43770,RUC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,,2,090,,RUC05,
43770,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,88170,RUC05,
43771,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,88170,RUC05,
43771,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
43771,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,88170,RUC05,
43771,RUC,"Hypodermic, IV",SC039,"needle, Huber point",item,3.328,,2,090,,RUC05,
43771,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,2,090,,RUC05,
43771,RUC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,,2,090,,RUC05,
43771,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,88170,RUC05,
43772,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,88170,RUC05,
43772,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
43773,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,88170,RUC05,
43773,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
43773,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,88170,RUC05,
43773,RUC,"Hypodermic, IV",SC039,"needle, Huber point",item,3.328,,2,090,,RUC05,
43773,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,2,090,,RUC05,
43773,RUC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,,2,090,,RUC05,
43773,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,88170,RUC05,
43774,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,88170,RUC05,
43774,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
43775,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,11
43775,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,11
43800,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43800,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
43810,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43810,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
43820,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43820,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43825,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43825,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43830,CPEP,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,,1,090,,,
43830,CPEP,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,1,090,,,
43830,CPEP,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,,2,090,,,
43830,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43830,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
43831,CPEP,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,,1,090,,,
43831,CPEP,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,1,090,,,
43831,CPEP,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,,2,090,,,
43831,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43831,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43832,CPEP,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,,1,090,,,
43832,CPEP,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,,1,090,,,
43832,CPEP,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,,2,090,,,
43832,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43832,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
43840,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43840,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43842,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43842,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43843,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43843,CPEP,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
43845,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,090,,,
43845,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,88170,RUC05,
43845,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
43846,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43846,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43847,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43847,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43848,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43848,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
43850,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43850,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43855,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43855,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43860,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43860,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43865,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43865,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43870,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43870,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
43880,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
43880,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
43881,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,090,,CPT07,
43882,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,090,,CPT07,
43886,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,88170,RUC05,
43886,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
43886,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,88170,RUC05,
43886,RUC,"Hypodermic, IV",SC039,"needle, Huber point",item,3.328,,2,090,,RUC05,
43886,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,2,090,,RUC05,
43886,RUC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,,2,090,,RUC05,
43886,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,88170,RUC05,
43887,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,88170,RUC05,
43887,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
43888,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,88170,RUC05,
43888,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
43888,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,4,090,88170,RUC05,
43888,RUC,"Hypodermic, IV",SC039,"needle, Huber point",item,3.328,,2,090,,RUC05,
43888,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,2,090,,RUC05,
43888,RUC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,,2,090,,RUC05,
43888,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,,2,090,88170,RUC05,
43999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
44005,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
44005,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
44010,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
44010,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
44015,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
44020,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
44020,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
44021,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
44021,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
44025,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
44025,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
44050,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
44050,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
44055,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
44055,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
44100,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar04,E
44110,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
44110,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
44111,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
44111,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
44120,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
44120,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
44121,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
44125,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
44125,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
44126,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
44126,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44127,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
44127,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44128,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
44130,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
44130,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
44132,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
44133,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
44135,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
44136,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
44137,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
44139,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
44140,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44140,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44141,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44141,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44141,PEAC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,4,090,,,
44141,PEAC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,4,090,,,
44143,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44143,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44143,PEAC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,3,090,,,
44143,PEAC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,3,090,,,
44144,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44144,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44144,PEAC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,1,090,,,
44144,PEAC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,1,090,,,
44145,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44145,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44146,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44146,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44146,PEAC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,5,090,,,
44146,PEAC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,5,090,,,
44147,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44147,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44150,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
44150,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44150,PEAC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,5,090,,,
44150,PEAC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,5,090,,,
44151,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
44151,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44151,PEAC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,5,090,,,
44151,PEAC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,5,090,,,
44155,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
44155,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44155,PEAC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,5,090,,,
44155,PEAC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,5,090,,,
44156,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
44156,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44156,PEAC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,6,090,,,
44156,PEAC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,6,090,,,
44157,RUC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,4,090,,CPT07,
44157,RUC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,4,090,,CPT07,
44157,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT07,
44157,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
44158,RUC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,4,090,,CPT07,
44158,RUC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,4,090,,CPT07,
44158,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT07,
44158,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT07,
44160,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44160,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44180,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,44200,RUC05,
44180,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,44200,RUC05,
44186,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,44200,RUC05,
44186,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,RUC05,
44186,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,15,090,44200,RUC05,
44186,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,4,090,44200,RUC05,
44187,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,88170,RUC05,
44187,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
44187,RUC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,3,090,,RUC05,
44187,RUC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,3,090,,RUC05,
44188,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,88170,RUC05,
44188,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
44188,RUC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,3,090,,RUC05,
44188,RUC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,3,090,,RUC05,
44202,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44202,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44203,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
44204,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44204,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44205,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44205,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44206,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44206,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
44206,RUC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,3,090,,,
44207,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44207,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
44208,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44208,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
44208,RUC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,1.5,090,,,
44208,RUC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,3,090,,,
44210,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
44210,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
44210,RUC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,1,090,,,
44210,RUC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,2,090,,,
44211,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
44211,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
44211,RUC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,2,090,,,
44211,RUC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,4,090,,,
44212,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
44212,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
44212,RUC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,2,090,,,
44212,RUC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,4,090,,,
44213,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
44227,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,88170,RUC05,
44227,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
44238,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
44239,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
44300,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44300,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44310,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44310,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44312,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44312,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44314,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44314,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44316,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44316,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44320,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44320,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44322,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
44322,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44322,PEAC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,6,090,,,
44322,PEAC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,6,090,,,
44340,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44340,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44345,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44345,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44346,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44346,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44360,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
44361,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
44363,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
44364,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
44365,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
44366,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
44369,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
44370,CMS X-WALK,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,44363,,
44372,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
44373,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
44376,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
44377,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
44378,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
44379,CMS X-WALK,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,44377,,
44380,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
44382,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
44383,CMS X-WALK,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,44382,,
44385,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,Mar04,U
44385,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,0,000,,Mar04,U
44385,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,Mar04,U
44385,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,000,,Mar04,U
44385,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,0,000,,Mar04,U
44385,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,000,,Mar04,U
44385,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,Mar04,U
44385,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,000,,Mar04,U
44385,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,Mar04,U
44385,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,Mar04,U
44385,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar04,U
44385,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Mar04,U
44385,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,U
44385,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,Mar04,U
44385,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Mar04,U
44385,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,Mar04,U
44385,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,0,000,,Mar04,U
44385,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,Mar04,U
44386,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,Mar04,U
44386,PEAC,"Accessory, Procedure",SD066,endoscopic biopsy forceps,item,50.6,1,0,000,,Mar04,U
44386,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,Mar04,U
44386,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,000,,Mar04,U
44386,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,0,000,,Mar04,U
44386,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,000,,Mar04,U
44386,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,Mar04,U
44386,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,000,,Mar04,U
44386,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,Mar04,U
44386,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,Mar04,U
44386,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar04,U
44386,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Mar04,U
44386,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,U
44386,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,Mar04,U
44386,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Mar04,U
44386,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,Mar04,U
44386,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,0,000,,Mar04,U
44386,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,Mar04,U
44388,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
44388,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
44388,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
44388,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
44388,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
44388,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,,
44388,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
44388,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
44388,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
44388,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,000,,,
44388,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
44388,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
44388,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
44388,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
44388,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
44388,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
44388,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
44388,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
44388,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,000,,,
44388,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
44388,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
44388,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
44388,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
44388,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
44388,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
44388,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
44388,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
44389,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
44389,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
44389,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
44389,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
44389,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
44389,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,,000,,,
44389,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,,
44389,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
44389,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
44389,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
44389,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,000,,,
44389,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
44389,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
44389,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
44389,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
44389,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
44389,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
44389,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
44389,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
44389,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,000,,,
44389,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
44389,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
44389,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
44389,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
44389,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
44389,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
44389,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
44389,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
44390,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
44390,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
44390,PEAC,"Accessory, Procedure",SD068,endoscopic polypectomy snare,item,19.7,1,,000,,,
44390,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
44390,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
44390,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
44390,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,,
44390,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
44390,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
44390,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
44390,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,000,,,
44390,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
44390,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
44390,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
44390,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
44390,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
44390,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
44390,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
44390,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
44390,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,000,,,
44390,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
44390,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
44390,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
44390,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
44390,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
44390,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
44390,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
44390,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
44391,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
44391,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
44391,PEAC,"Accessory, Procedure",SD068,endoscopic polypectomy snare,item,19.7,1,,000,,,
44391,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
44391,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
44391,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
44391,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,,
44391,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
44391,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
44391,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
44391,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,000,,,
44391,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
44391,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
44391,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
44391,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
44391,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
44391,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
44391,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
44391,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
44391,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,000,,,
44391,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
44391,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
44391,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
44391,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
44391,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
44391,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
44391,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
44391,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
44392,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
44392,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
44392,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
44392,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
44392,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
44392,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,,000,,,
44392,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,,
44392,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
44392,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
44392,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
44392,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,000,,,
44392,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
44392,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
44392,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
44392,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
44392,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
44392,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
44392,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
44392,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
44392,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,000,,,
44392,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
44392,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
44392,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
44392,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
44392,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
44392,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
44392,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
44392,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
44393,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
44393,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
44393,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
44393,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
44393,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
44393,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,,000,,,
44393,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,,
44393,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
44393,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
44393,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
44393,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,000,,,
44393,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
44393,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
44393,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
44393,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
44393,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
44393,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
44393,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
44393,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
44393,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,000,,,
44393,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
44393,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
44393,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
44393,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
44393,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
44393,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
44393,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
44393,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
44394,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
44394,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
44394,PEAC,"Accessory, Procedure",SD068,endoscopic polypectomy snare,item,19.7,1,,000,,,
44394,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
44394,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
44394,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
44394,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,,
44394,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
44394,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
44394,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
44394,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,000,,,
44394,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
44394,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
44394,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
44394,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
44394,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
44394,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
44394,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
44394,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
44394,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,,000,,,
44394,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
44394,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
44394,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
44394,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
44394,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
44394,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
44394,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
44394,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
44397,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
44500,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar04,E
44602,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44602,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44603,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44603,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44604,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44604,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44605,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44605,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44605,PEAC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,2,090,,,
44605,PEAC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,2,090,,,
44615,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44615,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44620,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44620,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44625,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44625,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44626,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44626,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44640,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44640,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44650,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44650,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44660,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44660,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44661,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44661,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44680,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44680,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44700,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44700,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44701,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
44715,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT07,
44720,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
44721,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
44799,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
44800,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
44800,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44820,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44820,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44850,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44850,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44899,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
44900,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44900,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44901,PEAC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,1,0,000,,Jan04,9
44901,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,000,,Jan04,9
44901,PEAC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,000,,Jan04,9
44901,PEAC,"Accessory, Procedure",SD161,"drainage catheter, all purpose",item,88.43,1,0,000,,Jan04,9
44901,PEAC,"Accessory, Procedure",SD163,"drainage pouch, nephrostomy-biliary",item,13.25,1,0,000,,Jan04,9
44901,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,000,,Jan04,9
44901,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Jan04,9
44901,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Jan04,9
44901,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Jan04,9
44901,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,Jan04,9
44901,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Jan04,9
44901,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,000,,Jan04,9
44901,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Jan04,9
44901,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Jan04,9
44901,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,9
44901,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,Jan04,9
44901,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,Jan04,9
44901,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,Jan04,9
44901,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,Jan04,9
44901,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Jan04,9
44901,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,Jan04,9
44901,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,000,,Jan04,9
44901,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,Jan04,9
44901,PEAC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,Jan04,9
44901,PEAC,Lab,SL157,"cup, sterile, 8 oz",item,0.542,1,0,000,,Jan04,9
44901,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,Jan04,9
44901,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Jan04,9
44901,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,Jan04,9
44901,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Jan04,9
44901,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,Jan04,9
44901,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,Jan04,9
44901,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Jan04,9
44950,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44950,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44955,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
44960,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
44960,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44970,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
44970,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
44979,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
45000,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
45000,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45005,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,2,1,010,,Mar04,D
45005,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,010,,Mar04,D
45005,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,010,,Mar04,D
45005,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,010,,Mar04,D
45005,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,0,010,,Mar04,D
45005,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar04,D
45005,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar04,D
45005,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,D
45005,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,0,010,,Mar04,D
45005,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,D
45005,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,D
45005,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,D
45005,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,D
45005,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar04,D
45005,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar04,D
45005,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Mar04,D
45005,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,010,,Mar04,D
45005,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1.5,0.5,010,,Mar04,D
45005,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar04,D
45005,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,010,,Mar04,D
45005,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar04,D
45005,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,0,010,,Mar04,D
45005,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,D
45005,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,010,,Mar04,D
45005,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar04,D
45005,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,D
45020,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
45020,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45100,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
45100,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45108,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
45108,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45110,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
45110,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45110,PEAC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,3,090,,,
45110,PEAC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,3,090,,,
45111,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
45111,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45112,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
45112,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45113,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
45113,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45113,PEAC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,3,090,,,
45113,PEAC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,3,090,,,
45114,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
45114,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45116,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
45116,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45119,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
45119,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45119,PEAC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,3,090,,,
45119,PEAC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,3,090,,,
45120,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
45120,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45121,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
45121,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45123,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
45123,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45126,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
45126,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45126,PEAC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,3,090,,,
45126,PEAC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,3,090,,,
45130,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
45130,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45135,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
45135,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45136,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
45136,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45136,RUC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,4,090,,,
45136,RUC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,4,090,,,
45150,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
45150,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45160,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
45160,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45170,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
45170,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
45171,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,3,090,,CPT10,31
45171,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,,8,090,,CPT10,31
45171,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,31
45171,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,6,090,,CPT10,31
45171,RUC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,2,090,,CPT10,31
45171,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,,2,090,,CPT10,31
45171,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,090,,CPT10,31
45171,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,CPT10,31
45171,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,,1,090,,CPT10,31
45171,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,1,090,,CPT10,31
45171,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,1,090,,CPT10,31
45171,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,CPT10,31
45171,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,CPT10,31
45171,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,1,090,,CPT10,31
45172,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,3,090,,CPT10,31
45172,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,,8,090,,CPT10,31
45172,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,31
45172,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,6,090,,CPT10,31
45172,RUC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,2,090,,CPT10,31
45172,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,,2,090,,CPT10,31
45172,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,090,,CPT10,31
45172,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,CPT10,31
45172,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,,1,090,,CPT10,31
45172,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,1,090,,CPT10,31
45172,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,1,090,,CPT10,31
45172,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,CPT10,31
45172,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,CPT10,31
45172,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,1,090,,CPT10,31
45190,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
45190,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
45190,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
45190,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
45190,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
45190,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
45300,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45300,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
45300,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45300,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45300,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,000,,,
45300,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45300,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45300,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45300,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45300,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45300,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
45300,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45300,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
45300,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45300,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45300,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45300,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45300,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,000,,,
45300,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45300,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
45303,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45303,PEAC,"Accessory, Procedure",SD019,"catheter, balloon, ureteral-GI (strictures)",item,166,3,,000,,,
45303,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45303,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
45303,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45303,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45303,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,000,,,
45303,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45303,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45303,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45303,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45303,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45303,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45303,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
45303,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45303,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
45303,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45303,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45303,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45303,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45303,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45303,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,0,000,,,
45303,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45303,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
45305,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45305,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45305,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
45305,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45305,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45305,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,000,,,
45305,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45305,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45305,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45305,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45305,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45305,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45305,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
45305,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45305,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
45305,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45305,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45305,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45305,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45305,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45305,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,0,000,,,
45305,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45305,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
45307,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45307,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45307,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
45307,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45307,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45307,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,000,,,
45307,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45307,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45307,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45307,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45307,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45307,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45307,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
45307,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45307,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
45307,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45307,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45307,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45307,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45307,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45307,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,0,000,,,
45307,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45307,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
45308,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45308,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45308,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
45308,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45308,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45308,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,000,,,
45308,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45308,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45308,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45308,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45308,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45308,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45308,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
45308,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45308,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
45308,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45308,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45308,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45308,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45308,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45308,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,0,000,,,
45308,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45308,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
45309,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45309,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45309,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
45309,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45309,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45309,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,000,,,
45309,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45309,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45309,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45309,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45309,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45309,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45309,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
45309,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45309,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
45309,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45309,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45309,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45309,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45309,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45309,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,0,000,,,
45309,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45309,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
45315,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45315,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45315,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
45315,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45315,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45315,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,000,,,
45315,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45315,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45315,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45315,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45315,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45315,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45315,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
45315,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45315,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
45315,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45315,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45315,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45315,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45315,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45315,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,0,000,,,
45315,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45315,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
45317,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45317,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45317,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
45317,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45317,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45317,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,000,,,
45317,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45317,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45317,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45317,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45317,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45317,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45317,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
45317,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45317,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
45317,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45317,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45317,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45317,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45317,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45317,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,0,000,,,
45317,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45317,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
45320,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45320,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45320,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
45320,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45320,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45320,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,000,,,
45320,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45320,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45320,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45320,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45320,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45320,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45320,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
45320,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45320,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
45320,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45320,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45320,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45320,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45320,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45320,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,0,000,,,
45320,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45320,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
45321,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
45327,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
45330,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
45330,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45330,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,000,,,
45330,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,000,,,
45330,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,,000,,,
45330,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
45330,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
45330,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
45330,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
45330,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,000,,,
45330,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45330,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45330,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45330,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,,,
45330,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45330,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
45330,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
45330,PEAC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,30,,000,,,
45330,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45330,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45330,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45330,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
45331,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45331,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
45331,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45331,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45331,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45331,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45331,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45331,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45331,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45331,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45331,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,,,
45331,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45331,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45331,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
45331,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
45331,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45331,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45331,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45331,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
45332,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45332,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
45332,PEAC,"Accessory, Procedure",SD068,endoscopic polypectomy snare,item,19.7,1,,000,,,
45332,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45332,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45332,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45332,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,,000,,,
45332,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45332,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45332,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45332,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45332,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45332,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45332,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45332,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,,,
45332,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45332,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45332,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45332,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
45332,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
45332,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45332,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45332,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45332,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
45333,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45333,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
45333,PEAC,"Accessory, Procedure",SD068,endoscopic polypectomy snare,item,19.7,1,,000,,,
45333,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45333,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45333,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,,000,,,
45333,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45333,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,,000,,,
45333,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45333,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45333,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45333,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45333,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45333,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45333,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45333,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,,,
45333,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45333,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45333,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45333,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
45333,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
45333,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45333,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45333,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45333,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
45334,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
45335,RUC,"Accessory, Procedure",SD006,bite block,item,1.5,1,,000,,,
45335,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45335,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,,000,,,
45335,RUC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,1,,000,,,
45335,RUC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45335,RUC,"Accessory, Procedure",SD124,"tourniquet, non-latex 1in x 18in",item,0.226,1,,000,,,
45335,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45335,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45335,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
45335,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45335,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45335,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45335,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,000,,,
45335,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45335,RUC,"Hypodermic, IV",SC044,"needle, variceal injection",item,36,1,,000,,,
45335,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,3,,000,,,
45335,RUC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45335,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,3,,000,,,
45335,RUC,"Kit, Pack, Tray",SA021,"kit, needle-free injection system",kit,9.492,1,0,000,,,
45335,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45335,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,000,,,
45335,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45335,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,000,,,
45335,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
45335,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,000,,,
45335,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,000,,,
45337,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
45338,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45338,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
45338,PEAC,"Accessory, Procedure",SD068,endoscopic polypectomy snare,item,19.7,1,,000,,,
45338,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45338,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45338,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,,000,,,
45338,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45338,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,,000,,,
45338,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45338,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45338,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45338,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45338,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45338,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45338,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45338,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,,,
45338,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45338,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45338,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45338,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
45338,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
45338,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45338,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45338,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45338,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
45339,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45339,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
45339,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45339,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45339,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45339,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45339,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45339,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45339,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45339,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45339,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45339,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45339,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,,,
45339,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45339,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45339,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45339,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
45339,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
45339,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45339,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45339,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45339,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
45340,RUC,"Accessory, Procedure",SD006,bite block,item,1.5,1,,000,,,
45340,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45340,RUC,"Accessory, Procedure",SD019,"catheter, balloon, ureteral-GI (strictures)",item,166,1,,000,,,
45340,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,,000,,,
45340,RUC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,1,,000,,,
45340,RUC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45340,RUC,"Accessory, Procedure",SD124,"tourniquet, non-latex 1in x 18in",item,0.226,1,,000,,,
45340,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45340,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45340,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
45340,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45340,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45340,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45340,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,000,,,
45340,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45340,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,,000,,,
45340,RUC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45340,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,3,,000,,,
45340,RUC,"Kit, Pack, Tray",SA021,"kit, needle-free injection system",kit,9.492,1,0,000,,,
45340,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45340,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,000,,,
45340,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45340,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,000,,,
45340,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
45340,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,000,,,
45340,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,000,,,
45341,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
45342,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
45345,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
45355,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
45378,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45378,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
45378,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45378,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45378,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45378,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45378,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45378,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45378,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45378,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45378,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45378,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45378,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,,,
45378,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45378,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45378,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45378,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
45378,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
45378,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45378,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45378,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
45378,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45378,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,10,,000,,,
45379,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45379,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
45379,PEAC,"Accessory, Procedure",SD068,endoscopic polypectomy snare,item,19.7,1,,000,,,
45379,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45379,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45379,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,,000,,,
45379,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45379,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45379,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45379,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45379,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45379,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45379,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45379,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45379,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,,,
45379,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45379,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45379,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45379,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
45379,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
45379,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45379,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45379,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
45379,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45379,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,10,,000,,,
45380,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45380,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
45380,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45380,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45380,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,,000,,,
45380,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45380,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45380,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45380,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45380,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45380,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45380,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45380,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45380,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,,,
45380,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45380,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45380,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45380,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
45380,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
45380,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45380,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45380,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
45380,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45380,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,10,,000,,,
45381,RUC,"Accessory, Procedure",SD006,bite block,item,1.5,1,,000,,,
45381,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45381,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,,000,,,
45381,RUC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,1,,000,,,
45381,RUC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45381,RUC,"Accessory, Procedure",SD124,"tourniquet, non-latex 1in x 18in",item,0.226,1,,000,,,
45381,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45381,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45381,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
45381,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45381,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45381,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45381,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,000,,,
45381,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45381,RUC,"Hypodermic, IV",SC044,"needle, variceal injection",item,36,1,,000,,,
45381,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,3,,000,,,
45381,RUC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45381,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,3,,000,,,
45381,RUC,"Kit, Pack, Tray",SA021,"kit, needle-free injection system",kit,9.492,1,0,000,,,
45381,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45381,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,000,,,
45381,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45381,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,000,,,
45381,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
45381,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,000,,,
45381,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,000,,,
45382,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45382,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
45382,PEAC,"Accessory, Procedure",SD068,endoscopic polypectomy snare,item,19.7,1,,000,,,
45382,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45382,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45382,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,,000,,,
45382,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45382,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45382,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45382,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45382,PEAC,"Hypodermic, IV",SC011,endoscopic sclerotherapy needle,item,21,1,,000,,,
45382,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45382,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45382,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45382,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45382,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,,,
45382,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45382,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45382,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45382,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
45382,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
45382,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45382,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45382,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
45382,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45382,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,10,,000,,,
45383,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45383,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
45383,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45383,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45383,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,,000,,,
45383,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45383,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45383,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45383,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45383,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45383,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45383,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45383,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45383,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,,,
45383,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45383,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45383,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45383,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
45383,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
45383,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45383,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45383,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
45383,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45383,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,10,,000,,,
45384,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45384,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
45384,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45384,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45384,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,,000,,,
45384,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45384,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45384,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45384,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45384,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45384,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45384,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45384,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45384,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,,,
45384,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45384,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45384,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45384,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
45384,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
45384,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45384,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45384,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
45384,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45384,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,10,,000,,,
45385,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45385,PEAC,"Accessory, Procedure",SD067,endoscopic cytology brush,item,10.75,1,,000,,,
45385,PEAC,"Accessory, Procedure",SD068,endoscopic polypectomy snare,item,19.7,1,,000,,,
45385,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45385,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45385,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45385,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45385,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45385,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45385,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45385,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
45385,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45385,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
45385,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,,,
45385,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
45385,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
45385,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45385,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
45385,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,,,
45385,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45385,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
45385,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
45385,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
45385,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,10,,000,,,
45386,RUC,"Accessory, Procedure",SD006,bite block,item,1.5,1,,000,,,
45386,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
45386,RUC,"Accessory, Procedure",SD019,"catheter, balloon, ureteral-GI (strictures)",item,166,1,,000,,,
45386,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,,000,,,
45386,RUC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,1,,000,,,
45386,RUC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,,000,,,
45386,RUC,"Accessory, Procedure",SD124,"tourniquet, non-latex 1in x 18in",item,0.226,1,,000,,,
45386,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
45386,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
45386,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
45386,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
45386,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
45386,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
45386,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,000,,,
45386,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
45386,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,,000,,,
45386,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,000,,,
45386,RUC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
45386,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,3,,000,,,
45386,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
45386,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,,000,,,
45386,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
45386,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,000,,,
45386,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
45386,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,000,,,
45386,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,,000,,,
45387,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
45391,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
45392,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
45395,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,88170,RUC05,
45395,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
45395,RUC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,4,090,,RUC05,
45395,RUC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,4,090,,RUC05,
45397,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,88170,RUC05,
45397,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
45397,RUC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,4,090,,RUC05,
45397,RUC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,4,090,,RUC05,
45400,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,88170,RUC05,
45400,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
45402,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,88170,RUC05,
45402,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
45500,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
45500,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
45500,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
45500,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
45500,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
45500,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
45505,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
45505,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
45505,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
45505,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
45505,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
45505,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
45520,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,0,000,,Mar04,D
45520,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,Mar04,D
45520,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,6,0,000,,Mar04,D
45520,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,000,,Mar04,D
45520,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Mar04,D
45520,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,Mar04,D
45520,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Mar04,D
45520,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Mar04,D
45520,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,4,0,000,,Mar04,D
45520,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,Mar04,D
45520,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,Mar04,D
45520,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar04,D
45520,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,D
45520,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Mar04,D
45520,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,Mar04,D
45520,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,Mar04,D
45520,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,0,000,,Mar04,D
45520,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,Mar04,D
45520,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,000,,Mar04,D
45520,PEAC,"Pharmacy, Rx",SH062,sclerosing solution inj,ml,2.029,5,0,000,,Mar04,D
45520,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,8,0,000,,Mar04,D
45520,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,000,,Mar04,D
45520,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,Mar04,D
45540,CPEP,"Accessory, Procedure",SD117,sigmoidoscope,item,2.459,,1,090,,,
45540,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
45540,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
45540,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,15,090,,,
45540,CPEP,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,1,090,,,
45540,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,4,090,,,
45541,CPEP,"Accessory, Procedure",SD117,sigmoidoscope,item,2.459,,1,090,,,
45541,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
45541,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
45541,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,15,090,,,
45541,CPEP,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,1,090,,,
45541,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,4,090,,,
45541,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
45541,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
45541,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
45541,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
45550,CPEP,"Accessory, Procedure",SD117,sigmoidoscope,item,2.459,,1,090,,,
45550,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
45550,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
45550,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,15,090,,,
45550,CPEP,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,1,090,,,
45550,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,4,090,,,
45550,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
45550,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
45550,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
45550,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
45560,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
45560,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
45560,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,15,090,,,
45560,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,4,090,,,
45560,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
45560,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
45560,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
45560,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
45562,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
45562,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
45562,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,15,090,,,
45562,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,4,090,,,
45562,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
45562,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
45562,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
45562,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
45563,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
45563,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
45563,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,15,090,,,
45563,PERC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,3,090,,,
45563,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,4,090,,,
45563,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
45563,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
45563,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
45563,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
45800,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
45800,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
45800,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
45800,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
45800,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
45800,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
45805,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
45805,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
45805,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,15,090,,,
45805,PERC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,3,090,,,
45805,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,4,090,,,
45805,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
45805,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
45805,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
45805,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
45820,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
45820,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
45820,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
45820,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
45820,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
45820,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
45825,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
45825,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
45825,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,15,090,,,
45825,PERC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,3,090,,,
45825,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,4,090,,,
45825,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
45825,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
45825,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
45825,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
45900,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
45900,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,,
45905,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
45905,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,,
45910,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
45910,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,,
45915,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,2,1,010,,Mar04,D
45915,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,010,,Mar04,D
45915,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,010,,Mar04,D
45915,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,010,,Mar04,D
45915,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,010,,Mar04,D
45915,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,D
45915,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,D
45915,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,D
45915,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,D
45915,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar04,D
45915,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar04,D
45915,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Mar04,D
45915,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,010,,Mar04,D
45915,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,D
45915,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar04,D
45915,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,010,,Mar04,D
45915,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar04,D
45915,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,0,010,,Mar04,D
45915,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,D
45915,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,010,,Mar04,D
45915,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,Mar04,D
45915,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,D
45990,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,RUC05,
45999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
46020,RUC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,1,010,,,
46020,RUC,"Cutters, Closures, Cautery",SF031,"loop, surgical (Surg-I-Loop)",item,1.275,1,,010,,,
46020,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
46020,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,,
46020,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,1,1,010,,,
46020,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,010,,,
46030,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
46030,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
46030,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
46030,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
46030,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
46030,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
46030,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
46030,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,010,,,
46030,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1.5,0.5,010,,,
46030,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
46030,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,010,,,
46030,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
46030,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,010,,,
46040,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,2,1,090,,Mar04,D
46040,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Mar04,D
46040,PEAC,"Accessory, Procedure",SD026,"catheter, Pezzar (mushroom)",item,13.95,1,0,090,,Mar04,D
46040,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Mar04,D
46040,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Mar04,D
46040,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,0,090,,Mar04,D
46040,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar04,D
46040,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar04,D
46040,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar04,D
46040,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar04,D
46040,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar04,D
46040,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar04,D
46040,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar04,D
46040,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Mar04,D
46040,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Mar04,D
46040,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar04,D
46040,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,090,,Mar04,D
46040,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Mar04,D
46040,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar04,D
46040,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,8,4,090,,Mar04,D
46040,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Mar04,D
46040,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,3,090,,Mar04,D
46040,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar04,D
46040,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,090,,Mar04,D
46040,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar04,D
46045,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
46045,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46045,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46045,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46045,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46045,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46050,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,010,,,
46050,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
46050,PEAC,"Accessory, Procedure",SD026,"catheter, Pezzar (mushroom)",item,13.95,1,,010,,,
46050,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
46050,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
46050,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
46050,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
46050,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
46050,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,010,,,
46050,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
46050,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
46050,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
46050,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
46050,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,010,,,
46050,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,010,,,
46050,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,010,,,
46050,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,010,,,
46050,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,010,,,
46050,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,010,,,
46050,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,010,,,
46050,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
46050,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
46050,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,010,,,
46050,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
46050,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,010,,,
46050,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
46050,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,010,,,
46050,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,010,,,
46060,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
46060,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46060,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46060,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46060,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46060,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46070,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
46070,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46070,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46070,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46070,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46070,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46080,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,010,,,
46080,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
46080,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
46080,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
46080,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
46080,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
46080,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
46080,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
46080,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,010,,,
46080,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
46080,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
46080,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
46080,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
46080,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,010,,,
46080,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,010,,,
46080,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,010,,,
46080,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,010,,,
46080,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,010,,,
46080,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,010,,,
46080,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,010,,,
46080,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1.5,0.5,010,,,
46080,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
46080,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,010,,,
46080,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
46080,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,010,,,
46080,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
46080,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,010,,,
46080,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,010,,,
46083,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,010,,,
46083,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
46083,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
46083,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
46083,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
46083,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
46083,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,010,,,
46083,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
46083,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
46083,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
46083,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
46083,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,010,,,
46083,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,010,,,
46083,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,010,,,
46083,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,010,,,
46083,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,010,,,
46083,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,010,,,
46083,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,010,,,
46083,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
46083,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
46083,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,010,,,
46083,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
46083,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,010,,,
46083,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
46083,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,010,,,
46083,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,010,,,
46200,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,2,1,090,,Mar03,7
46200,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Mar03,7
46200,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Mar03,7
46200,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Mar03,7
46200,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,0,090,,Mar03,7
46200,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar03,7
46200,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,7
46200,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,7
46200,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar03,7
46200,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,7
46200,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,7
46200,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,7
46200,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,7
46200,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Mar03,7
46200,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,Mar03,7
46200,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,7
46200,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,Mar03,7
46200,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,090,,Mar03,7
46200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Mar03,7
46200,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,7
46200,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,8,4,090,,Mar03,7
46200,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Mar03,7
46200,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,3,090,,Mar03,7
46200,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,7
46200,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,090,,Mar03,7
46200,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,7
46210,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,2,1,090,,Mar03,7
46210,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Mar03,7
46210,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Mar03,7
46210,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Mar03,7
46210,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,0,090,,Mar03,7
46210,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar03,7
46210,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,7
46210,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,7
46210,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar03,7
46210,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,7
46210,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,7
46210,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,7
46210,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,7
46210,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Mar03,7
46210,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,Mar03,7
46210,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,7
46210,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,Mar03,7
46210,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,090,,Mar03,7
46210,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Mar03,7
46210,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,7
46210,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,7
46210,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,8,4,090,,Mar03,7
46210,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Mar03,7
46210,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,3,090,,Mar03,7
46210,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,7
46210,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,090,,Mar03,7
46210,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,7
46211,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,2,1,090,,Mar03,7
46211,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Mar03,7
46211,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Mar03,7
46211,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Mar03,7
46211,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,0,090,,Mar03,7
46211,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar03,7
46211,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,7
46211,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,7
46211,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar03,7
46211,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,7
46211,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,7
46211,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,7
46211,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,7
46211,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Mar03,7
46211,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,Mar03,7
46211,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,7
46211,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,Mar03,7
46211,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,090,,Mar03,7
46211,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4.5,3.5,090,,Mar03,7
46211,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,7
46211,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,7
46211,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,8,4,090,,Mar03,7
46211,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Mar03,7
46211,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,3,090,,Mar03,7
46211,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,7
46211,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,090,,Mar03,7
46211,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,7
46220,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,010,,,
46220,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
46220,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
46220,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
46220,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,,010,,,
46220,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
46220,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
46220,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
46220,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,010,,,
46220,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
46220,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
46220,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
46220,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
46220,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,010,,,
46220,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,010,,,
46220,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,010,,,
46220,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,010,,,
46220,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,010,,,
46220,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,010,,,
46220,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,010,,,
46220,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
46220,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
46220,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,010,,,
46220,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
46220,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,010,,,
46220,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
46220,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,010,,,
46220,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,010,,,
46221,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,2,1,010,,Mar03,7
46221,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,010,,Mar03,7
46221,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,010,,Mar03,7
46221,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,010,,Mar03,7
46221,PEAC,"Cutters, Closures, Cautery",SF032,"rubber bands, sterile for ligation",item,0.145,1,0,010,,Mar03,7
46221,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar03,7
46221,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar03,7
46221,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar03,7
46221,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar03,7
46221,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar03,7
46221,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar03,7
46221,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,010,,Mar03,7
46221,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar03,7
46221,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar03,7
46221,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,8,4,010,,Mar03,7
46221,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,3,010,,Mar03,7
46221,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar03,7
46221,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,010,,Mar03,7
46230,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,010,,,
46230,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
46230,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
46230,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
46230,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
46230,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
46230,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
46230,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
46230,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,010,,,
46230,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
46230,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
46230,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
46230,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
46230,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,010,,,
46230,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,010,,,
46230,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,010,,,
46230,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,010,,,
46230,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,010,,,
46230,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,010,,,
46230,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,010,,,
46230,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,,010,,,
46230,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
46230,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
46230,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
46230,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,010,,,
46230,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
46230,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,010,,,
46230,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
46230,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,010,,,
46230,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,010,,,
46250,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,2,1,090,,Mar03,7
46250,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Mar03,7
46250,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Mar03,7
46250,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Mar03,7
46250,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,0,090,,Mar03,7
46250,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar03,7
46250,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,7
46250,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,7
46250,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Mar03,7
46250,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,7
46250,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,7
46250,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,7
46250,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,7
46250,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Mar03,7
46250,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Mar03,7
46250,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,090,,Mar03,7
46250,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Mar03,7
46250,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,7
46250,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,7
46250,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,8,4,090,,Mar03,7
46250,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,3,090,,Mar03,7
46250,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,7
46250,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,090,,Mar03,7
46250,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,090,,Mar03,7
46250,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Mar03,7
46255,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,2,1,090,,Mar03,7
46255,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Mar03,7
46255,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Mar03,7
46255,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Mar03,7
46255,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,0,090,,Mar03,7
46255,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar03,7
46255,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,7
46255,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,7
46255,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Mar03,7
46255,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,7
46255,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,7
46255,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,7
46255,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,7
46255,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Mar03,7
46255,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Mar03,7
46255,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,090,,Mar03,7
46255,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Mar03,7
46255,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,7
46255,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,7
46255,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,8,4,090,,Mar03,7
46255,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,3,090,,Mar03,7
46255,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,7
46255,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,090,,Mar03,7
46255,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,090,,Mar03,7
46255,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Mar03,7
46257,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
46257,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46257,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46257,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46257,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46257,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46258,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
46258,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46258,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46258,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46258,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46258,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46260,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
46260,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46260,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46260,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46260,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46260,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46261,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
46261,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46261,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46261,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46261,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46261,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46262,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
46262,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46262,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46262,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46262,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46262,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46270,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,2,1,090,,Mar03,7
46270,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Mar03,7
46270,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Mar03,7
46270,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Mar03,7
46270,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,0,090,,Mar03,7
46270,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar03,7
46270,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,7
46270,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,7
46270,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar03,7
46270,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,7
46270,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,7
46270,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,7
46270,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,7
46270,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Mar03,7
46270,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,Mar03,7
46270,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,7
46270,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,Mar03,7
46270,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,090,,Mar03,7
46270,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Mar03,7
46270,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,7
46270,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,8,4,090,,Mar03,7
46270,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Mar03,7
46270,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,3,090,,Mar03,7
46270,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,7
46270,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,090,,Mar03,7
46270,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,7
46275,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,2,1,090,,Mar03,7
46275,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Mar03,7
46275,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Mar03,7
46275,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Mar03,7
46275,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,0,090,,Mar03,7
46275,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar03,7
46275,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,7
46275,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,7
46275,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar03,7
46275,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,7
46275,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,7
46275,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,7
46275,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,7
46275,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Mar03,7
46275,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,Mar03,7
46275,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,7
46275,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,Mar03,7
46275,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,090,,Mar03,7
46275,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Mar03,7
46275,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,7
46275,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,8,4,090,,Mar03,7
46275,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Mar03,7
46275,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,3,090,,Mar03,7
46275,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,7
46275,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,090,,Mar03,7
46275,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,7
46280,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
46280,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46280,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46280,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46280,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46280,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46285,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,2,1,090,,Mar03,7
46285,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Mar03,7
46285,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Mar03,7
46285,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Mar03,7
46285,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,0,090,,Mar03,7
46285,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar03,7
46285,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,7
46285,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,7
46285,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,090,,Mar03,7
46285,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,7
46285,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,7
46285,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,7
46285,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,7
46285,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Mar03,7
46285,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,Mar03,7
46285,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,7
46285,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,090,,Mar03,7
46285,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,090,,Mar03,7
46285,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Mar03,7
46285,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,7
46285,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,8,4,090,,Mar03,7
46285,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Mar03,7
46285,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,3,090,,Mar03,7
46285,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,7
46285,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,090,,Mar03,7
46285,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,7
46288,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
46288,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46288,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46288,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46288,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46288,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46320,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,010,,,
46320,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
46320,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
46320,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
46320,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
46320,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
46320,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,010,,,
46320,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
46320,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
46320,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
46320,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
46320,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,010,,,
46320,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,010,,,
46320,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,010,,,
46320,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,010,,,
46320,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,010,,,
46320,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,010,,,
46320,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,010,,,
46320,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1.5,1,010,,,
46320,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
46320,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,010,,,
46320,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
46320,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,010,,,
46320,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
46320,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,010,,,
46320,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,010,,,
46500,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,0,010,,Mar04,D
46500,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,010,,Mar04,D
46500,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,6,0,010,,Mar04,D
46500,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,010,,Mar04,D
46500,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,D
46500,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,D
46500,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,D
46500,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,D
46500,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,4,0,010,,Mar04,D
46500,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,010,,Mar04,D
46500,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Mar04,D
46500,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,010,,Mar04,D
46500,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,D
46500,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar04,D
46500,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,010,,Mar04,D
46500,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar04,D
46500,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,0,010,,Mar04,D
46500,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,D
46500,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,010,,Mar04,D
46500,PEAC,"Pharmacy, Rx",SH062,sclerosing solution inj,ml,2.029,3,0,010,,Mar04,D
46500,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,8,0,010,,Mar04,D
46500,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,010,,Mar04,D
46500,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar04,D
46505,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,RUC05,
46505,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,1,010,,RUC05,
46505,RUC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,3,010,,RUC05,
46505,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,RUC05,
46505,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,1,010,,RUC05,
46505,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,2,1,010,,RUC05,
46505,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,RUC05,
46505,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,4,2,010,,RUC05,
46505,RUC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,2,1,010,,RUC05,
46505,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,4,2,010,,RUC05,
46505,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,8,4,010,,RUC05,
46505,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,010,,RUC05,
46505,RUC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,1,0,010,,RUC05,
46505,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,RUC05,
46505,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,4,010,,RUC05,
46505,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,2,010,,RUC05,
46505,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,4,2,010,,RUC05,
46600,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,000,,,
46600,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
46600,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
46600,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
46600,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
46600,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
46600,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
46600,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
46600,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
46600,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
46600,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,000,,,
46600,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
46600,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
46600,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
46600,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
46600,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
46600,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
46600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
46600,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
46600,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
46600,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,000,,,
46600,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,000,,,
46600,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
46604,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,000,,,
46604,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
46604,PEAC,"Accessory, Procedure",SD019,"catheter, balloon, ureteral-GI (strictures)",item,166,2,,000,,,
46604,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
46604,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
46604,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
46604,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
46604,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
46604,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
46604,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
46604,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
46604,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,000,,,
46604,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
46604,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
46604,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
46604,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
46604,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
46604,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
46604,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
46604,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
46604,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
46604,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,000,,,
46604,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,000,,,
46604,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
46606,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,000,,,
46606,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
46606,PEAC,"Accessory, Procedure",SD066,endoscopic biopsy forceps,item,50.6,1,,000,,,
46606,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
46606,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
46606,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,,000,,,
46606,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,000,,,
46606,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
46606,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
46606,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
46606,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
46606,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
46606,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
46606,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,000,,,
46606,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
46606,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
46606,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
46606,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
46606,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
46606,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
46606,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
46606,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
46606,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
46606,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
46606,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,000,,,
46606,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,000,,,
46606,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
46608,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,000,,,
46608,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
46608,PEAC,"Accessory, Procedure",SD066,endoscopic biopsy forceps,item,50.6,1,,000,,,
46608,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
46608,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
46608,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
46608,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
46608,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
46608,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
46608,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
46608,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
46608,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,000,,,
46608,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
46608,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
46608,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
46608,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
46608,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
46608,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
46608,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
46608,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
46608,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
46608,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
46608,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,000,,,
46608,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,000,,,
46608,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
46610,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,000,,,
46610,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
46610,PEAC,"Accessory, Procedure",SD066,endoscopic biopsy forceps,item,50.6,1,,000,,,
46610,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
46610,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
46610,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
46610,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
46610,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
46610,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
46610,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
46610,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
46610,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,000,,,
46610,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
46610,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
46610,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
46610,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
46610,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
46610,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
46610,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
46610,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
46610,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
46610,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
46610,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,000,,,
46610,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,000,,,
46610,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
46611,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,000,,,
46611,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
46611,PEAC,"Accessory, Procedure",SD068,endoscopic polypectomy snare,item,19.7,1,,000,,,
46611,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
46611,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
46611,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,,000,,,
46611,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,000,,,
46611,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
46611,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
46611,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
46611,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
46611,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
46611,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
46611,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,000,,,
46611,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
46611,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
46611,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
46611,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
46611,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
46611,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
46611,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
46611,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
46611,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
46611,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
46611,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,000,,,
46611,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,000,,,
46611,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
46612,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,000,,,
46612,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
46612,PEAC,"Accessory, Procedure",SD066,endoscopic biopsy forceps,item,50.6,1,,000,,,
46612,PEAC,"Accessory, Procedure",SD068,endoscopic polypectomy snare,item,19.7,1,,000,,,
46612,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
46612,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
46612,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
46612,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
46612,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
46612,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
46612,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
46612,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
46612,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,000,,,
46612,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
46612,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
46612,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
46612,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
46612,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
46612,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
46612,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
46612,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
46612,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
46612,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
46612,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,000,,,
46612,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,000,,,
46612,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
46614,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,000,,,
46614,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
46614,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
46614,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
46614,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
46614,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
46614,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
46614,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
46614,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
46614,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
46614,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,000,,,
46614,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
46614,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
46614,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
46614,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
46614,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
46614,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
46614,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
46614,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
46614,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
46614,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,000,,,
46614,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,000,,,
46614,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
46615,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,000,,,
46615,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
46615,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,000,,,
46615,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,,
46615,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
46615,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
46615,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,,,
46615,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,,
46615,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,,,
46615,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
46615,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,000,,,
46615,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
46615,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,,,
46615,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
46615,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,,
46615,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,,
46615,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,,
46615,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
46615,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
46615,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
46615,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,,
46615,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,000,,,
46615,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,000,,,
46615,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,000,,,
46700,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
46700,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46700,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46700,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46700,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46700,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46705,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
46705,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46705,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46705,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46705,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46705,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46706,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
46707,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,12
46707,RUC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,CPT10,12
46707,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,CPT10,12
46707,RUC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,CPT10,12
46707,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,CPT10,12
46707,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,12
46710,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,88170,RUC05,
46710,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
46710,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,11975,RUC05,
46710,RUC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,RUC05,
46710,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,090,,RUC05,
46710,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,1,090,,RUC05,
46710,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,1,090,,RUC05,
46710,RUC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,,1,090,,RUC05,
46710,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,RUC05,
46712,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,88170,RUC05,
46712,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
46712,RUC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,3,090,,RUC05,
46712,RUC,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,3,090,,RUC05,
46712,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,11975,RUC05,
46712,RUC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,RUC05,
46712,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,090,,RUC05,
46712,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,1,090,,RUC05,
46712,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,1,090,,RUC05,
46712,RUC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,,1,090,,RUC05,
46712,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,RUC05,
46715,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
46715,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46715,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46715,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46715,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46715,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46716,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
46716,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46716,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46716,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46716,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46716,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46730,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
46730,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46730,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46730,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46730,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46730,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46735,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
46735,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46735,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46735,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46735,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46735,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46740,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
46740,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46740,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46740,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46740,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46740,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46742,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
46742,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46742,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46742,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46742,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46742,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46744,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
46744,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46744,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46744,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46744,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46744,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46746,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
46746,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46746,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46746,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46746,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46746,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46748,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,Apr06,J
46748,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46748,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46748,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46748,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46748,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46750,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
46750,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46750,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46750,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46750,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46750,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46751,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
46751,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46751,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46751,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46751,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46751,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46753,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
46753,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46753,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46753,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46753,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46753,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46754,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,010,,,
46754,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
46754,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
46754,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
46754,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
46754,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,010,,,
46754,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
46754,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
46754,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
46754,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
46754,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,010,,,
46754,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,010,,,
46754,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,010,,,
46754,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,010,,,
46754,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,010,,,
46754,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,010,,,
46754,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,010,,,
46754,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,010,,,
46754,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
46754,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,010,,,
46754,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
46754,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,010,,,
46754,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
46754,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,010,,,
46760,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
46760,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46760,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46760,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46760,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46760,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46761,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
46761,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46761,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46761,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46761,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46761,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46762,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
46762,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
46762,PERC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,1,090,,Apr06,J
46762,PERC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,Apr06,J
46762,PERC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,Apr06,J
46762,PERC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,Apr06,J
46900,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,0,010,,Mar04,D
46900,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,010,,Mar04,D
46900,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,6,0,010,,Mar04,D
46900,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,010,,Mar04,D
46900,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,D
46900,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,D
46900,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,D
46900,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,D
46900,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar04,D
46900,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar04,D
46900,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Mar04,D
46900,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,010,,Mar04,D
46900,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,D
46900,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar04,D
46900,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,010,,Mar04,D
46900,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar04,D
46900,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Mar04,D
46900,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,010,,Mar04,D
46900,PEAC,"Pharmacy, Rx",SH091,trichloroacetic acid 90% (sat soln),ml,0.855,2,0,010,,Mar04,D
46900,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,8,0,010,,Mar04,D
46900,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,010,,Mar04,D
46900,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar04,D
46900,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,4,0,010,,Mar04,D
46910,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,0,010,,Mar04,D
46910,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,010,,Mar04,D
46910,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,6,0,010,,Mar04,D
46910,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,010,,Mar04,D
46910,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,010,,Mar04,D
46910,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar04,D
46910,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar04,D
46910,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,D
46910,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,D
46910,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar04,D
46910,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,D
46910,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,D
46910,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,4,0,010,,Mar04,D
46910,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Mar04,D
46910,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,010,,Mar04,D
46910,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,010,,Mar04,D
46910,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,D
46910,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,010,,Mar04,D
46910,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,010,,Mar04,D
46910,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,Mar04,D
46910,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,0,010,,Mar04,D
46910,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Mar04,D
46910,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,010,,Mar04,D
46910,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,8,0,010,,Mar04,D
46910,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,010,,Mar04,D
46910,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar04,D
46916,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,010,,,
46916,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
46916,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
46916,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
46916,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
46916,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
46916,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
46916,PEAC,"Gown, Drape",SB003,"cover, probe (cryosurgery)",item,0.75,1,,010,,,
46916,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,010,,,
46916,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
46916,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
46916,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
46916,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
46916,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,010,,,
46916,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,010,,,
46916,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,010,,,
46916,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,010,,,
46916,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,010,,,
46916,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,010,,,
46916,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,010,,,
46916,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
46916,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
46916,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
46916,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
46916,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,010,,,
46916,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
46916,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,010,,,
46916,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
46916,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,010,,,
46916,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,010,,,
46916,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,010,,,
46916,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,010,,,
46917,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,010,,,
46917,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
46917,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
46917,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
46917,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
46917,PEAC,"Cutters, Closures, Cautery",SF029,"laser tip, bare (single use)",item,150,1,,010,,,
46917,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
46917,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
46917,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
46917,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,010,,,
46917,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
46917,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
46917,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
46917,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
46917,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,010,,,
46917,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,010,,,
46917,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,010,,,
46917,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,010,,,
46917,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,010,,,
46917,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,010,,,
46917,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,010,,,
46917,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
46917,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
46917,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
46917,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
46917,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,010,,,
46917,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
46917,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,010,,,
46917,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
46917,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,010,,,
46917,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,010,,,
46917,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,010,,,
46917,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,010,,,
46922,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,010,,,
46922,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
46922,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
46922,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
46922,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,,010,,,
46922,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
46922,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
46922,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
46922,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,,010,,,
46922,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
46922,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,010,,,
46922,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
46922,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
46922,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
46922,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
46922,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,010,,,
46922,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,010,,,
46922,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,010,,,
46922,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,010,,,
46922,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,010,,,
46922,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,010,,,
46922,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,010,,,
46922,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
46922,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
46922,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
46922,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
46922,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,010,,,
46922,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
46922,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,010,,,
46922,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
46922,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,010,,,
46922,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,010,,,
46922,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,010,,,
46922,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,010,,,
46924,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,010,,,
46924,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
46924,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
46924,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
46924,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,,010,,,
46924,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
46924,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
46924,PEAC,"Cutters, Closures, Cautery",SF029,"laser tip, bare (single use)",item,150,1,,010,,,
46924,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
46924,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
46924,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
46924,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,010,,,
46924,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
46924,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
46924,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
46924,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
46924,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,010,,,
46924,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,010,,,
46924,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,010,,,
46924,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,010,,,
46924,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,010,,,
46924,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,010,,,
46924,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,010,,,
46924,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
46924,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
46924,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
46924,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
46924,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,010,,,
46924,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
46924,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,010,,,
46924,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
46924,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,010,,,
46924,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,,010,,,
46924,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,010,,,
46924,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,010,,,
46930,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,090,,CPT09,14
46930,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,CPT09,14
46930,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,8,4,090,,CPT09,14
46930,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,090,,CPT09,14
46930,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,CPT09,14
46930,RUC,"Accessory, Procedure",SD003,anoscope,item,0.923,2,1,090,,CPT09,14
46930,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,090,,CPT09,14
46930,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,090,,CPT09,14
46930,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,090,,CPT09,14
46930,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,090,,CPT09,14
46930,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,CPT09,14
46937,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,010,,,
46937,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
46937,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
46937,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
46937,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
46937,PEAC,"Gown, Drape",SB003,"cover, probe (cryosurgery)",item,0.75,1,,010,,,
46937,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,010,,,
46937,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
46937,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
46937,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
46937,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
46937,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,010,,,
46937,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,010,,,
46937,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,010,,,
46937,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,010,,,
46937,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,010,,,
46937,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,010,,,
46937,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,010,,,
46937,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1.5,0.5,010,,,
46937,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
46937,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,010,,,
46937,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
46937,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,010,,,
46937,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
46937,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,010,,,
46938,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,2,1,090,,Mar03,7
46938,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Mar03,7
46938,PEAC,"Accessory, Procedure",SD040,"cytology, brush",item,0.2,1,0,090,,Mar03,7
46938,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Mar03,7
46938,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Mar03,7
46938,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,7
46938,PEAC,"Gown, Drape",SB003,"cover, probe (cryosurgery)",item,0.75,1,0,090,,Mar03,7
46938,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,7
46938,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,7
46938,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,7
46938,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Mar03,7
46938,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,Mar03,7
46938,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,090,,Mar03,7
46938,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,090,,Mar03,7
46938,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Mar03,7
46938,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,7
46938,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,7
46938,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,8,4,090,,Mar03,7
46938,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Mar03,7
46938,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,3,090,,Mar03,7
46938,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,7
46938,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,090,,Mar03,7
46938,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,7
46940,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,010,,,
46940,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
46940,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
46940,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
46940,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
46940,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
46940,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
46940,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,010,,,
46940,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
46940,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
46940,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
46940,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
46940,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,010,,,
46940,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,010,,,
46940,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,010,,,
46940,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,010,,,
46940,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,010,,,
46940,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,010,,,
46940,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,010,,,
46940,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1.5,0.5,010,,,
46940,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
46940,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,010,,,
46940,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
46940,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,010,,,
46940,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
46940,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,010,,,
46942,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,1,,010,,,
46942,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
46942,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
46942,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
46942,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
46942,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
46942,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
46942,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,010,,,
46942,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
46942,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
46942,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,,
46942,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
46942,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,010,,,
46942,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,010,,,
46942,PEAC,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,010,,,
46942,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,010,,,
46942,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,010,,,
46942,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,010,,,
46942,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,010,,,
46942,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1.5,0.5,010,,,
46942,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
46942,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,010,,,
46942,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
46942,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,,010,,,
46942,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
46942,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,,010,,,
46945,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,2,1,090,,Mar03,7
46945,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Mar03,7
46945,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Mar03,7
46945,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Mar03,7
46945,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,0,090,,Mar03,7
46945,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar03,7
46945,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,7
46945,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,7
46945,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,7
46945,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,7
46945,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,7
46945,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Mar03,7
46945,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,Mar03,7
46945,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,090,,Mar03,7
46945,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Mar03,7
46945,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,7
46945,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,7
46945,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,8,4,090,,Mar03,7
46945,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,3,090,,Mar03,7
46945,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,7
46945,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,090,,Mar03,7
46945,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,0,090,,Mar03,7
46946,PEAC,"Accessory, Procedure",SD003,anoscope,item,0.923,2,1,090,,Mar03,7
46946,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Mar03,7
46946,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Mar03,7
46946,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,090,,Mar03,7
46946,PEAC,"Cutters, Closures, Cautery",SF015,"cautery, monopolar, blade, extended shaft",item,3.063,1,0,090,,Mar03,7
46946,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Mar03,7
46946,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Mar03,7
46946,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,7
46946,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,7
46946,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,7
46946,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,7
46946,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Mar03,7
46946,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,Mar03,7
46946,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,090,,Mar03,7
46946,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,090,,Mar03,7
46946,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Mar03,7
46946,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,090,,Mar03,7
46946,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,8,4,090,,Mar03,7
46946,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,6,3,090,,Mar03,7
46946,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Mar03,7
46946,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,090,,Mar03,7
46946,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,8,0,090,,Mar03,7
46947,RUC,"Accessory, Procedure",SD003,anoscope,item,0.923,,1,090,,,
46947,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
46947,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,,
46947,RUC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,,3,090,,,
46999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
47000,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,000,,Feb05,
47000,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Feb05,
47000,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,000,,Feb05,
47000,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,000,,Feb05,
47000,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,000,,Feb05,
47000,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,Feb05,
47000,PEAC,"Hypodermic, IV",SC033,"needle, biopsy, spring-loaded",item,19,1,0,000,,Feb05,
47000,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,000,,Feb05,
47000,PEAC,"Kit, Pack, Tray",SA061,"tray, biopsy procedure",tray,14.65,1,0,000,,Feb05,
47000,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,000,,Feb05,
47000,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Feb05,
47000,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,Feb05,
47000,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,Feb05,
47001,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
47010,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
47010,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,8,090,,,
47010,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
47010,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47010,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47010,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47010,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,,
47010,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47010,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,4,090,,,
47010,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
47010,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
47010,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
47011,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
47015,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47015,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47015,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47015,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47015,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47015,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47015,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47015,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47015,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47015,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47015,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47015,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47100,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47100,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47100,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47100,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47100,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47100,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47100,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47100,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47100,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47100,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47100,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47100,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47120,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
47120,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,12,090,,,
47120,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,8,090,,,
47120,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
47120,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47120,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
47120,CPEP,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,,
47120,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,,
47120,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,4,090,,,
47120,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,80,090,,,
47120,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
47120,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
47122,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
47122,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,12,090,,,
47122,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,8,090,,,
47122,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
47122,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47122,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47122,CPEP,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,,
47122,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,,
47122,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,4,090,,,
47122,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,80,090,,,
47122,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
47122,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
47125,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
47125,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,12,090,,,
47125,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,8,090,,,
47125,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
47125,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47125,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47125,CPEP,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,,
47125,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,,
47125,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,4,090,,,
47125,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,80,090,,,
47125,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
47125,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
47130,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
47130,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,12,090,,,
47130,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,8,090,,,
47130,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
47130,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47130,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47130,CPEP,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,,
47130,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,,
47130,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,4,090,,,
47130,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,80,090,,,
47130,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
47130,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
47133,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
47135,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Mar04,T
47135,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
47136,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,7,090,,Mar04,T
47136,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
47140,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,T
47140,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
47141,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Mar04,T
47141,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
47142,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Mar04,T
47142,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
47143,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT07,
47144,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT07,
47145,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT07,
47146,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
47147,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
47300,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47300,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47300,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47300,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47300,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47300,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47300,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47300,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47300,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47300,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47300,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47300,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47350,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47350,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47350,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47350,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47350,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47350,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47350,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47350,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47350,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47350,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47350,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47350,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47360,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
47360,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,8,090,,,
47360,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
47360,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47360,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47360,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47360,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,,
47360,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47360,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,4,090,,,
47360,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
47360,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
47360,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
47361,CMS WALK: BOTH SITES,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,47360,,
47361,CMS WALK: BOTH SITES,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,8,090,47360,,
47361,CMS WALK: BOTH SITES,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,47360,,
47361,CMS WALK: BOTH SITES,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,47360,,
47361,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,47360,,
47361,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47361,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,47360,,
47361,CMS WALK: BOTH SITES,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,47360,,
47361,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,4,090,47360,,
47361,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,47360,,
47361,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,47360,,
47361,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,47360,,
47362,CMS WALK: BOTH SITES,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,47360,,
47362,CMS WALK: BOTH SITES,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,8,090,47360,,
47362,CMS WALK: BOTH SITES,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,47360,,
47362,CMS WALK: BOTH SITES,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,47360,,
47362,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,47360,,
47362,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47362,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,47360,,
47362,CMS WALK: BOTH SITES,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,47360,,
47362,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,4,090,47360,,
47362,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,47360,,
47362,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,47360,,
47362,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,47360,,
47370,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
47370,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
47371,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
47371,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
47379,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
47380,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
47380,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
47381,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
47381,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
47382,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Oct08,
47382,PEAC,"Kit, Pack, Tray",SA061,"tray, biopsy procedure",tray,14.65,1,,010,,Oct08,
47382,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,Oct08,
47382,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,Oct08,
47382,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,,010,,Oct08,
47382,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,010,,Oct08,
47382,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,Oct08,
47382,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,Oct08,
47382,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,010,,Oct08,
47382,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,010,,Oct08,
47382,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,010,,Oct08,
47382,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,,010,,Oct08,
47382,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,010,,Oct08,
47382,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,Oct08,
47382,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,,010,,Oct08,
47382,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,,010,,Oct08,
47382,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,010,,Oct08,
47382,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,010,,Oct08,
47382,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,010,,Oct08,
47382,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,010,,Oct08,
47382,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,,010,,Oct08,
47382,PEAC,Lab,SL038,"cup-container, sterile, graduated 1000ml",item,1.14,1,,010,,Oct08,
47382,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,010,,Oct08,
47382,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,010,,Oct08,
47382,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,1,,010,,Oct08,
47382,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,010,,Oct08,
47382,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,Oct08,
47382,PEAC,"Kit, Pack, Tray",SA100,"kit, probe, radiofrequency, XIi-enhanced RF probe",kit,2695,1,,010,,Oct08,
47382,PEAC,"Kit, Pack, Tray",SA096,"kit, introducer, radiofrequency, XIi-enhanced RF probe",kit,99,1,,010,,Oct08,
47399,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
47400,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
47400,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,8,090,,,
47400,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
47400,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47400,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47400,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47400,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,,
47400,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47400,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,4,090,,,
47400,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
47400,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
47400,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
47420,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47420,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47420,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47420,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47420,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47420,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47420,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47420,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47420,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47420,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47420,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47420,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47425,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47425,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47425,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47425,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47425,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47425,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47425,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47425,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47425,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47425,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47425,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47425,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47460,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47460,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47460,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47460,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47460,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47460,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47460,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47460,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47460,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47460,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47460,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47460,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47480,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
47480,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,8,090,,,
47480,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
47480,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47480,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47480,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47480,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,,
47480,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47480,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,4,090,,,
47480,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
47480,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
47480,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
47490,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
47490,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,8,090,,,
47490,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
47490,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47490,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47490,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47490,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,,
47490,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47490,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,4,090,,,
47490,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
47490,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
47490,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
47500,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
47505,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Jan04,7
47510,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
47510,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
47511,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
47511,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
47525,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,000,,OCT08,hi
47525,PEAC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,000,,OCT08,hi
47525,PEAC,"Accessory, Procedure",SD161,"drainage catheter, all purpose",item,88.43,1,0,000,,OCT08,hi
47525,PEAC,"Accessory, Procedure",SD163,"drainage pouch, nephrostomy-biliary",item,13.25,1,0,000,,OCT08,hi
47525,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,OCT08,hi
47525,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Jan04,9
47525,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,OCT08,hi
47525,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,OCT08,hi
47525,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,OCT08,hi
47525,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,OCT08,hi
47525,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,OCT08,hi
47525,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,OCT08,hi
47525,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,OCT08,hi
47525,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,OCT08,hi
47525,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,OCT08,hi
47525,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,Jan04,9
47525,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,0,000,,OCT08,hi
47525,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,OCT08,hi
47525,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,OCT08,hi
47525,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,OCT08,hi
47525,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,OCT08,hi
47525,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,OCT08,hi
47525,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,OCT08,hi
47525,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,OCT08,hi
47525,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,OCT08,hi
47525,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Oct08,6
47530,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,090,,Jan04,9
47530,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,090,,Jan04,9
47530,PEAC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,090,,Jan04,9
47530,PEAC,"Accessory, Procedure",SD161,"drainage catheter, all purpose",item,88.43,1,0,090,,Jan04,9
47530,PEAC,"Accessory, Procedure",SD163,"drainage pouch, nephrostomy-biliary",item,13.25,1,0,090,,Jan04,9
47530,PEAC,"Accessory, Procedure",SD206,"sheath, peel away",item,68.99,1,0,090,,Jan04,9
47530,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Jan04,9
47530,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Jan04,9
47530,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Jan04,9
47530,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Jan04,9
47530,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,090,,Jan04,9
47530,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Jan04,9
47530,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Jan04,9
47530,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,090,,Jan04,9
47530,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,090,,Jan04,9
47530,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,090,,Jan04,9
47530,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,090,,Jan04,9
47530,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,090,,Jan04,9
47530,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,2,1,090,,Jan04,9
47530,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,3,090,,Jan04,9
47530,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,090,,Jan04,9
47530,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,090,,Jan04,9
47530,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Jan04,9
47530,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,090,,Jan04,9
47530,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,090,,Jan04,9
47530,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,090,,Jan04,9
47530,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,090,,Jan04,9
47530,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Jan04,9
47550,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
47552,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
47553,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar04,E
47554,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
47555,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
47556,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar04,E
47560,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
47561,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar04,U
47562,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
47562,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
47563,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
47563,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
47564,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
47564,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
47570,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
47570,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
47579,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
47600,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47600,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,,
47600,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,,
47600,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47600,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47600,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47600,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
47600,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47600,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47600,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47605,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47605,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,,
47605,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,,
47605,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47605,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
47605,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47605,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
47605,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47605,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47605,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47610,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47610,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,,
47610,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,,
47610,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47610,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47610,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
47610,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47610,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47610,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
47610,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47610,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47610,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47612,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47612,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,,
47612,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,,
47612,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47612,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
47612,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47612,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
47612,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47612,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47612,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47620,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47620,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,,
47620,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,,
47620,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47620,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
47620,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47620,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
47620,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47620,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47620,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47630,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,090,,,
47700,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47700,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47700,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47700,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47700,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47700,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
47700,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47700,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47700,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47700,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47700,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47700,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47701,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
47701,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,8,090,,,
47701,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
47701,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47701,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47701,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
47701,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,,
47701,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47701,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,4,090,,,
47701,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
47701,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
47701,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
47711,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47711,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47711,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47711,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47711,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47711,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47711,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47711,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47711,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47711,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47711,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47711,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47712,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47712,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47712,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47712,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47712,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47712,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47712,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47712,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47712,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47712,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47712,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47712,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47715,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47715,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47715,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47715,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47715,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47715,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47715,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47715,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47715,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47715,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47715,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47715,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47720,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47720,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47720,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47720,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47720,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47720,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47720,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47720,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47720,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47720,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47720,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47720,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47721,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47721,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47721,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47721,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47721,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47721,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47721,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47721,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47721,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47721,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47721,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47721,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47740,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47740,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47740,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47740,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47740,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47740,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47740,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47740,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47740,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47740,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47740,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47740,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47741,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47741,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47741,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47741,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47741,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47741,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47741,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47741,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47741,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47741,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47741,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47741,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47760,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47760,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47760,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47760,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47760,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47760,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47760,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47760,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47760,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47760,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47760,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47760,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47765,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
47765,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,8,090,,,
47765,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
47765,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47765,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47765,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47765,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,,
47765,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47765,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,4,090,,,
47765,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
47765,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
47765,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
47780,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47780,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47780,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47780,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47780,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47780,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47780,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47780,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47780,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47780,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47780,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47780,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47785,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
47785,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,8,090,,,
47785,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
47785,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47785,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47785,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47785,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,,
47785,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47785,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,4,090,,,
47785,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
47785,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
47785,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
47800,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47800,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47800,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47800,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47800,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47800,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47800,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47800,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47800,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47800,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47800,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47800,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47801,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47801,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47801,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47801,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47801,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47801,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47801,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47801,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47801,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47801,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47801,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47801,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47802,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
47802,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,8,090,,,
47802,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
47802,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47802,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47802,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47802,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,,
47802,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47802,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,4,090,,,
47802,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
47802,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
47802,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
47900,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
47900,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,,,
47900,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
47900,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,,
47900,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
47900,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
47900,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,,,
47900,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,,,
47900,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,,,
47900,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,,,
47900,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
47900,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,,,
47999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
48000,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
48000,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,,
48000,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
48000,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
48000,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48000,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
48000,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
48000,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
48000,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
48000,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,,
48000,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
48001,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
48001,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,,
48001,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
48001,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
48001,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48001,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
48001,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
48001,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
48001,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
48001,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,,
48001,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
48020,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
48020,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,,
48020,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
48020,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
48020,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48020,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
48020,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
48020,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
48020,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
48020,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,,
48020,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
48100,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
48100,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,,
48100,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
48100,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
48100,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48100,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
48100,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
48100,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
48100,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
48100,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,,
48100,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
48102,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,010,,Feb05,
48102,PEAC,"Kit, Pack, Tray",SA061,"tray, biopsy procedure",tray,14.65,1,0,010,,Feb05,
48102,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,010,,Feb05,
48102,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Feb05,
48102,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,010,,Feb05,
48102,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,010,,Feb05,
48102,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,010,,Feb05,
48102,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Feb05,
48102,PEAC,"Hypodermic, IV",SC033,"needle, biopsy, spring-loaded",item,19,1,0,010,,Feb05,
48102,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Feb05,
48102,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,010,,Feb05,
48102,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,010,,Feb05,
48102,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,010,,Feb05,
48102,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,010,,Feb05,
48105,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
48105,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,,
48105,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
48105,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
48105,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48105,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
48105,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
48105,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
48105,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
48105,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,,
48105,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
48120,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
48120,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,,
48120,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
48120,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
48120,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48120,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
48120,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
48120,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
48120,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
48120,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,,
48120,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
48140,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
48140,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,,
48140,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
48140,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
48140,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48140,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
48140,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
48140,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
48140,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
48140,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,,
48140,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
48145,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
48145,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,,
48145,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
48145,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
48145,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48145,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
48145,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
48145,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
48145,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
48145,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,,
48145,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
48146,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,
48146,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,12,090,,,
48146,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,8,090,,,
48146,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,,
48146,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48146,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
48146,CPEP,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,090,,,
48146,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,,
48146,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,4,090,,,
48146,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,80,090,,,
48146,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,4,090,,,
48146,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
48148,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
48148,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,,
48148,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
48148,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
48148,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48148,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
48148,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
48148,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
48148,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
48148,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,,
48148,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
48150,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,5,090,,,
48150,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,15,090,,,
48150,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,10,090,,,
48150,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
48150,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48150,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
48150,CPEP,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,5,090,,,
48150,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,,
48150,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,5,090,,,
48150,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,100,090,,,
48150,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,5,090,,,
48150,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,30,090,,,
48152,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,5,090,,,
48152,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,15,090,,,
48152,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,10,090,,,
48152,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
48152,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48152,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
48152,CPEP,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,5,090,,,
48152,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,,
48152,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,5,090,,,
48152,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,100,090,,,
48152,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,5,090,,,
48152,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,30,090,,,
48153,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,5,090,,,
48153,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,15,090,,,
48153,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,10,090,,,
48153,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
48153,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48153,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
48153,CPEP,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,5,090,,,
48153,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,,
48153,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,5,090,,,
48153,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,100,090,,,
48153,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,5,090,,,
48153,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,30,090,,,
48154,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,5,090,,,
48154,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,15,090,,,
48154,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,10,090,,,
48154,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
48154,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48154,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
48154,CPEP,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,5,090,,,
48154,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,,
48154,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,5,090,,,
48154,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,100,090,,,
48154,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,5,090,,,
48154,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,30,090,,,
48155,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,5,090,,,
48155,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,15,090,,,
48155,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,10,090,,,
48155,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,,
48155,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48155,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
48155,CPEP,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,5,090,,,
48155,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,,
48155,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,5,090,,,
48155,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,100,090,,,
48155,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,5,090,,,
48155,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,30,090,,,
48160,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
48400,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
48500,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
48500,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,,
48500,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
48500,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
48500,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48500,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
48500,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
48500,CPEP,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,2,090,,,
48500,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
48500,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
48500,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,,
48500,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
48510,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
48510,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,,
48510,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
48510,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
48510,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48510,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
48510,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
48510,CPEP,"Pharmacy, NonRx",SJ050,stoma pouch and wafer,item,8,,2,090,,,
48510,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
48510,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
48510,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,,
48510,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
48511,PEAC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,1,0,000,,Jan04,9
48511,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,000,,Jan04,9
48511,PEAC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,000,,Jan04,9
48511,PEAC,"Accessory, Procedure",SD161,"drainage catheter, all purpose",item,88.43,1,0,000,,Jan04,9
48511,PEAC,"Accessory, Procedure",SD163,"drainage pouch, nephrostomy-biliary",item,13.25,1,0,000,,Jan04,9
48511,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,000,,Jan04,9
48511,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Jan04,9
48511,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Jan04,9
48511,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Jan04,9
48511,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,Jan04,9
48511,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Jan04,9
48511,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,000,,Jan04,9
48511,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Jan04,9
48511,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Jan04,9
48511,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,9
48511,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,Jan04,9
48511,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,Jan04,9
48511,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,Jan04,9
48511,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,Jan04,9
48511,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Jan04,9
48511,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,Jan04,9
48511,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,000,,Jan04,9
48511,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,Jan04,9
48511,PEAC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,Jan04,9
48511,PEAC,Lab,SL157,"cup, sterile, 8 oz",item,0.542,1,0,000,,Jan04,9
48511,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,Jan04,9
48511,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Jan04,9
48511,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,Jan04,9
48511,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Jan04,9
48511,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,Jan04,9
48511,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,Jan04,9
48511,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Jan04,9
48520,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
48520,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,,
48520,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
48520,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
48520,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48520,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
48520,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
48520,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
48520,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
48520,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,,
48520,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
48540,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
48540,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,,
48540,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
48540,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
48540,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48540,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
48540,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
48540,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
48540,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
48540,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,,
48540,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
48545,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
48545,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,,
48545,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
48545,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48545,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
48545,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
48545,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
48545,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
48547,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
48547,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,,
48547,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
48547,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48547,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
48547,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
48547,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
48547,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
48548,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
48548,CPEP,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,,2,090,,,
48548,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
48548,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
48548,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
48548,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
48548,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
48548,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
48548,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
48548,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,1,090,,,
48548,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,6,090,,,
48550,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
48551,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT07,
48552,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
48554,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,10,090,,Mar04,T
48554,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
48556,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,T
48556,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
48999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
49000,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49000,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49002,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49002,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49010,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49010,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49020,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
49020,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49021,PEAC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,1,0,000,,Jan04,9
49021,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,000,,Jan04,9
49021,PEAC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,000,,Jan04,9
49021,PEAC,"Accessory, Procedure",SD161,"drainage catheter, all purpose",item,88.43,1,0,000,,Jan04,9
49021,PEAC,"Accessory, Procedure",SD163,"drainage pouch, nephrostomy-biliary",item,13.25,1,0,000,,Jan04,9
49021,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,000,,Jan04,9
49021,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Jan04,9
49021,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Jan04,9
49021,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Jan04,9
49021,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,Jan04,9
49021,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Jan04,9
49021,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,000,,Jan04,9
49021,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Jan04,9
49021,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Jan04,9
49021,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,9
49021,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,Jan04,9
49021,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,Jan04,9
49021,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,Jan04,9
49021,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,Jan04,9
49021,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Jan04,9
49021,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,Jan04,9
49021,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,000,,Jan04,9
49021,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,Jan04,9
49021,PEAC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,Jan04,9
49021,PEAC,Lab,SL157,"cup, sterile, 8 oz",item,0.542,1,0,000,,Jan04,9
49021,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,Jan04,9
49021,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Jan04,9
49021,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,Jan04,9
49021,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Jan04,9
49021,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,Jan04,9
49021,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,Jan04,9
49021,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Jan04,9
49040,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
49040,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49041,PEAC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,1,0,000,,Jan04,9
49041,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,000,,Jan04,9
49041,PEAC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,000,,Jan04,9
49041,PEAC,"Accessory, Procedure",SD161,"drainage catheter, all purpose",item,88.43,1,0,000,,Jan04,9
49041,PEAC,"Accessory, Procedure",SD163,"drainage pouch, nephrostomy-biliary",item,13.25,1,0,000,,Jan04,9
49041,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,000,,Jan04,9
49041,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Jan04,9
49041,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Jan04,9
49041,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Jan04,9
49041,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,Jan04,9
49041,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Jan04,9
49041,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,000,,Jan04,9
49041,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Jan04,9
49041,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Jan04,9
49041,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,9
49041,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,Jan04,9
49041,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,Jan04,9
49041,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,Jan04,9
49041,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,Jan04,9
49041,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Jan04,9
49041,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,Jan04,9
49041,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,000,,Jan04,9
49041,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,Jan04,9
49041,PEAC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,Jan04,9
49041,PEAC,Lab,SL157,"cup, sterile, 8 oz",item,0.542,1,0,000,,Jan04,9
49041,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,Jan04,9
49041,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Jan04,9
49041,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,Jan04,9
49041,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Jan04,9
49041,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,Jan04,9
49041,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,Jan04,9
49041,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Jan04,9
49060,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
49060,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49061,PEAC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,1,0,000,,Jan04,9
49061,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,000,,Jan04,9
49061,PEAC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,000,,Jan04,9
49061,PEAC,"Accessory, Procedure",SD161,"drainage catheter, all purpose",item,88.43,1,0,000,,Jan04,9
49061,PEAC,"Accessory, Procedure",SD163,"drainage pouch, nephrostomy-biliary",item,13.25,1,0,000,,Jan04,9
49061,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,000,,Jan04,9
49061,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Jan04,9
49061,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Jan04,9
49061,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Jan04,9
49061,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,Jan04,9
49061,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Jan04,9
49061,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,000,,Jan04,9
49061,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Jan04,9
49061,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Jan04,9
49061,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,9
49061,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,Jan04,9
49061,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,Jan04,9
49061,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,Jan04,9
49061,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,Jan04,9
49061,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Jan04,9
49061,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,Jan04,9
49061,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,000,,Jan04,9
49061,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,Jan04,9
49061,PEAC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,Jan04,9
49061,PEAC,Lab,SL157,"cup, sterile, 8 oz",item,0.542,1,0,000,,Jan04,9
49061,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,Jan04,9
49061,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Jan04,9
49061,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,Jan04,9
49061,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Jan04,9
49061,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,Jan04,9
49061,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,Jan04,9
49061,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Jan04,9
49062,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49062,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,49060,,
49080,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,3,0,000,,Feb05,O
49080,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,000,,Feb05,O
49080,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Feb05,O
49080,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,000,,Feb05,O
49080,PEAC,"Kit, Pack, Tray",SA070,"tray, thoracentesis",tray,37.382,1,0,000,,Feb05,O
49080,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,000,,Feb05,O
49080,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,Feb05,O
49080,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,,Feb05,O
49080,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Feb05,O
49081,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,000,,Feb05,O
49081,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Feb05,O
49081,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,000,,Feb05,O
49081,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,3,0,000,,Feb05,O
49081,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,Feb05,O
49081,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,,Feb05,O
49081,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Feb05,O
49081,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,000,,Feb05,O
49081,PEAC,"Kit, Pack, Tray",SA070,"tray, thoracentesis",tray,37.382,1,0,000,,Feb05,O
49180,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
49180,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
49180,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
49180,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,000,,,
49180,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,,000,,,
49180,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
49180,PEAC,"Hypodermic, IV",SC033,"needle, biopsy, spring-loaded",item,19,1,,000,,,
49180,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,,
49180,PEAC,"Kit, Pack, Tray",SA061,"tray, biopsy procedure",tray,14.65,1,,000,,,
49180,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,,000,,,
49180,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,,
49180,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,000,,,
49180,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,000,,,
49180,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
49203,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT08,29
49203,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,29
49204,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT08,29
49204,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,29
49205,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT08,29
49205,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT08,29
49215,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
49215,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
49215,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
49220,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
49220,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49250,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
49250,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49255,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
49255,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49320,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
49320,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,,
49321,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
49321,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,,
49322,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
49322,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,,
49323,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,56313,,
49323,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,56313,,
49324,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,CPT07,
49324,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,CPT07,
49325,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,CPT07,
49325,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,CPT07,
49326,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,CPT07,
49329,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
49400,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,000,,Mar04,R
49400,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Mar04,R
49400,PEAC,"Kit, Pack, Tray",SA060,"tray, arthrogram",tray,18.83,1,0,000,,Mar04,R
49400,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,000,,Mar04,R
49400,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,Mar04,R
49402,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49402,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49411,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT10,2
49411,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,CPT10,2
49411,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,CPT10,2
49411,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT10,2
49411,RUC,Lab,SL038,"cup-container, sterile, graduated 1000ml",item,1.14,1,0,000,,CPT10,2
49411,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,CPT10,2
49411,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,000,,CPT10,2
49411,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,CPT10,2
49411,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,CPT10,2
49411,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,CPT10,2
49411,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,CPT10,2
49411,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,0,000,,CPT10,2
49411,RUC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,1,0,000,,CPT10,2
49411,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,000,,CPT10,2
49411,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,CPT10,2
49411,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,CPT10,2
49411,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,CPT10,2
49411,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,000,,CPT10,2
49411,RUC,"Kit, Pack, Tray",SA061,"tray, biopsy procedure",tray,14.65,1,0,000,,CPT10,2
49411,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT10,2
49411,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,CPT10,2
49411,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,000,,CPT10,2
49411,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT10,2
49411,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,CPT10,2
49418,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,29
49418,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,CPT11,29
49418,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,CPT11,29
49418,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,,CPT11,29
49418,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT11,29
49418,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,000,,CPT11,29
49418,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,,000,,CPT11,29
49418,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,,000,,CPT11,29
49418,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,CPT11,29
49418,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,,000,,CPT11,29
49418,RUC,"Accessory, Procedure",SD257,Tunneler,item,,1,,000,,CPT11,29
49418,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,CPT11,29
49418,RUC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,,000,,CPT11,29
49418,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,CPT11,29
49418,RUC,"Hypodermic, IV",SC097,Peritoneal Dialysis Catheter,item,487,1,,000,,CPT11,29
49418,RUC,"Accessory, Procedure",SD259,Peritoneal Dialysis Sterile Solution,item,6.37,1,,000,,CPT11,29
49418,RUC,"Accessory, Procedure",SD260,Y-set connection tubing,item,151,1,,000,,CPT11,29
49418,RUC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,,000,,CPT11,29
49418,RUC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,1,,000,,CPT11,29
49418,RUC,"Accessory, Procedure",SD206,"sheath, peel away",item,68.99,1,,000,,CPT11,29
49418,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,32,,000,,CPT11,29
49418,RUC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,000,,CPT11,29
49418,RUC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,1,,000,,CPT11,29
49418,RUC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,000,,CPT11,29
49419,RUC,"Hypodermic, IV",SC039,"needle, Huber point",item,3.328,,1,090,,,
49419,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,2,090,,,
49419,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,,
49419,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
49419,RUC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,,1,090,,,
49419,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,,2,090,,,
49421,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,000,,CPT11,29
49422,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
49422,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,,
49423,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,000,,Jan04,9
49423,PEAC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,000,,Jan04,9
49423,PEAC,"Accessory, Procedure",SD161,"drainage catheter, all purpose",item,88.43,1,0,000,,Jan04,9
49423,PEAC,"Accessory, Procedure",SD163,"drainage pouch, nephrostomy-biliary",item,13.25,1,0,000,,Jan04,9
49423,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Jan04,9
49423,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Jan04,9
49423,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,Jan04,9
49423,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Jan04,9
49423,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,Jan04,9
49423,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Jan04,9
49423,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Jan04,9
49423,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,9
49423,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,Jan04,9
49423,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,Jan04,9
49423,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,Jan04,9
49423,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,Jan04,9
49423,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,0,000,,Jan04,9
49423,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,Jan04,9
49423,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,Jan04,9
49423,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Jan04,9
49423,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,Jan04,9
49423,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Jan04,9
49423,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,Jan04,9
49423,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,Jan04,9
49423,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Jan04,9
49424,PEAC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,000,,Jan04,9
49424,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Jan04,9
49424,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Jan04,9
49424,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,Jan04,9
49424,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Jan04,9
49424,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,Jan04,9
49424,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Jan04,9
49424,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Jan04,9
49424,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,9
49424,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,Jan04,9
49424,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,Jan04,9
49424,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,Jan04,9
49424,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,Jan04,9
49424,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,Jan04,9
49424,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Jan04,9
49424,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,Jan04,9
49424,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Jan04,9
49424,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,Jan04,9
49424,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,Jan04,9
49424,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Jan04,9
49425,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
49425,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49426,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
49426,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49427,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar04,E
49428,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,Feb05,
49428,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,Feb05,
49429,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
49429,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,,
49435,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,CPT07,
49436,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,CPT07,
49440,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,CPT08,30
49440,RUC,"Accessory, Procedure",SC090,"tube, gastrostomy",item,97,1,0,010,,CPT08,30
49440,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,010,,CPT08,30
49440,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,CPT08,30
49440,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,010,,CPT08,30
49440,RUC,"Accessory, Procedure",SD175,"guidewire, steerable (Transcend)",item,180,1,0,010,,CPT08,30
49440,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,010,,CPT08,30
49440,RUC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,2,0,010,,CPT08,30
49440,RUC,"Accessory, Procedure",SD206,"sheath, peel away",item,68.99,1,0,010,,CPT08,30
49440,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,010,,CPT08,30
49440,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,010,,CPT08,30
49440,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,010,,CPT08,30
49440,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,010,,CPT08,30
49440,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,010,,CPT08,30
49440,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,010,,CPT08,30
49440,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,010,,CPT08,30
49440,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,010,,CPT08,30
49440,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,CPT08,30
49440,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,010,,CPT08,30
49441,RUC,"Accessory, Procedure",SD243,"tube, jejunostomy",item,97.5,1,0,010,,CPT08,30
49441,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,010,,CPT08,30
49441,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,CPT08,30
49441,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,010,,CPT08,30
49441,RUC,"Accessory, Procedure",SD175,"guidewire, steerable (Transcend)",item,180,1,0,010,,CPT08,30
49441,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,010,,CPT08,30
49441,RUC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,2,0,010,,CPT08,30
49441,RUC,"Accessory, Procedure",SD206,"sheath, peel away",item,68.99,1,0,010,,CPT08,30
49441,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,010,,CPT08,30
49441,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,010,,CPT08,30
49441,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,010,,CPT08,30
49441,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,010,,CPT08,30
49441,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,010,,CPT08,30
49441,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,010,,CPT08,30
49441,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,010,,CPT08,30
49441,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,010,,CPT08,30
49441,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,CPT08,30
49441,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,010,,CPT08,30
49441,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,CPT08,30
49442,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT08,30
49442,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,CPT08,30
49442,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,010,,CPT08,30
49442,RUC,"Accessory, Procedure",SD175,"guidewire, steerable (Transcend)",item,180,1,0,010,,CPT08,30
49442,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,010,,CPT08,30
49442,RUC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,2,0,010,,CPT08,30
49442,RUC,"Accessory, Procedure",SD206,"sheath, peel away",item,68.99,1,0,010,,CPT08,30
49442,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,010,,CPT08,30
49442,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,010,,CPT08,30
49442,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,010,,CPT08,30
49442,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,010,,CPT08,30
49442,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,010,,CPT08,30
49442,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,010,,CPT08,30
49442,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,010,,CPT08,30
49442,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,010,,CPT08,30
49442,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,010,,CPT08,30
49442,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,010,,CPT08,30
49442,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,010,,CPT08,30
49442,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,010,,CPT08,30
49442,RUC,"Accessory, Procedure",SC090,"tube, gastrostomy",item,97,1,0,010,,CPT08,30
49442,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,CPT08,30
49446,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT08,30
49446,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT08,30
49446,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT08,30
49446,RUC,"Accessory, Procedure",SD175,"guidewire, steerable (Transcend)",item,180,1,0,000,,CPT08,30
49446,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT08,30
49446,RUC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,2,0,000,,CPT08,30
49446,RUC,"Accessory, Procedure",SD206,"sheath, peel away",item,68.99,1,0,000,,CPT08,30
49446,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,000,,CPT08,30
49446,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,000,,CPT08,30
49446,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,000,,CPT08,30
49446,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,000,,CPT08,30
49446,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT08,30
49446,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,000,,CPT08,30
49446,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,000,,CPT08,30
49446,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,CPT08,30
49446,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT08,30
49446,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,CPT08,30
49446,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,000,,CPT08,30
49446,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,000,,CPT08,30
49446,RUC,"Accessory, Procedure",SD243,"tube, jejunostomy",item,97.5,1,0,000,,CPT08,30
49446,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,CPT08,30
49450,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT08,30
49450,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT08,30
49450,RUC,"Accessory, Procedure",SD175,"guidewire, steerable (Transcend)",item,180,1,0,000,,CPT08,30
49450,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT08,30
49450,RUC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,2,0,000,,CPT08,30
49450,RUC,"Accessory, Procedure",SD206,"sheath, peel away",item,68.99,1,0,000,,CPT08,30
49450,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,000,,CPT08,30
49450,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,000,,CPT08,30
49450,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,000,,CPT08,30
49450,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,000,,CPT08,30
49450,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT08,30
49450,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,000,,CPT08,30
49450,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,000,,CPT08,30
49450,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT08,30
49450,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT08,30
49450,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,CPT08,30
49450,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,000,,CPT08,30
49450,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,000,,CPT08,30
49450,RUC,"Accessory, Procedure",SC090,"tube, gastrostomy",item,97,1,0,000,,CPT08,30
49450,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,CPT08,30
49451,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT08,30
49451,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT08,30
49451,RUC,"Accessory, Procedure",SD175,"guidewire, steerable (Transcend)",item,180,1,0,000,,CPT08,30
49451,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT08,30
49451,RUC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,2,0,000,,CPT08,30
49451,RUC,"Accessory, Procedure",SD206,"sheath, peel away",item,68.99,1,0,000,,CPT08,30
49451,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,000,,CPT08,30
49451,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,000,,CPT08,30
49451,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,000,,CPT08,30
49451,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,000,,CPT08,30
49451,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT08,30
49451,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,000,,CPT08,30
49451,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,000,,CPT08,30
49451,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT08,30
49451,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT08,30
49451,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,CPT08,30
49451,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,000,,CPT08,30
49451,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,000,,CPT08,30
49451,RUC,"Accessory, Procedure",SD243,"tube, jejunostomy",item,97.5,1,0,000,,CPT08,30
49451,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,CPT08,30
49452,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT08,30
49452,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT08,30
49452,RUC,"Accessory, Procedure",SD175,"guidewire, steerable (Transcend)",item,180,1,0,000,,CPT08,30
49452,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT08,30
49452,RUC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,2,0,000,,CPT08,30
49452,RUC,"Accessory, Procedure",SD206,"sheath, peel away",item,68.99,1,0,000,,CPT08,30
49452,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,000,,CPT08,30
49452,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,000,,CPT08,30
49452,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,000,,CPT08,30
49452,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,000,,CPT08,30
49452,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT08,30
49452,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,000,,CPT08,30
49452,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,000,,CPT08,30
49452,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT08,30
49452,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT08,30
49452,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,CPT08,30
49452,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,000,,CPT08,30
49452,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,000,,CPT08,30
49452,RUC,"Accessory, Procedure",SD243,"tube, jejunostomy",item,97.5,1,0,000,,CPT08,30
49452,RUC,"Accessory, Procedure",SC090,"tube, gastrostomy",item,97,1,0,000,,CPT08,30
49452,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,CPT08,30
49460,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT08,30
49460,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT08,30
49460,RUC,"Accessory, Procedure",SD175,"guidewire, steerable (Transcend)",item,180,1,0,000,,CPT08,30
49460,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT08,30
49460,RUC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,2,0,000,,CPT08,30
49460,RUC,"Accessory, Procedure",SD206,"sheath, peel away",item,68.99,1,0,000,,CPT08,30
49460,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,000,,CPT08,30
49460,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,000,,CPT08,30
49460,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,000,,CPT08,30
49460,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,000,,CPT08,30
49460,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT08,30
49460,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,000,,CPT08,30
49460,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,000,,CPT08,30
49460,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT08,30
49460,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT08,30
49460,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,4,0,000,,CPT08,30
49460,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,000,,CPT08,30
49460,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,4,0,000,,CPT08,30
49460,RUC,"Accessory, Procedure",SD176,"guidewire, torque",item,41,1,0,000,,CPT08,30
49460,RUC,"Accessory, Procedure",SD174,"guidewire, steerable (Hi-Torque)",item,90,1,0,000,,CPT08,30
49460,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,CPT08,30
49465,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT08,30
49465,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,000,,CPT08,30
49465,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,000,,CPT08,30
49465,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,000,,CPT08,30
49465,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,000,,CPT08,30
49465,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT08,30
49465,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,000,,CPT08,30
49465,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,000,,CPT08,30
49465,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT08,30
49465,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT08,30
49465,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,CPT08,30
49465,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,CPT08,30
49465,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,CPT08,30
49491,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
49491,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
49492,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
49492,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
49495,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
49495,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49496,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49496,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49500,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49500,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49501,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49501,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49505,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Jan04,19
49505,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Jan04,19
49507,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49507,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49520,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49520,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49521,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49521,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49525,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49525,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49540,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49540,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49550,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49550,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49553,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49553,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49555,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49555,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49557,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49557,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49560,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49560,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49561,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49561,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49565,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49565,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49566,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49566,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49568,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
49570,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49570,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49572,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49572,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49580,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49580,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49582,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49582,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49585,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49585,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49587,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49587,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49590,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
49590,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49600,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
49600,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49605,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
49605,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49606,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
49610,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
49611,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
49611,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49650,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
49650,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49651,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
49651,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
49652,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT09,15
49652,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT09,15
49653,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT09,15
49653,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT09,15
49654,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT09,15
49654,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT09,15
49655,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT09,15
49655,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT09,15
49656,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT09,15
49656,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT09,15
49657,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT09,15
49657,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,CPT09,15
49659,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
49900,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
49900,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
49904,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
49904,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
49904,RUC,"Wound Care, Dressings",SG013,"bandage, elastic wrap 6in (Ace)",item,1.539,,5,090,,,
49904,RUC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,5,090,,,
49904,RUC,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,10,090,,,
49904,RUC,"Wound Care, Dressings",SG040,"dressing, 5in x 9in (Adaptic)",item,2.318,,5,090,,,
49905,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
49906,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,090,,,
49999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
50010,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50010,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50020,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,6
50020,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50021,PEAC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,1,0,000,,Jan04,9
50021,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,000,,Jan04,9
50021,PEAC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,000,,Jan04,9
50021,PEAC,"Accessory, Procedure",SD161,"drainage catheter, all purpose",item,88.43,1,0,000,,Jan04,9
50021,PEAC,"Accessory, Procedure",SD163,"drainage pouch, nephrostomy-biliary",item,13.25,1,0,000,,Jan04,9
50021,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,000,,Jan04,9
50021,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Jan04,9
50021,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Jan04,9
50021,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Jan04,9
50021,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,Jan04,9
50021,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Jan04,9
50021,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,000,,Jan04,9
50021,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Jan04,9
50021,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Jan04,9
50021,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,9
50021,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,Jan04,9
50021,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,Jan04,9
50021,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,Jan04,9
50021,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,Jan04,9
50021,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Jan04,9
50021,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,Jan04,9
50021,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,000,,Jan04,9
50021,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,Jan04,9
50021,PEAC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,Jan04,9
50021,PEAC,Lab,SL157,"cup, sterile, 8 oz",item,0.542,1,0,000,,Jan04,9
50021,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,Jan04,9
50021,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Jan04,9
50021,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,Jan04,9
50021,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Jan04,9
50021,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,Jan04,9
50021,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,Jan04,9
50021,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Jan04,9
50040,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50040,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50045,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50045,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50060,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50060,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50065,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50065,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50070,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50070,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50075,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Aug03,6
50075,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50080,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Aug03,6
50080,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50081,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Aug03,6
50081,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50100,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50100,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50120,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50120,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50125,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50125,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50130,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50130,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50135,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50135,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50200,PEAC,"Hypodermic, IV",SC033,"needle, biopsy, spring-loaded",item,19,1,0,000,,Oct08,13
50200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Oct08,13
50200,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,Oct08,13
50200,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,Oct08,13
50200,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Oct08,13
50200,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,Oct08,13
50200,PEAC,"Kit, Pack, Tray",SA061,"tray, biopsy procedure",tray,14.65,1,0,000,,Oct08,13
50200,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,Oct08,13
50200,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,000,,Oct08,13
50200,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,Oct08,13
50200,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Oct08,13
50200,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,000,,Oct08,13
50200,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,000,,Oct08,13
50200,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,000,,Oct08,13
50200,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Oct08,13
50200,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,Oct08,13
50200,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,000,,Oct08,13
50200,PEAC,Lab,SL040,"cytology, preservative and vial (Preserv-cyt)",item,0.8,3,0,000,,Oct08,13
50205,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Aug03,6
50205,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50220,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50220,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50225,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50225,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50230,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Aug03,6
50230,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50234,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50234,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50236,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,6
50236,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,2,090,,Aug03,6
50240,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,6
50240,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50250,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,88170,RUC05,
50250,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,RUC05,
50280,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50280,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50290,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50290,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50300,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
50320,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Mar04,T
50320,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
50323,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT07,
50325,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT07,
50327,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
50328,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
50329,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
50340,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,T
50340,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
50360,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,9,090,,Mar04,T
50360,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
50365,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,9,090,,Mar04,T
50365,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
50370,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Mar04,T
50370,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
50380,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,9,090,,Mar04,T
50380,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
50382,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,000,,RUC05,
50382,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,RUC05,
50382,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,000,,RUC05,
50382,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,0.5,0,000,,RUC05,
50382,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,0.5,0,000,,RUC05,
50382,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,RUC05,
50382,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,RUC05,
50382,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,RUC05,
50382,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,RUC05,
50382,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,RUC05,
50382,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,RUC05,
50382,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,RUC05,
50382,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,RUC05,
50382,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,RUC05,
50382,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,RUC05,
50382,RUC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,000,,RUC05,
50382,RUC,"Accessory, Procedure",SD163,"drainage pouch, nephrostomy-biliary",item,13.25,1,0,000,,RUC05,
50382,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,RUC05,
50382,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,RUC05,
50382,RUC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,000,,RUC05,
50382,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,RUC05,
50382,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,RUC05,
50382,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,RUC05,
50382,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,RUC05,
50382,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,RUC05,
50382,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,RUC05,
50382,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,RUC05,
50382,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,RUC05,
50382,RUC,"Accessory, Procedure",SD161,"drainage catheter, all purpose",item,88.43,1,0,000,,RUC05,
50382,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,RUC05,
50382,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,0,000,,RUC05,
50382,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,010,,RUC05,
50382,RUC,"Accessory, Procedure",SD218,"stent, ureteral, without guidewire",item,162,1,0,000,,RUC05,
50384,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,000,,RUC05,
50384,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,RUC05,
50384,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,000,,RUC05,
50384,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,0.5,0,000,,RUC05,
50384,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,0.5,0,000,,RUC05,
50384,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,RUC05,
50384,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,RUC05,
50384,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,RUC05,
50384,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,RUC05,
50384,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,RUC05,
50384,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,RUC05,
50384,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,RUC05,
50384,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,RUC05,
50384,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,RUC05,
50384,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,RUC05,
50384,RUC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,000,,RUC05,
50384,RUC,"Accessory, Procedure",SD163,"drainage pouch, nephrostomy-biliary",item,13.25,1,0,000,,RUC05,
50384,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,RUC05,
50384,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,RUC05,
50384,RUC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,000,,RUC05,
50384,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,RUC05,
50384,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,RUC05,
50384,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,RUC05,
50384,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,RUC05,
50384,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,RUC05,
50384,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,RUC05,
50384,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,RUC05,
50384,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,RUC05,
50384,RUC,"Accessory, Procedure",SD161,"drainage catheter, all purpose",item,88.43,1,0,000,,RUC05,
50384,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,RUC05,
50384,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,0,000,,RUC05,
50384,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,010,,RUC05,
50384,RUC,"Accessory, Procedure",SD218,"stent, ureteral, without guidewire",item,162,0,0,000,,RUC05,
50385,RUC,"Accessory, Procedure",SD218,"stent, ureteral, without guidewire",item,162,1,0,000,,CPT08,31
50385,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,000,,CPT08,31
50385,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,4,0,000,,CPT08,31
50385,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,000,,CPT08,31
50385,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,CPT08,31
50385,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,CPT08,31
50385,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,CPT08,31
50385,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,CPT08,31
50385,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,CPT08,31
50385,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,CPT08,31
50385,RUC,"Accessory, Procedure",SD161,"drainage catheter, all purpose",item,88.43,1,0,000,,CPT08,31
50385,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,CPT08,31
50385,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,CPT08,31
50385,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,0.5,0,000,,CPT08,31
50385,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,0.5,0,000,,CPT08,31
50385,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT08,31
50385,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT08,31
50385,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,CPT08,31
50385,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT08,31
50385,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,CPT08,31
50385,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT08,31
50385,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,CPT08,31
50385,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,CPT08,31
50385,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT08,31
50385,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,CPT08,31
50385,RUC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,000,,CPT08,31
50385,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT08,31
50385,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT08,31
50385,RUC,"Accessory, Procedure",,"guidewire, angle tip (Terumo), 180 cm",item,,1,0,000,,CPT08,31
50385,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT08,31
50385,RUC,"Accessory, Procedure",,"snare, Nitinol (Amplatz)",item,,1,0,000,,CPT08,31
50385,RUC,"Accessory, Procedure",,"catheter, Kumpe",item,,1,0,000,,CPT08,31
50385,RUC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,000,,CPT08,31
50386,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,000,,CPT08,31
50386,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,4,0,000,,CPT08,31
50386,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,000,,CPT08,31
50386,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,CPT08,31
50386,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,CPT08,31
50386,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,CPT08,31
50386,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,CPT08,31
50386,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,CPT08,31
50386,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,CPT08,31
50386,RUC,"Accessory, Procedure",SD161,"drainage catheter, all purpose",item,88.43,1,0,000,,CPT08,31
50386,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,CPT08,31
50386,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,CPT08,31
50386,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,0.5,0,000,,CPT08,31
50386,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,0.5,0,000,,CPT08,31
50386,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT08,31
50386,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT08,31
50386,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,CPT08,31
50386,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT08,31
50386,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,CPT08,31
50386,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT08,31
50386,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,CPT08,31
50386,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,CPT08,31
50386,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT08,31
50386,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,CPT08,31
50386,RUC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,000,,CPT08,31
50386,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT08,31
50386,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT08,31
50386,RUC,"Accessory, Procedure",,"guidewire, angle tip (Terumo), 180 cm",item,,1,0,000,,CPT08,31
50386,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT08,31
50386,RUC,"Accessory, Procedure",,"snare, Nitinol (Amplatz)",item,,1,0,000,,CPT08,31
50386,RUC,"Accessory, Procedure",,"catheter, Kumpe",item,,1,0,000,,CPT08,31
50386,RUC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,000,,CPT08,31
50387,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,000,,RUC05,
50387,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,RUC05,
50387,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,000,,RUC05,
50387,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,0.5,0,000,,RUC05,
50387,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,0.5,0,000,,RUC05,
50387,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,RUC05,
50387,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,RUC05,
50387,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,RUC05,
50387,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,RUC05,
50387,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,RUC05,
50387,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,RUC05,
50387,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,RUC05,
50387,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,RUC05,
50387,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,RUC05,
50387,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,RUC05,
50387,RUC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,000,,RUC05,
50387,RUC,"Accessory, Procedure",SD163,"drainage pouch, nephrostomy-biliary",item,13.25,1,0,000,,RUC05,
50387,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,RUC05,
50387,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,RUC05,
50387,RUC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,000,,RUC05,
50387,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,RUC05,
50387,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,RUC05,
50387,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,RUC05,
50387,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,RUC05,
50387,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,RUC05,
50387,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,RUC05,
50387,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,RUC05,
50387,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,RUC05,
50387,RUC,"Accessory, Procedure",SD161,"drainage catheter, all purpose",item,88.43,1,0,000,,RUC05,
50387,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,RUC05,
50387,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,0,000,,RUC05,
50387,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,010,,RUC05,
50389,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,000,,RUC05,
50389,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,RUC05,
50389,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,000,,RUC05,
50389,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,0.5,0,000,,RUC05,
50389,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,0.5,0,000,,RUC05,
50389,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,RUC05,
50389,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,RUC05,
50389,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,RUC05,
50389,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,RUC05,
50389,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,RUC05,
50389,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,RUC05,
50389,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,RUC05,
50389,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,RUC05,
50389,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,RUC05,
50389,RUC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,000,,RUC05,
50389,RUC,"Accessory, Procedure",SD163,"drainage pouch, nephrostomy-biliary",item,13.25,1,0,000,,RUC05,
50389,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,RUC05,
50389,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,RUC05,
50389,RUC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,000,,RUC05,
50389,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,RUC05,
50389,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,RUC05,
50389,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,RUC05,
50389,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,RUC05,
50389,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,RUC05,
50389,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,RUC05,
50389,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,RUC05,
50389,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,RUC05,
50389,RUC,"Accessory, Procedure",SD161,"drainage catheter, all purpose",item,88.43,1,0,000,,RUC05,
50389,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,RUC05,
50389,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,0,000,,RUC05,
50389,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,010,,RUC05,
50390,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Jan04,7
50391,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,,,
50391,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,,
50391,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,000,,,
50391,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,,
50391,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,000,,,
50391,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,000,,,
50391,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,,
50391,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,,
50391,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
50391,RUC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,000,,,
50391,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,,
50392,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar04,V
50393,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar04,V
50394,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Mar04,V
50394,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Mar04,V
50394,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,Mar04,V
50394,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Mar04,V
50394,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,Mar04,V
50394,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Mar04,V
50394,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,Mar04,V
50394,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,Mar04,V
50394,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,Mar04,V
50394,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,Mar04,V
50394,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar04,V
50394,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,V
50394,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,Mar04,V
50394,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,Mar04,V
50395,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar04,V
50396,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Mar04,V
50398,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,000,,Jan04,9
50398,PEAC,"Accessory, Procedure",SD161,"drainage catheter, all purpose",item,88.43,1,0,000,,Jan04,9
50398,PEAC,"Accessory, Procedure",SD163,"drainage pouch, nephrostomy-biliary",item,13.25,1,0,000,,Jan04,9
50398,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Jan04,9
50398,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Jan04,9
50398,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,Jan04,9
50398,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Jan04,9
50398,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,Jan04,9
50398,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Jan04,9
50398,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Jan04,9
50398,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,9
50398,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,Jan04,9
50398,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,Jan04,9
50398,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,Jan04,9
50398,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,Jan04,9
50398,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,0,000,,Jan04,9
50398,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,Jan04,9
50398,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,Jan04,9
50398,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Jan04,9
50398,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,Jan04,9
50398,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Jan04,9
50398,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,Jan04,9
50398,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,Jan04,9
50398,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Jan04,9
50400,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50400,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50405,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Aug03,6
50405,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50500,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50500,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50520,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50520,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50525,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Aug03,6
50525,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50526,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Aug03,6
50526,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50540,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50540,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50541,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Aug03,6
50541,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50542,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50542,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50543,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
50543,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
50543,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
50544,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Aug03,6
50544,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50545,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Aug03,6
50545,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50546,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50546,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50547,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,T
50547,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Mar04,T
50548,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Aug03,6
50548,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50549,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
50551,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Aug03,6
50551,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Aug03,6
50551,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,Aug03,6
50551,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Aug03,6
50551,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Aug03,6
50551,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Aug03,6
50553,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Aug03,6
50553,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Aug03,6
50553,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,Aug03,6
50553,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Aug03,6
50553,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Aug03,6
50553,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Aug03,6
50555,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Aug03,6
50555,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Aug03,6
50555,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Aug03,6
50555,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Aug03,6
50555,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Aug03,6
50557,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Aug03,6
50557,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Aug03,6
50557,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,Aug03,6
50557,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Aug03,6
50557,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Aug03,6
50557,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Aug03,6
50561,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Aug03,6
50561,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Aug03,6
50561,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,Aug03,6
50561,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Aug03,6
50561,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Aug03,6
50561,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Aug03,6
50562,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50570,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Aug03,6
50572,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Aug03,6
50574,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Aug03,6
50575,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Aug03,6
50576,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Aug03,6
50580,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Aug03,6
50590,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,090,,Aug03,6
50590,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,3,090,,Aug03,6
50592,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,RUC05,
50592,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,010,,RUC05,
50592,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,RUC05,
50592,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,010,,RUC05,
50592,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,010,,RUC05,
50592,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,RUC05,
50592,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,010,,RUC05,
50592,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,010,,RUC05,
50592,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,010,,RUC05,
50592,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,RUC05,
50592,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,010,,RUC05,
50592,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,RUC05,
50592,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,RUC05,
50592,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,RUC05,
50592,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,RUC05,
50592,RUC,Lab,SL038,"cup-container, sterile, graduated 1000ml",item,1.14,1,0,010,,RUC05,
50592,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,RUC05,
50592,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,RUC05,
50592,RUC,"Accessory, Procedure",SD109,"probe, radiofrequency, 3 array (StarBurstSDE)",item,1995,1,0,010,,RUC05,
50592,RUC,"Kit, Pack, Tray",SA026,"kit, radiofrequency introducer",kit,50,1,0,010,,RUC05,
50592,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,RUC05,
50592,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,RUC05,
50592,RUC,"Kit, Pack, Tray",SA061,"tray, biopsy procedure",tray,14.65,1,0,010,,RUC05,
50592,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,010,,RUC05,
50592,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,010,,RUC05,
50592,RUC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,1,0,010,,RUC05,
50592,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,010,,RUC05,
50592,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,RUC05,
50592,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,010,,RUC05,
50592,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,010,,RUC05,
50593,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,CPT08,C
50593,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,010,,CPT08,C
50593,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,010,,CPT08,C
50593,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,010,,CPT08,C
50593,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,CPT08,C
50593,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,010,,CPT08,C
50593,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,CPT08,C
50593,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,010,,CPT08,C
50593,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,010,,CPT08,C
50593,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,010,,CPT08,C
50593,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,010,,CPT08,C
50593,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,010,,CPT08,C
50593,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,010,,CPT08,C
50593,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,CPT08,C
50593,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,010,,CPT08,C
50593,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,CPT08,C
50593,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,010,,CPT08,C
50593,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,CPT08,C
50593,RUC,Lab,SL038,"cup-container, sterile, graduated 1000ml",item,1.14,1,0,010,,CPT08,C
50593,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,010,,CPT08,C
50593,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,010,,CPT08,C
50593,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,010,,CPT08,C
50593,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,CPT08,C
50593,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,010,,CPT08,C
50593,RUC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,1,0,010,,CPT08,C
50593,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,010,,CPT08,C
50593,RUC,"Accessory, Procedure",SD233,"probe, cryoablation, renal",item,1175,2.5,0,010,,CPT08,C
50593,RUC,"Accessory, Procedure",SD079,"gas, helium",cu ft,0.25,,0,010,,CPT08,C
50593,RUC,"Accessory, Procedure",SD227,"gas, argon",cu ft,0.25,,0,010,,CPT08,C
50600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Aug03,6
50600,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50605,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Aug03,6
50605,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50610,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Aug03,6
50610,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50620,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Aug03,6
50620,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50630,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Aug03,6
50630,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50650,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50650,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50660,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50660,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50684,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Mar04,V
50684,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,000,,Mar03,18
50684,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,Mar03,18
50684,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Mar04,V
50684,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,Mar04,V
50684,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Mar04,V
50684,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,Mar04,V
50684,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,Mar04,V
50684,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,Mar04,V
50684,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,18
50684,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,Mar03,18
50684,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,Mar04,V
50684,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,1,0,000,,Mar04,V
50684,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,000,,Mar03,18
50684,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,Mar04,V
50686,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Mar04,V
50686,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Mar04,V
50686,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,Mar04,V
50686,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Mar04,V
50686,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,Mar04,V
50686,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,Mar04,V
50686,PEAC,"Hypodermic, IV",SC048,spinal manometer,item,26.325,1,0,000,,Mar04,V
50686,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,Mar04,V
50686,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,V
50686,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,Mar04,V
50686,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,1,0,000,,Mar04,V
50686,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,Mar04,V
50688,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,010,,Mar04,V
50690,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,000,,Mar04,V
50690,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Mar04,V
50690,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Mar04,V
50690,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,,Mar04,V
50690,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Mar04,V
50690,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,Mar04,V
50690,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Mar04,V
50690,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,Mar04,V
50690,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,Mar04,V
50690,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,Mar04,V
50690,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,Mar04,V
50690,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,Mar04,V
50690,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,0,000,,Mar04,V
50700,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50700,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50715,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50715,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50722,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50722,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50725,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50725,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50727,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50727,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50728,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50728,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50740,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50740,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50750,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50750,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50760,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50760,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50770,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50770,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50780,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50780,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50782,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50782,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50783,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50783,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50785,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50785,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50800,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Aug03,6
50800,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50810,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4.5,090,,Aug03,6
50810,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50815,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,6
50815,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50820,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Aug03,6
50820,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50825,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,6
50825,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50830,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,6
50830,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50840,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Aug03,6
50840,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50845,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Aug03,6
50845,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50860,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50860,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50900,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50900,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50920,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50920,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50930,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50930,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50940,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50940,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50945,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Aug03,6
50945,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50947,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Aug03,6
50947,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50948,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Aug03,6
50948,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Aug03,6
50949,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
50951,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Aug03,6
50951,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Aug03,6
50951,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,Aug03,6
50951,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Aug03,6
50951,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Aug03,6
50951,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Aug03,6
50953,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Aug03,6
50953,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Aug03,6
50953,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,Aug03,6
50953,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Aug03,6
50953,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Aug03,6
50953,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Aug03,6
50955,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Aug03,6
50955,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Aug03,6
50955,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,Aug03,6
50955,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Aug03,6
50955,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Aug03,6
50955,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Aug03,6
50957,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Aug03,6
50957,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Aug03,6
50957,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,Aug03,6
50957,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Aug03,6
50957,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Aug03,6
50957,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Aug03,6
50961,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Aug03,6
50961,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Aug03,6
50961,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,Aug03,6
50961,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Aug03,6
50961,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Aug03,6
50961,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Aug03,6
50970,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Aug03,6
50972,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Aug03,6
50974,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Aug03,6
50976,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Aug03,6
50980,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Aug03,6
51020,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
51020,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51020,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51020,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
51030,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
51030,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51030,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
51030,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
51040,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
51040,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
51040,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
51040,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
51045,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
51045,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51045,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
51045,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
51050,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
51050,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
51050,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
51050,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
51060,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
51060,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51060,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
51060,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
51065,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
51065,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51065,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
51065,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
51080,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
51080,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
51080,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
51080,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
51100,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,0,000,,CPT08,rn
51100,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,,CPT08,rn
51100,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT08,rn
51100,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,CPT08,rn
51100,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,CPT08,rn
51100,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,CPT08,rn
51100,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,000,,CPT08,rn
51100,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,000,,CPT08,rn
51100,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,CPT08,rn
51100,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,CPT08,rn
51100,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,CPT08,rn
51100,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,000,,CPT08,rn
51100,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,0,000,,CPT08,rn
51101,PEAC,"Cutters, Closures, Cautery",SF038,"suture, prolene, 3-0 to 7-0, p, ps, pc",item,8.76,1,0,000,,CPT08,rn
51101,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT08,rn
51101,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,CPT08,rn
51101,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,CPT08,rn
51101,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,CPT08,rn
51101,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,000,,CPT08,rn
51101,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,000,,CPT08,rn
51101,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,CPT08,rn
51101,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,CPT08,rn
51101,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,0,000,,CPT08,rn
51101,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,CPT08,rn
51101,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,CPT08,rn
51101,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,0,000,,CPT08,rn
51101,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,,CPT08,rn
51101,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,0,000,,CPT08,rn
51101,PEAC,"Kit, Pack, Tray",SA006,"kit, catheter, suprapubic",kit,34.75,1,0,000,,CPT08,rn
51102,PEAC,"Accessory, Procedure",SD034,"catheter, ureteral, Stamey open-tip",item,27,1,,010,,CPT08,rn
51102,PEAC,"Cutters, Closures, Cautery",SF038,"suture, prolene, 3-0 to 7-0, p, ps, pc",item,8.76,1,,010,,CPT08,rn
51102,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,010,,CPT08,rn
51102,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,CPT08,rn
51102,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,CPT08,rn
51102,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,010,,CPT08,rn
51102,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,010,,CPT08,rn
51102,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,010,,CPT08,rn
51102,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,010,,CPT08,rn
51102,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,CPT08,rn
51102,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,CPT08,rn
51102,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,,010,,CPT08,rn
51102,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,CPT08,rn
51102,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,CPT08,rn
51102,PEAC,"Pharmacy, NonRx",SJ031,leg or urinary drainage bag,item,3.079,1,,010,,CPT08,rn
51102,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,,010,,CPT08,rn
51102,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,010,,CPT08,rn
51102,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,010,,CPT08,rn
51500,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,15,090,,Apr06,J
51500,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
51500,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51500,PERC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,4,090,,Apr06,J
51520,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
51520,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51520,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
51520,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
51525,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
51525,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51525,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
51525,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
51530,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
51530,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51530,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51535,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
51535,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51535,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51550,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
51550,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51550,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51555,PERC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,Apr06,J
51555,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51555,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51565,PERC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,Apr06,J
51565,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
51565,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51570,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51570,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51570,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
51570,PERC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,0.3,090,,Apr06,J
51575,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
51575,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51575,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
51575,PERC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,0.3,090,,Apr06,J
51580,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
51580,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51580,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
51580,PERC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,0.3,090,,Apr06,J
51585,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
51585,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51585,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
51585,PERC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,0.3,090,,Apr06,J
51590,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
51590,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51590,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
51590,PERC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,0.3,090,,Apr06,J
51595,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
51595,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51595,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
51595,PERC,"Pharmacy, NonRx",SJ049,stoma adhesive,oz,4.38,,0.3,090,,Apr06,J
51596,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,30,090,,Apr06,J
51596,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
51596,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51597,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
51597,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51597,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
51600,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,,000,,,
51600,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,,
51600,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,000,,,
51600,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,,000,,,
51600,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
51600,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
51600,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,000,,,
51600,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,000,,,
51600,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,000,,,
51600,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,2,,000,,,
51600,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,,
51600,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,,000,,,
51600,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,,000,,,
51605,CPEP,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,,000,,,
51605,CPEP,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,1,,000,,,
51605,CPEP,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,,000,,,
51605,CPEP,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
51605,CPEP,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,000,,,
51605,CPEP,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,000,,,
51605,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,000,,,
51605,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,3,,000,,,
51605,CPEP,"Gown, Drape",SB033,"mask, surgical",item,0.196,3,,000,,,
51605,CPEP,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,,000,,,
51605,CPEP,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,000,,,
51605,CPEP,"Hypodermic, IV",SC041,"needle, arterial (Seldinger)",item,5.175,1,0,000,,,
51605,CPEP,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,000,,,
51605,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,,000,,,
51605,CPEP,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,3,,000,,,
51605,CPEP,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,,
51605,CPEP,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,000,,,
51605,CPEP,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,,000,,,
51605,CPEP,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,,
51605,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,,000,,,
51610,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,,000,,,
51610,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
51610,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
51610,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
51610,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,20,,000,,,
51700,PEAC,"Accessory, Procedure",SD030,"catheter, straight",item,1.7,1,,000,,,
51700,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
51700,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
51700,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
51700,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
51700,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,,
51700,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,000,,,
51700,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
51700,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
51700,PEAC,"Hypodermic, IV",SC062,"syringe, Toomey",item,2.726,1,,000,,,
51700,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,,000,,,
51700,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
51700,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
51700,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
51700,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,,000,,,
51701,RUC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,,000,,,
51701,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
51701,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
51701,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
51701,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,,
51701,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,000,,,
51701,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
51701,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
51701,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
51701,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,,000,,,
51701,RUC,"Pharmacy, NonRx",SJ031,leg or urinary drainage bag,item,3.079,1,,000,,,
51701,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
51701,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
51701,RUC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,,000,,,
51702,RUC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,,000,,,
51702,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
51702,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
51702,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
51702,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,,
51702,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,000,,,
51702,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
51702,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
51702,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
51702,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,,000,,,
51702,RUC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,,000,,,
51702,RUC,"Pharmacy, NonRx",SJ031,leg or urinary drainage bag,item,3.079,1,,000,,,
51702,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
51702,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
51702,RUC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,,000,,,
51703,RUC,"Accessory, Procedure",SD014,catheter stylet,item,6.938,1,,000,,,
51703,RUC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,,000,,,
51703,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
51703,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
51703,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
51703,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,,
51703,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,000,,,
51703,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
51703,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
51703,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
51703,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,,000,,,
51703,RUC,"Pharmacy, NonRx",SJ031,leg or urinary drainage bag,item,3.079,1,,000,,,
51703,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
51703,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
51703,RUC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,,000,,,
51705,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,,010,,,
51705,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,1,010,,,
51705,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
51705,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
51705,PEAC,"Hypodermic, IV",SC062,"syringe, Toomey",item,2.726,1,,010,,,
51705,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1.5,0.5,010,,,
51705,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,15,,010,,,
51705,PEAC,"Pharmacy, NonRx",SJ031,leg or urinary drainage bag,item,3.079,1,,010,,,
51705,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,1,,010,,,
51705,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,10,010,,,
51705,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,1,010,,,
51705,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
51705,PEAC,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,30,,010,,,
51705,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,4,,010,,,
51705,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,8,,010,,,
51705,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,010,,,
51710,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,,010,,,
51710,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,,010,,,
51710,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
51710,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
51710,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
51710,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
51710,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1.5,0.5,010,,,
51710,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
51710,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,1,,010,,,
51710,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,20,,010,,,
51710,PEAC,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,3,,010,,,
51710,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,010,,,
51710,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,010,,,
51715,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,000,,Apr06,J
51715,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Apr06,J
51715,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,000,,Apr06,J
51715,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,Apr06,J
51715,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Apr06,J
51715,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,000,,Apr06,J
51720,PEAC,"Accessory, Procedure",SD030,"catheter, straight",item,1.7,1,,000,,,
51720,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
51720,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
51720,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
51720,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
51720,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,,
51720,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,000,,,
51720,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,,
51720,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,,
51720,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,0,000,,,
51720,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
51720,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,,
51720,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,,
51720,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,,000,,,
51725,PEAC,"Accessory, Procedure",SD012,catheter adapter,item,2.3,1,0,000,,,
51725,PEAC,"Accessory, Procedure",SD130,"tubing, latex",foot,0.583,3,0,000,,,
51725,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,,
51725,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,000,,,
51725,PEAC,"Hypodermic, IV",SC048,spinal manometer,item,26.325,1,0,000,,,
51725,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,,
51725,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
51725,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,,
51725,PEAC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,0,000,,,
51725,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,000,,,
51725,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
51726,PEAC,"Accessory, Procedure",SD027,"catheter, pressure, urodynamic",item,13.733,1,0,000,,,
51726,PEAC,"Accessory, Procedure",SD125,transducer dome (pressure),item,7.65,1,0,000,,,
51726,PEAC,"Accessory, Procedure",SD128,"tubing, for pump head",item,4.6,1,0,000,,,
51726,PEAC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,2,0,000,,,
51726,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,,
51726,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,000,,,
51726,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,000,,,
51726,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,,
51726,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,,
51726,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
51726,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,,
51726,PEAC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,0,000,,,
51726,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,000,,,
51726,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
51727,RUC,"Accessory, Procedure",SD017,"catheter, balloon, rectal pressure",item,20.625,1,0,000,,CPT10,32
51727,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT10,32
51727,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,0,000,,CPT10,32
51727,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,CPT10,32
51727,RUC,"Accessory, Procedure",SD030,"catheter, straight",item,1.7,1,0,000,,CPT10,32
51727,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,CPT10,32
51727,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,0,000,,CPT10,32
51727,RUC,"Office Supply, Grocery",SK082,"towel, paper (Bounty) (per sheet)",item,0.007,5,0,000,,CPT10,32
51727,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT10,32
51727,RUC,"Accessory, Procedure",SD062,"electrode, surface",item,0.883,3,0,000,,CPT10,32
51727,RUC,"Accessory, Procedure",SD130,"tubing, latex",foot,0.583,3,0,000,,CPT10,32
51727,RUC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,0,000,,CPT10,32
51727,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,CPT10,32
51727,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,000,,CPT10,32
51727,RUC,"Accessory, Procedure",SD027,"catheter, pressure, urodynamic",item,13.733,1,0,000,,CPT10,32
51727,RUC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,000,,CPT10,32
51727,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,000,,CPT10,32
51727,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,CPT10,32
51727,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,2,0,000,,CPT10,32
51727,RUC,"Accessory, Procedure",SD128,"tubing, for pump head",item,4.6,1,0,000,,CPT10,32
51727,RUC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,CPT10,32
51727,RUC,"Accessory, Procedure",SD125,transducer dome (pressure),item,7.65,2,0,000,,CPT10,32
51727,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,CPT10,32
51727,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,0,000,,CPT10,32
51727,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT10,32
51728,RUC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,0,000,,CPT10,32
51728,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,CPT10,32
51728,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,000,,CPT10,32
51728,RUC,"Accessory, Procedure",SD027,"catheter, pressure, urodynamic",item,13.733,1,0,000,,CPT10,32
51728,RUC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,000,,CPT10,32
51728,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,000,,CPT10,32
51728,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,CPT10,32
51728,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,2,0,000,,CPT10,32
51728,RUC,"Accessory, Procedure",SD128,"tubing, for pump head",item,4.6,1,0,000,,CPT10,32
51728,RUC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,CPT10,32
51728,RUC,"Accessory, Procedure",SD125,transducer dome (pressure),item,7.65,2,0,000,,CPT10,32
51728,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,CPT10,32
51728,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,0,000,,CPT10,32
51728,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT10,32
51728,RUC,"Accessory, Procedure",SD017,"catheter, balloon, rectal pressure",item,20.625,1,0,000,,CPT10,32
51728,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT10,32
51728,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,0,000,,CPT10,32
51728,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,CPT10,32
51728,RUC,"Accessory, Procedure",SD030,"catheter, straight",item,1.7,1,0,000,,CPT10,32
51728,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,CPT10,32
51728,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,0,000,,CPT10,32
51728,RUC,"Office Supply, Grocery",SK082,"towel, paper (Bounty) (per sheet)",item,0.007,5,0,000,,CPT10,32
51728,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT10,32
51728,RUC,"Accessory, Procedure",SD130,"tubing, latex",foot,0.583,3,0,000,,CPT10,32
51728,RUC,Lab,SL018,"beaker, 250 ml",item,0.854,1,0,000,,CPT10,32
51729,RUC,"Accessory, Procedure",SD130,"tubing, latex",foot,0.583,3,0,000,,CPT10,32
51729,RUC,Lab,SL018,"beaker, 250 ml",item,0.854,1,0,000,,CPT10,32
51729,RUC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,0,000,,CPT10,32
51729,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,CPT10,32
51729,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,000,,CPT10,32
51729,RUC,"Accessory, Procedure",SD027,"catheter, pressure, urodynamic",item,13.733,1,0,000,,CPT10,32
51729,RUC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,000,,CPT10,32
51729,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,000,,CPT10,32
51729,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,CPT10,32
51729,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,2,0,000,,CPT10,32
51729,RUC,"Accessory, Procedure",SD128,"tubing, for pump head",item,4.6,1,0,000,,CPT10,32
51729,RUC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,CPT10,32
51729,RUC,"Accessory, Procedure",SD125,transducer dome (pressure),item,7.65,2,0,000,,CPT10,32
51729,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,CPT10,32
51729,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,0,000,,CPT10,32
51729,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT10,32
51729,RUC,"Accessory, Procedure",SD017,"catheter, balloon, rectal pressure",item,20.625,1,0,000,,CPT10,32
51729,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT10,32
51729,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,0,000,,CPT10,32
51729,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,CPT10,32
51729,RUC,"Accessory, Procedure",SD030,"catheter, straight",item,1.7,1,0,000,,CPT10,32
51729,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,CPT10,32
51729,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,0,000,,CPT10,32
51729,RUC,"Office Supply, Grocery",SK082,"towel, paper (Bounty) (per sheet)",item,0.007,5,0,000,,CPT10,32
51729,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT10,32
51729,RUC,"Accessory, Procedure",SD062,"electrode, surface",item,0.883,3,0,000,,CPT10,32
51736,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT11,
51736,PEAC,Lab,SL018,"beaker, 250 ml",item,0.854,1,0,XXX,,CPT11,
51741,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT11,
51741,PEAC,Lab,SL018,"beaker, 250 ml",item,0.854,1,0,XXX,,CPT11,
51741,PEAC,"Office Supply, Grocery",SK060,"paper, recording, roll (per foot)",foot,0.087,1,0,XXX,,CPT11,
51772,PEAC,"Accessory, Procedure",SD027,"catheter, pressure, urodynamic",item,13.733,1,0,000,,,
51772,PEAC,"Accessory, Procedure",SD062,"electrode, surface",item,0.883,3,0,000,,,
51772,PEAC,"Accessory, Procedure",SD128,"tubing, for pump head",item,4.6,1,0,000,,,
51772,PEAC,"Accessory, Procedure",SD130,"tubing, latex",foot,0.583,3,0,000,,,
51772,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,,
51772,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,000,,,
51772,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,2,0,000,,,
51772,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,,
51772,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,,
51772,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
51772,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,,
51772,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,000,,,
51772,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
51784,PEAC,"Accessory, Procedure",SD062,"electrode, surface",item,0.883,3,0,000,,,
51784,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,000,,,
51784,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
51784,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,,
51784,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,000,,,
51784,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,000,,,
51784,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
51785,PEAC,"Accessory, Procedure",SD051,"electrode needle, monopolar EMG w-lead",item,3.03,2,0,000,,,
51785,PEAC,"Accessory, Procedure",SD062,"electrode, surface",item,0.883,1,0,000,,,
51785,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,,
51785,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,000,,,
51785,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
51785,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,,
51785,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,000,,,
51785,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,000,,,
51785,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
51792,PEAC,"Accessory, Procedure",SD012,catheter adapter,item,2.3,1,0,000,,,
51792,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,000,,,
51792,PEAC,"Accessory, Procedure",SD056,"electrode, EMG sponge",item,6.467,1,0,000,,,
51792,PEAC,"Accessory, Procedure",SD130,"tubing, latex",foot,0.583,3,0,000,,,
51792,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,,
51792,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,000,,,
51792,PEAC,"Hypodermic, IV",SC048,spinal manometer,item,26.325,1,0,000,,,
51792,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,,
51792,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
51792,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,,
51792,PEAC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,0,000,,,
51792,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,000,,,
51792,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
51795,PEAC,"Accessory, Procedure",SD027,"catheter, pressure, urodynamic",item,13.733,1,0,000,,,
51795,PEAC,"Accessory, Procedure",SD125,transducer dome (pressure),item,7.65,1,0,000,,,
51795,PEAC,"Accessory, Procedure",SD128,"tubing, for pump head",item,4.6,1,0,000,,,
51795,PEAC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,2,0,000,,,
51795,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,,
51795,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,000,,,
51795,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,000,,,
51795,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,,
51795,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,,
51795,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
51795,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,,
51795,PEAC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,0,000,,,
51795,PEAC,Lab,SL018,"beaker, 250 ml",item,0.854,1,0,000,,,
51795,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,000,,,
51795,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
51797,RUC,"Accessory, Procedure",SD017,"catheter, balloon, rectal pressure",item,20.625,1,0,ZZZ,,CPT08,A*
51797,RUC,"Accessory, Procedure",SD125,transducer dome (pressure),item,7.65,1,0,ZZZ,,CPT08,A*
51797,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,1,0,ZZZ,,CPT08,A*
51797,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,0,ZZZ,,CPT08,A*
51797,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,ZZZ,,CPT08,A*
51797,RUC,"Hypodermic, IV",SC050,"stop cock, 4-way",item,1.621,1,0,ZZZ,,CPT08,A*
51797,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,ZZZ,,CPT08,A*
51797,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,ZZZ,,CPT08,A*
51797,RUC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,ZZZ,,CPT08,A*
51797,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,ZZZ,,CPT08,A*
51798,RUC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,0,XXX,,,
51798,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,,
51798,RUC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,1,0,XXX,,,
51798,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,1,0,XXX,,,
51798,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
51798,RUC,"Office Supply, Grocery",SK060,"paper, recording, roll (per foot)",foot,0.087,1,0,XXX,,,
51798,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,10,0,XXX,,,
51800,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
51800,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51800,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51800,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
51820,PERC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,Apr06,J
51820,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,Apr06,J
51820,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
51820,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51840,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1.5,090,,,
51840,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
51840,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2.5,090,,,
51840,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
51841,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1.5,090,,,
51841,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
51841,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2.5,090,,,
51841,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
51845,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
51845,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51845,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51860,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,,
51860,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51860,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
51860,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
51865,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,,
51865,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51865,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
51865,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
51880,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
51880,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51880,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
51880,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
51900,PERC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,Apr06,J
51900,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
51900,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51900,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51920,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
51920,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51920,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51920,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
51925,NPRM,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,4,090,,Apr06,J
51925,NPRM,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,Apr06,J
51925,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51925,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
51940,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,30,090,,Apr06,J
51940,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51940,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
51940,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
51960,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,30,090,,Apr06,J
51960,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51960,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
51960,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
51980,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
51980,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
51980,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
51980,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
51990,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
51990,RUC/CMS,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
51990,RUC/CMS,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,,
51990,RUC/CMS,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,8,090,,,
51992,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
51992,RUC/CMS,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
51992,RUC/CMS,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,,
51992,RUC/CMS,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,8,090,,,
51999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,RUC05,
52000,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,,
52000,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,,
52000,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
52000,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,,
52000,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,000,,,
52000,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Apr06,J
52001,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,,
52001,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,,000,,,
52001,PEAC,"Hypodermic, IV",SC062,"syringe, Toomey",item,2.726,1,,000,,,
52001,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
52001,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,,000,,,
52001,PEAC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,,000,,,
52001,PEAC,Lab,SL038,"cup-container, sterile, graduated 1000ml",item,1.14,1,0,000,,,
52001,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,000,,,
52001,PEAC,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,3,,000,,,
52001,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Apr06,J
52005,PEAC,"Accessory, Procedure",SD015,catheter tip adapter,item,0.998,1,,000,,,
52005,PEAC,"Accessory, Procedure",SD033,"catheter, ureteral, open-ended",item,15,1,,000,,,
52005,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,,000,,,
52005,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
52005,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
52005,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,,000,,,
52005,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,000,,,
52005,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Apr06,J
52007,PEAC,"Accessory, Procedure",SD015,catheter tip adapter,item,0.998,1,0,000,,Mar04,V
52007,PEAC,"Accessory, Procedure",SD033,"catheter, ureteral, open-ended",item,15,1,0,000,,Mar04,V
52007,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,Mar04,V
52007,PEAC,"Accessory, Procedure",SD157,"catheter, ureteral, acorn tip",item,9.55,1,0,000,,Mar04,V
52007,PEAC,"Accessory, Procedure",SD167,endoscopic deflecting brush,item,73.5,1,0,000,,Mar04,V
52007,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,Mar04,V
52007,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Mar04,V
52007,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar04,V
52007,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,Mar04,V
52007,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,V
52007,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,Mar04,V
52010,PEAC,"Accessory, Procedure",SD015,catheter tip adapter,item,0.998,1,0,000,,Mar04,V
52010,PEAC,"Accessory, Procedure",SD033,"catheter, ureteral, open-ended",item,15,1,0,000,,Mar04,V
52010,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,Mar04,V
52010,PEAC,"Accessory, Procedure",SD157,"catheter, ureteral, acorn tip",item,9.55,1,0,000,,Mar04,V
52010,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,Mar04,V
52010,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Mar04,V
52010,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar04,V
52010,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,Mar04,V
52010,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,V
52010,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,Mar04,V
52204,PEAC,"Accessory, Procedure",SD033,"catheter, ureteral, open-ended",item,15,1,0,000,,Mar04,V
52204,PEAC,"Accessory, Procedure",SD164,"electrode, Bugbee",item,115,1,0,000,,Mar04,V
52204,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,000,,Mar04,V
52204,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,Mar04,V
52204,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Mar04,V
52204,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,Mar04,V
52204,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,Mar04,V
52204,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar04,V
52204,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,V
52204,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,Mar04,V
52204,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,000,,Mar04,V
52214,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,000,,Mar04,V
52214,PEAC,"Accessory, Procedure",SD033,"catheter, ureteral, open-ended",item,15,1,0,000,,Mar04,V
52214,PEAC,"Cutters, Closures, Cautery",SF028,laser tip (single use),item,290,1,0,000,,Mar04,V
52214,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,Mar04,V
52214,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Mar04,V
52214,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,OCT08,hg
52214,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,OCT08,hg
52214,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,OCT08,hg
52214,PEAC,"Pharmacy, NonRx",SJ031,leg or urinary drainage bag,item,3.079,1,0,000,,Mar04,V
52224,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,000,,Mar04,V
52224,PEAC,"Cutters, Closures, Cautery",SF028,laser tip (single use),item,290,1,0,000,,Mar04,V
52224,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,Mar04,V
52224,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Mar04,V
52224,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,OCT08,hg
52224,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,OCT08,hg
52224,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,OCT08,hg
52224,PEAC,"Pharmacy, NonRx",SJ031,leg or urinary drainage bag,item,3.079,1,0,000,,Mar04,V
52224,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,000,,Mar04,V
52224,RUC,"Kit, Pack, Tray",SA027,"kit, scissors and clamp",kit,0.62,1,0,000,,Oct08,7
52234,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52235,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52240,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52250,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52260,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52265,PEAC,"Accessory, Procedure",SD164,"electrode, Bugbee",item,115,1,0,000,,Mar04,V
52265,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,000,,Mar04,V
52265,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,Mar04,V
52265,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Mar04,V
52265,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar04,V
52265,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,V
52265,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,Mar04,V
52265,PEAC,Lab,SL038,"cup-container, sterile, graduated 1000ml",item,1.14,1,0,000,,Mar04,V
52270,PEAC,"Cutters, Closures, Cautery",SF045,"blade, urethrotome",item,85.03,1,0,000,,Mar04,V
52270,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,Mar04,V
52270,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Mar04,V
52270,PEAC,"Hypodermic, IV",SC062,"syringe, Toomey",item,2.726,1,0,000,,Mar04,V
52270,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar04,V
52270,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,V
52270,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,Mar04,V
52275,PEAC,"Accessory, Procedure",SD074,filiform,item,9.19,1,0,000,,Mar04,V
52275,PEAC,"Accessory, Procedure",SD164,"electrode, Bugbee",item,115,1,0,000,,Mar04,V
52275,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,000,,Mar04,V
52275,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,Mar04,V
52275,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Mar04,V
52275,PEAC,"Hypodermic, IV",SC062,"syringe, Toomey",item,2.726,1,0,000,,Mar04,V
52275,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar04,V
52275,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,V
52275,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,Mar04,V
52275,PEAC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,0,000,,Mar04,V
52275,PEAC,"Pharmacy, NonRx",SJ031,leg or urinary drainage bag,item,3.079,1,0,000,,Mar04,V
52276,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52277,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52281,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,,000,,,
52281,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,,000,,,
52281,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,,000,,,
52281,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
52281,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
52281,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,,000,,,
52281,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,000,,,
52281,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Apr06,J
52282,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52283,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,,
52283,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,,
52283,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,,
52283,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,,
52283,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
52283,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,,
52283,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,000,,,
52283,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Apr06,J
52285,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,,
52285,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,,
52285,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
52285,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,,
52285,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,000,,,
52285,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Apr06,J
52290,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52300,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52301,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52305,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52310,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,Mar04,V
52310,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Mar04,V
52310,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar04,V
52310,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,V
52310,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,Mar04,V
52315,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,Mar04,V
52315,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,Mar04,V
52315,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Mar04,V
52315,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar04,V
52315,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,Mar04,V
52315,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,V
52315,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,Mar04,V
52317,PEAC,"Cutters, Closures, Cautery",SF028,laser tip (single use),item,290,1,0,000,,Mar04,V
52317,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,Mar04,V
52317,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Mar04,V
52317,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar04,V
52317,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,V
52317,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,Mar04,V
52317,PEAC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,0,000,,Mar04,V
52317,PEAC,"Pharmacy, NonRx",SJ031,leg or urinary drainage bag,item,3.079,1,0,000,,Mar04,V
52318,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52320,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52325,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52327,AUA,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,AUA08,cm
52330,PEAC,"Accessory, Procedure",SD015,catheter tip adapter,item,0.998,1,0,000,,Mar04,V
52330,PEAC,"Accessory, Procedure",SD033,"catheter, ureteral, open-ended",item,15,1,0,000,,Mar04,V
52330,PEAC,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,,Mar04,V
52330,PEAC,"Accessory, Procedure",SD150,"catheter, balloon ureteral (Dowd)",item,65,1,0,000,,Mar04,V
52330,PEAC,"Accessory, Procedure",SD157,"catheter, ureteral, acorn tip",item,9.55,1,0,000,,Mar04,V
52330,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,Mar04,V
52330,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Mar04,V
52330,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar04,V
52330,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,V
52330,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,Mar04,V
52332,PEAC,"Accessory, Procedure",SD033,"catheter, ureteral, open-ended",item,15,1,0,000,,Mar04,V
52332,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,000,,Mar04,V
52332,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Mar04,V
52332,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,000,,Mar04,V
52332,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,V
52332,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,Mar04,V
52332,PEAC,"Accessory, Procedure",SD239,"stent, ureteral, w-guidewire, 3cm flexible tip",item,235,1,0,000,,Apr06,J
52334,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52341,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Apr08,ss
52342,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Apr08,ss
52343,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Apr08,ss
52344,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Apr08,ss
52345,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Apr08,ss
52346,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Apr08,ss
52351,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52352,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52353,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52354,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52355,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52400,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,,
52402,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
52450,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
52500,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
52601,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
52606,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
52612,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
52614,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
52620,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
52630,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
52640,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
52647,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,090,,,
52647,PEAC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,10,0,090,,,
52647,PEAC,"Accessory, Procedure",SD124,"tourniquet, non-latex 1in x 18in",item,0.226,1,0,090,,,
52647,PEAC,"Accessory, Procedure",SD129,"tubing, irrigation (cysto)",item,5.077,1,0,090,,,
52647,PEAC,"Cutters, Closures, Cautery",SF030,"laser tip, diffuser fiber",item,850,1,0,090,,,
52647,PEAC,"Gown, Drape",SB017,"drape-sleeve, sterile (4in x 8ft)",item,0.159,1,0,090,,,
52647,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,090,,,
52647,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,090,,,
52647,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,090,,,
52647,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,,
52647,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,090,,,
52647,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,,
52647,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,090,,,
52647,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,,
52647,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,090,,,
52647,PEAC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,0,090,,,
52647,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,,
52647,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,090,,,
52647,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,,
52647,PEAC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,090,,,
52647,PEAC,"Pharmacy, NonRx",SJ031,leg or urinary drainage bag,item,3.079,2,0,090,,,
52647,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,0,090,,,
52647,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,090,,Apr06,J
52648,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,090,,Apr06,J
52648,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,52647,,
52648,PEAC,"Pharmacy, NonRx",SJ031,leg or urinary drainage bag,item,3.079,2,0,090,52647,,
52648,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,090,52647,,
52648,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,52647,,
52648,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,52647,,
52648,PEAC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,0,090,52647,,
52648,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,090,52647,,
52648,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,52647,,
52648,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,090,52647,,
52648,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,0,090,52647,,
52648,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,52647,,
52648,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,090,52647,,
52648,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,090,52647,,
52648,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,090,52647,,
52648,PEAC,"Gown, Drape",SB017,"drape-sleeve, sterile (4in x 8ft)",item,0.159,1,0,090,52647,,
52648,PEAC,"Cutters, Closures, Cautery",SF030,"laser tip, diffuser fiber",item,850,1,0,090,52647,,
52648,PEAC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,090,52647,,
52648,PEAC,"Accessory, Procedure",SD129,"tubing, irrigation (cysto)",item,5.077,1,0,090,52647,,
52648,PEAC,"Accessory, Procedure",SD124,"tourniquet, non-latex 1in x 18in",item,0.226,1,0,090,52647,,
52648,PEAC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,10,0,090,52647,,
52648,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,090,52647,,
52648,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,090,52647,,
52649,RUC,Lab,SL018,"beaker, 250 ml",item,0.854,1,0,010,,CPT08,D
52649,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,0,010,,CPT08,D
52649,RUC,"Office Supply, Grocery",SK060,"paper, recording, roll (per foot)",foot,0.087,2,0,010,,CPT08,D
52649,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,0,010,,CPT08,D
52649,RUC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,1,0,010,,CPT08,D
52649,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,1,0,010,,CPT08,D
52700,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
53000,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
53000,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,010,,,
53010,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,Apr06,J
53010,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
53010,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53010,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
53020,CPEP,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,000,,,
53020,CPEP,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
53020,CPEP,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,000,,,
53020,CPEP,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
53020,CPEP,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
53020,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
53020,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
53020,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
53020,CPEP,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,,
53020,CPEP,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
53020,CPEP,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,000,,,
53020,CPEP,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
53020,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
53020,CPEP,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
53020,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,,000,,,
53020,CPEP,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,,
53020,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
53020,CPEP,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,000,,,
53020,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
53020,CPEP,"Pharmacy, NonRx",SJ057,thermometer (single use),item,0.106,1,,000,,,
53020,CPEP,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,,
53020,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,10,,000,,,
53025,CPEP,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,000,,,
53025,CPEP,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
53025,CPEP,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,000,,,
53025,CPEP,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
53025,CPEP,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
53025,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
53025,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
53025,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
53025,CPEP,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,,
53025,CPEP,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
53025,CPEP,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,000,,,
53025,CPEP,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
53025,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
53025,CPEP,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
53025,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,,000,,,
53025,CPEP,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,,
53025,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
53025,CPEP,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,000,,,
53025,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
53025,CPEP,"Pharmacy, NonRx",SJ057,thermometer (single use),item,0.106,1,,000,,,
53025,CPEP,"Pharmacy, Rx",SH030,Emla cream,gm,2.089,5,,000,,,
53025,CPEP,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,,
53025,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,10,,000,,,
53040,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
53040,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
53060,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,V
53060,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,Mar04,V
53060,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,010,,Mar04,V
53060,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,010,,Mar04,V
53060,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,V
53080,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
53080,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53080,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
53080,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,3,090,,Apr06,J
53085,PERC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,,3,090,,Apr06,J
53085,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
53085,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53085,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
53085,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,3,090,,Apr06,J
53085,PERC,"Wound Care, Dressings",SG065,"packing, gauze w-iodoform 1in (5 yd uou)",item,5.215,,1,090,,Apr06,J
53200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,V
53210,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
53210,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53210,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
53215,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53215,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
53215,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
53220,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
53220,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53220,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
53230,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
53230,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53230,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
53230,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
53235,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
53235,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53235,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
53240,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
53240,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53240,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
53240,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
53250,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,Apr06,J
53250,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53250,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
53260,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,V
53260,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,Mar04,V
53260,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,010,,Mar04,V
53260,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,010,,Mar04,V
53260,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,V
53265,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,V
53265,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,Mar04,V
53265,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,010,,Mar04,V
53265,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,010,,Mar04,V
53265,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar04,V
53265,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar04,V
53265,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,V
53265,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,V
53265,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,3,0,010,,Mar04,V
53270,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,V
53270,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,Mar04,V
53270,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,010,,Mar04,V
53270,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,010,,Mar04,V
53270,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,V
53275,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
53275,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,010,,,
53400,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,Apr06,J
53400,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53400,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
53405,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,Apr06,J
53405,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53405,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
53410,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,Apr06,J
53410,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53410,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
53415,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,Apr06,J
53415,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53415,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
53420,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,Apr06,J
53420,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53420,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
53425,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,Apr06,J
53425,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53425,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
53430,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,Apr06,J
53430,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53430,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
53431,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,53443,,
53431,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,53443,,
53431,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,53443,,
53431,RUC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,53443,,
53440,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
53440,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
53442,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
53442,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
53444,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
53444,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
53445,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,,ss
53445,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,ss
53445,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Feb08,ss
53446,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
53446,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,2,090,,,
53447,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
53447,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,2,090,,,
53448,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
53448,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,2,090,,,
53449,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
53449,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
53449,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
53450,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
53450,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53450,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
53460,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
53460,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53460,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
53500,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,3,090,,,
53500,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
53500,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
53500,RUC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,,1,090,,,
53500,RUC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,3,090,,,
53502,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
53502,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53502,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
53502,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
53505,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
53505,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53505,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
53510,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
53510,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53510,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
53515,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
53515,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53515,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
53520,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
53520,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
53520,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
53600,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
53600,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
53600,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
53600,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
53600,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,,
53600,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,000,,,
53600,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,,000,,,
53600,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
53600,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
53600,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,,000,,,
53601,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
53601,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
53601,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
53601,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
53601,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,,
53601,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,000,,,
53601,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,,000,,,
53601,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
53601,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
53601,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
53601,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,,000,,,
53605,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
53620,PEAC,"Accessory, Procedure",SD074,filiform,item,9.19,1,,000,,,
53620,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
53620,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
53620,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
53620,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
53620,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,000,,,
53620,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
53620,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.67,,000,,,
53620,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,,000,,,
53620,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
53620,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,,000,,,
53621,PEAC,"Accessory, Procedure",SD074,filiform,item,9.19,1,,000,,,
53621,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
53621,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
53621,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
53621,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
53621,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,000,,,
53621,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,000,,,
53621,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.67,,000,,,
53621,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,,000,,,
53621,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
53621,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
53621,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,,000,,,
53660,PEAC,"Accessory, Procedure",SD030,"catheter, straight",item,1.7,1,,000,,,
53660,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
53660,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
53660,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
53660,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
53660,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,,
53660,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,000,,,
53660,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,,000,,,
53660,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
53660,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
53660,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
53660,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,,000,,,
53661,PEAC,"Accessory, Procedure",SD030,"catheter, straight",item,1.7,1,,000,,,
53661,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
53661,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
53661,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
53661,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
53661,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,,
53661,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,000,,,
53661,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,,000,,,
53661,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
53661,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
53661,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
53661,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,,000,,,
53665,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
53850,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,090,,Aug03,6
53850,PEAC,"Accessory, Procedure",SD129,"tubing, irrigation (cysto)",item,5.077,1,0,090,,Aug03,6
53850,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
53850,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
53850,PEAC,"Gown, Drape",SB017,"drape-sleeve, sterile (4in x 8ft)",item,0.159,1,0,090,,Aug03,6
53850,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,090,,Aug03,6
53850,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
53850,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,090,,Aug03,6
53850,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
53850,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,090,,Aug03,6
53850,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,6
53850,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,090,,Aug03,6
53850,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,0,090,,Aug03,6
53850,PEAC,"Kit, Pack, Tray",SA036,"kit, transurethral microwave thermotherapy",kit,1149,1,0,090,,Aug03,6
53850,PEAC,"Kit, Pack, Tray",SA045,"pack, drapes, cystoscopy",pack,9.864,1,0,090,,Aug03,6
53850,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,6
53850,PEAC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,0,090,,Aug03,6
53850,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Aug03,6
53850,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,6
53850,PEAC,"Pharmacy, NonRx",SJ031,leg or urinary drainage bag,item,3.079,1,0,090,,Aug03,6
53850,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,6,0,090,,Aug03,6
53850,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,0,090,,Aug03,6
53850,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,3,0,090,,Aug03,6
53850,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,090,,Aug03,6
53850,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,1,0,090,,Aug03,6
53852,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,090,,Aug03,6
53852,PEAC,"Accessory, Procedure",SD129,"tubing, irrigation (cysto)",item,5.077,1,0,090,,Aug03,6
53852,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
53852,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
53852,PEAC,"Gown, Drape",SB017,"drape-sleeve, sterile (4in x 8ft)",item,0.159,1,0,090,,Aug03,6
53852,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,090,,Aug03,6
53852,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
53852,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,090,,Aug03,6
53852,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
53852,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,090,,Aug03,6
53852,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,6
53852,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,0,090,,Aug03,6
53852,PEAC,"Kit, Pack, Tray",SA037,"kit, transurethral needle ablation (TUNA)",kit,1050,1,0,090,,Aug03,6
53852,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,090,,Aug03,6
53852,PEAC,"Kit, Pack, Tray",SA045,"pack, drapes, cystoscopy",pack,9.864,1,0,090,,Aug03,6
53852,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,6
53852,PEAC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,0,090,,Aug03,6
53852,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Aug03,6
53852,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,6
53852,PEAC,"Pharmacy, NonRx",SJ031,leg or urinary drainage bag,item,3.079,1,0,090,,Aug03,6
53852,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,6,0,090,,Aug03,6
53852,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,0,090,,Aug03,6
53852,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,3,0,090,,Aug03,6
53852,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,090,,Aug03,6
53852,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,1,0,090,,Aug03,6
53853,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,090,,Aug03,6
53853,PEAC,"Accessory, Procedure",SD129,"tubing, irrigation (cysto)",item,5.077,1,0,090,,Aug03,6
53853,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Aug03,6
53853,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Aug03,6
53853,PEAC,"Gown, Drape",SB017,"drape-sleeve, sterile (4in x 8ft)",item,0.159,1,0,090,,Aug03,6
53853,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,090,,Aug03,6
53853,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Aug03,6
53853,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,090,,Aug03,6
53853,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Aug03,6
53853,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,090,,Aug03,6
53853,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,Aug03,6
53853,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,0,090,,Aug03,6
53853,PEAC,"Kit, Pack, Tray",SA038,"kit, transurethral water-induced thermotherapy",kit,650,1,0,090,,Aug03,6
53853,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Aug03,6
53853,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Aug03,6
53853,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,0,090,,Aug03,6
53853,PEAC,"Pharmacy, NonRx",SJ031,leg or urinary drainage bag,item,3.079,1,0,090,,Aug03,6
53853,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,6,0,090,,Aug03,6
53853,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,0,090,,Aug03,6
53853,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,3,0,090,,Aug03,6
53853,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,090,,Aug03,6
53855,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,CPT10,13
53855,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,000,,CPT10,13
53855,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT10,13
53855,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,,000,,CPT10,13
53855,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,CPT10,13
53855,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,000,,CPT10,13
53855,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,,000,,CPT10,13
53855,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),oz,0.066,2,,000,,CPT10,13
53855,RUC,"Kit, Pack, Tray",SA101,"kit, stent, urethral, prostatic, insertion tool and surveyor",kit,575,1,,000,,CPT10,13
53855,RUC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,,000,,CPT10,13
53855,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT10,13
53855,RUC,"Pharmacy, NonRx",SJ031,leg or urinary drainage bag,item,3.079,1,,000,,CPT10,13
53860,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,,090,,CPT11,10
53860,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,,090,,CPT11,10
53860,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,6,,090,,CPT11,10
53860,RUC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,090,,CPT11,10
53860,RUC,Lab,SL038,"cup-container, sterile, graduated 1000ml",item,1.14,1,,090,,CPT11,10
53860,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,1,,090,,CPT11,10
53860,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,090,,CPT11,10
53860,RUC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,1,,090,,CPT11,10
53860,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,090,,CPT11,10
53860,RUC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,090,,CPT11,10
53860,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,,090,,CPT11,10
53860,RUC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,,090,,CPT11,10
53860,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,,090,,CPT11,10
53860,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,2,,090,,CPT11,10
53860,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,090,,CPT11,10
53860,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,090,,CPT11,10
53860,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,090,,CPT11,10
53860,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,090,,CPT11,10
53860,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,090,,CPT11,10
53860,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,090,,CPT11,10
53860,RUC,Lab,SL157,"cup, sterile, 8 oz",item,0.542,1,,090,,CPT11,10
53860,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,090,,CPT11,10
53860,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,090,,CPT11,10
53860,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,090,,CPT11,10
53860,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,,090,,CPT11,10
53860,RUC,"Accessory, Procedure",SD245,Renessa probe,item,1095,1,,090,,CPT11,10
53860,RUC,"Office Supply, Grocery",SK051,"pad, feminine maxi",item,0.15,1,,090,,CPT11,10
53860,RUC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,3,,090,,CPT11,10
53860,RUC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,1,,090,,CPT11,10
53860,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,,090,,CPT11,10
53899,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
54000,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar04,V
54000,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar04,V
54000,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,V
54000,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,Mar04,V
54000,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,010,,Mar04,V
54000,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Mar04,V
54000,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,V
54000,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,V
54000,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,0,010,,Mar04,V
54000,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Mar04,V
54000,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,010,,Mar04,V
54001,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar04,V
54001,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar04,V
54001,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,V
54001,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,Mar04,V
54001,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,010,,Mar04,V
54001,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Mar04,V
54001,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,V
54001,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar04,V
54001,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,V
54001,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,V
54001,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,0,010,,Mar04,V
54001,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Mar04,V
54001,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,0,010,,Mar04,V
54001,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,010,,Mar04,V
54015,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
54015,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,010,,,
54050,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
54050,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
54050,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
54050,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
54050,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,010,,,
54050,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,,010,,,
54050,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
54050,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,010,,,
54050,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,20,,010,,,
54050,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,010,,,
54050,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,010,,,
54055,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
54055,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
54055,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
54055,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
54055,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,010,,,
54055,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,,010,,,
54055,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
54055,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,010,,,
54055,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,20,,010,,,
54055,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,010,,,
54055,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,010,,,
54056,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,30,0,010,,Mar04,V
54056,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,010,,Mar04,V
54056,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,010,,Mar04,V
54056,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Mar04,V
54056,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,010,,Mar04,V
54056,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,010,,Mar04,V
54056,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,V
54056,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,0,010,,Mar04,V
54056,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,V
54056,PEAC,Lab,SL038,"cup-container, sterile, graduated 1000ml",item,1.14,1,0,010,,Mar04,V
54056,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,0,010,,Mar04,V
54056,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Mar04,V
54056,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,Mar04,V
54056,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,010,,Mar04,V
54057,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,010,,Mar04,V
54057,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,010,,Mar04,V
54057,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Mar04,V
54057,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,010,,Mar04,V
54057,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,010,,Mar04,V
54057,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,V
54057,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,0,010,,Mar04,V
54057,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,V
54057,PEAC,Lab,SL038,"cup-container, sterile, graduated 1000ml",item,1.14,1,0,010,,Mar04,V
54057,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,0,010,,Mar04,V
54057,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Mar04,V
54057,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,Mar04,V
54057,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,010,,Mar04,V
54060,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar04,V
54060,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar04,V
54060,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,V
54060,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,V
54060,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,010,,Mar04,V
54060,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,010,,Mar04,V
54060,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,Mar04,V
54060,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Mar04,V
54060,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,010,,Mar04,V
54060,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,010,,Mar04,V
54060,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,V
54060,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,0,010,,Mar04,V
54060,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,V
54060,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,V
54060,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,0,010,,Mar04,V
54060,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Mar04,V
54060,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,Mar04,V
54060,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,010,,Mar04,V
54065,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,1,0,010,,Mar04,V
54065,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,V
54065,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,010,,Mar04,V
54065,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,010,,Mar04,V
54065,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,Mar04,V
54065,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Mar04,V
54065,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,010,,Mar04,V
54065,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,010,,Mar04,V
54065,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,V
54065,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,0,010,,Mar04,V
54065,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,V
54065,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,0,010,,Mar04,V
54065,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Mar04,V
54065,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,Mar04,V
54065,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,010,,Mar04,V
54100,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,000,,,
54100,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,000,,,
54100,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
54100,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,000,,,
54100,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,,
54100,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
54100,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
54100,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
54100,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,,
54100,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
54100,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
54100,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,,000,,,
54100,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
54100,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,,000,,,
54100,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,,
54100,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,000,,,
54100,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,20,,000,,,
54100,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
54100,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,,
54100,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,000,,,
54105,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,010,,Mar04,Q
54105,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Mar04,Q
54105,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar04,Q
54105,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,0,010,,Mar04,Q
54105,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,Mar04,Q
54105,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Mar04,Q
54105,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,010,,Mar04,Q
54105,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,Mar04,Q
54105,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar04,Q
54105,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,Q
54105,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,Mar04,Q
54105,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,20,0,010,,Mar04,Q
54105,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Mar04,Q
54105,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,3,0,010,,Mar04,Q
54110,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,V
54110,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,V
54111,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,V
54111,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,V
54112,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,V
54112,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,V
54115,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,090,,Mar04,V
54115,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Mar04,V
54115,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,090,,Mar04,V
54115,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3.5,2.5,090,,Mar04,V
54115,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar04,V
54115,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Mar04,V
54115,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar04,V
54120,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,V
54120,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,V
54125,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,V
54125,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,V
54130,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,V
54130,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,V
54135,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3.5,090,,Mar04,V
54135,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,V
54150,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar04,Q
54150,PEAC,"Kit, Pack, Tray",SA086,"tray, circumcision",tray,25.1725,1,0,000,,Mar04,Q
54150,PEAC,"Pharmacy, Rx",SH030,Emla cream,gm,2.089,1,0,000,,Mar04,Q
54150,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,000,,CPT07,
54150,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,2,0,000,,CPT07,
54150,RUC,Lab,SL157,"cup, sterile, 8 oz",item,0.542,1,0,000,,CPT07,
54150,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT07,
54150,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,CPT07,
54160,PEAC,"Cutters, Closures, Cautery",SF047,"scalpel, safety, surgical, with blade (#10-20)",item,2.143,1,0,010,,Mar04,Q
54160,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,Mar04,Q
54160,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Mar04,Q
54160,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,010,,Mar04,Q
54160,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,Q
54160,PEAC,"Kit, Pack, Tray",SA086,"tray, circumcision",tray,25.1725,1,0,010,,Mar04,Q
54160,PEAC,"Pharmacy, Rx",SH030,Emla cream,gm,2.089,1,0,010,,Mar04,Q
54161,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,010,,,
54161,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
54161,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,1,010,,,
54162,PEAC,"Cutters, Closures, Cautery",SF047,"scalpel, safety, surgical, with blade (#10-20)",item,2.143,1,0,010,,Mar04,Q
54162,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,Mar04,Q
54162,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Mar04,Q
54162,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,010,,Mar04,Q
54162,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,Q
54162,PEAC,"Kit, Pack, Tray",SA086,"tray, circumcision",tray,25.1725,1,0,010,,Mar04,Q
54162,PEAC,"Pharmacy, Rx",SH030,Emla cream,gm,2.089,1,0,010,,Mar04,Q
54163,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
54163,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,,
54164,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
54164,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,,
54200,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
54200,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
54200,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
54200,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,010,,,
54200,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
54200,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
54200,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,,010,,,
54200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
54200,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,010,,,
54200,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,010,,,
54200,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,010,,,
54200,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,010,,,
54205,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
54205,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54205,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54205,CPEP,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,,2,090,,,
54220,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,000,,,
54220,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,000,,,
54220,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
54220,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,000,,,
54220,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
54220,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
54220,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
54220,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
54220,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,,
54220,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
54220,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
54220,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,,000,,,
54220,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
54220,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,,000,,,
54220,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,,,
54220,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
54220,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,20,,000,,,
54220,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
54220,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,,
54220,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,000,,,
54230,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
54230,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
54230,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
54230,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
54230,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
54230,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,20,,000,,,
54230,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,000,,,
54231,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1.5,,000,,,
54231,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
54231,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
54231,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,,000,,,
54231,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
54231,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,000,,,
54235,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
54235,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
54235,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,,000,,,
54235,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
54235,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,000,,,
54240,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,,000,,,
54240,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
54240,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,000,,,
54240,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,30,,000,,,
54250,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
54300,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,Apr06,J
54300,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54300,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54304,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,30,090,,Apr06,J
54304,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54304,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54304,PERC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,,2,090,,Apr06,J
54308,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,30,090,,Apr06,J
54308,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54308,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54312,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,30,090,,Apr06,J
54312,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54312,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54316,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,30,090,,Apr06,J
54316,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54316,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54316,PERC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,,2,090,,Apr06,J
54318,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,30,090,,Apr06,J
54318,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54318,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54322,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
54322,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54322,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54324,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,30,090,,Apr06,J
54324,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54324,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54326,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,Apr06,J
54326,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54326,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54326,PERC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,,2,090,,Apr06,J
54328,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,30,090,,Apr06,J
54328,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54328,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54328,PERC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,,2,090,,Apr06,J
54332,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,30,090,,Apr06,J
54332,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54332,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54332,PERC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,,2,090,,Apr06,J
54336,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,35,090,,Apr06,J
54336,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54336,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
54336,PERC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,,2,090,,Apr06,J
54340,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,Apr06,J
54340,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54340,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54340,PERC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,,2,090,,Apr06,J
54344,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,Apr06,J
54344,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54344,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54344,PERC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,,2,090,,Apr06,J
54348,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,30,090,,Apr06,J
54348,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54348,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54348,PERC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,,2,090,,Apr06,J
54352,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,35,090,,Apr06,J
54352,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54352,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
54352,PERC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,,2,090,,Apr06,J
54360,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
54360,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54360,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54380,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,30,090,,Apr06,J
54380,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54380,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54385,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,30,090,,Apr06,J
54385,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54385,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
54390,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,30,090,,Apr06,J
54390,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54390,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
54400,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
54400,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54400,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54400,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
54401,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,Apr06,J
54401,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
54401,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54405,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,Apr06,J
54405,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54405,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54406,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
54406,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
54408,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
54408,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
54410,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Feb08,ss
54410,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
54411,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
54411,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
54415,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
54415,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
54416,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
54416,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
54417,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
54417,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
54420,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
54420,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54420,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
54420,CPEP,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,,2,090,,,
54430,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
54430,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54430,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
54430,CPEP,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,,2,090,,,
54435,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
54435,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
54435,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
54435,CPEP,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,,2,090,,,
54440,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
54440,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54440,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
54440,CPEP,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,,2,090,,,
54450,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Feb05,
54450,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,0,000,,Feb05,
54500,CPEP,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
54500,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
54500,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
54500,CPEP,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
54500,CPEP,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
54500,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,,000,,,
54500,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
54500,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
54505,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
54505,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,010,,,
54505,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,1,010,,,
54512,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,10,090,,,
54512,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
54512,RUC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
54512,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
54520,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
54520,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
54520,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
54520,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
54522,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,10,090,,,
54522,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
54522,RUC,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
54522,RUC,"Wound Care, Dressings",SG071,scrotal support,item,6.695,,1,090,,,
54522,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
54530,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
54530,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
54530,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Feb08,ss
54530,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
54535,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
54535,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54535,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54535,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
54550,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
54550,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
54550,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
54550,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
54560,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
54560,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54560,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54560,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
54600,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
54600,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
54600,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
54600,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
54620,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
54620,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,010,,,
54620,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,1,010,,,
54640,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
54640,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
54640,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
54640,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
54650,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
54650,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
54650,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54650,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
54660,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
54660,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
54660,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
54660,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
54670,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
54670,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
54670,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54670,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
54680,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
54680,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
54680,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54680,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
54690,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,54560,,
54690,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,54560,,
54690,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,54560,,
54690,RUC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,54560,,
54692,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
54692,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
54699,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
54700,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
54700,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,010,,,
54800,CPEP,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,,,
54800,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
54800,CPEP,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
54800,CPEP,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,,,
54800,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,,000,,,
54800,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
54800,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
54830,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
54830,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
54830,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
54830,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
54840,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
54840,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
54840,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
54840,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
54860,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
54860,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
54860,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
54860,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
54861,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
54861,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
54861,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54861,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
54865,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
54865,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
54865,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
54865,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
54900,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
54900,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
54900,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
54900,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
54901,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,,
54901,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
54901,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
54901,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
55000,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,000,,,
55000,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
55000,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
55000,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
55000,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
55000,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,,,
55000,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,,000,,,
55000,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
55000,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,,000,,,
55000,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,000,,,
55000,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,20,,000,,,
55000,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
55000,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,,
55000,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,000,,,
55040,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
55040,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
55040,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
55040,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
55041,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
55041,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
55041,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
55041,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
55060,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
55060,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
55060,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
55060,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
55100,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
55100,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,1,,010,,,
55100,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
55100,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
55100,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
55100,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,010,,,
55100,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,010,,,
55100,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
55100,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
55100,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
55100,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,,010,,,
55100,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
55100,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
55100,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,010,,,
55100,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,20,,010,,,
55100,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,010,,,
55100,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,010,,,
55100,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,010,,,
55100,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,,,
55110,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,V
55110,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,V
55120,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,V
55120,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,V
55150,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,V
55150,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,V
55175,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Mar04,V
55175,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,V
55180,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Mar04,V
55180,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,V
55200,PEAC,"Accessory, Procedure",SD164,"electrode, Bugbee",item,115,1,0,090,,Mar04,V
55200,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Mar04,V
55200,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Mar04,V
55200,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Mar04,V
55200,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar04,V
55200,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,090,,Mar04,V
55200,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Mar04,V
55200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,090,,Mar04,V
55200,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar04,V
55200,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,090,,Mar04,V
55200,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Mar04,V
55250,PEAC,"Accessory, Procedure",SD164,"electrode, Bugbee",item,115,1,0,090,,Mar04,V
55250,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Mar04,V
55250,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Mar04,V
55250,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,090,,Mar04,V
55250,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar04,V
55250,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,090,,Mar04,V
55250,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Mar04,V
55250,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2.5,1.5,090,,Mar04,V
55250,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Mar04,V
55250,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,0,090,,Mar04,V
55250,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Mar04,V
55300,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
55400,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2.5,090,,Mar04,V
55400,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Mar04,V
55450,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
55450,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
55450,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
55450,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
55450,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
55450,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
55450,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
55450,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,010,,,
55450,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,010,,,
55450,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
55450,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
55450,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,,010,,,
55450,PEAC,"Kit, Pack, Tray",SA046,"pack, drapes, laparotomy (chest-abdomen)",pack,26.118,1,,010,,,
55450,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
55450,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,,010,,,
55450,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,010,,,
55450,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
55450,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,010,,,
55450,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,30,,010,,,
55450,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,010,,,
55450,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,010,,,
55450,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
55500,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
55500,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
55500,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
55500,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
55520,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
55520,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
55520,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
55520,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
55530,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
55530,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
55530,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
55530,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
55535,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
55535,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
55535,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
55535,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
55540,NPRM,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
55540,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
55540,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
55540,NPRM,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
55550,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
55550,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
55550,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,15,090,,,
55550,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,4,090,,,
55559,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
55600,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
55600,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
55600,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
55600,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
55605,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
55605,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
55605,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
55605,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
55650,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
55650,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
55650,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
55650,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
55680,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,,
55680,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
55680,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
55680,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
55700,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,2,,000,,,
55700,PEAC,"Hypodermic, IV",SC032,"needle, biopsy for breast-prostate core sample",item,28.42,1,,000,,,
55700,PEAC,"Hypodermic, IV",SC042,"needle, spine, Sprotte",item,8.6,1,,000,,,
55700,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,,
55700,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
55700,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,50,,000,,,
55700,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,000,,,
55705,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
55705,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,010,,,
55706,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,010,,CPT09,16
55706,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,010,,CPT09,16
55720,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
55720,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
55720,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
55720,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
55725,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,Apr06,J
55725,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
55725,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
55801,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,Apr06,J
55801,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
55801,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
55810,PERC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,Apr06,J
55810,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
55810,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
55810,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
55812,PERC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,Apr06,J
55812,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
55812,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
55812,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
55815,PERC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,Apr06,J
55815,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
55815,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
55815,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
55821,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
55821,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
55821,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
55831,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,Apr06,J
55831,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
55831,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
55840,PERC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,Apr06,J
55840,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
55840,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
55840,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
55842,PERC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,Apr06,J
55842,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,30,090,,Apr06,J
55842,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
55842,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
55842,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
55845,PERC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,Apr06,J
55845,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,30,090,,Apr06,J
55845,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
55845,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
55845,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
55860,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
55860,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
55860,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
55860,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
55862,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,,
55862,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
55862,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
55862,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
55865,CPEP,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,25,090,,,
55865,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
55865,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
55865,CPEP,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,,
55866,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,4,090,,CPT11,54
55866,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,0,1,090,,CPT11,54
55870,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
55870,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,000,,,
55873,RUC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,,090,,Feb09,
55873,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,090,,Feb09,
55873,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Feb09,
55873,RUC,"Pharmacy, NonRx",SJ031,leg or urinary drainage bag,item,3.079,1,,090,,Feb09,
55873,PEAC,"Gown, Drape",SB018,"drape-sleeve, sterile, for handpiece",item,0.089,1,,090,,Feb09,
55873,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,090,,Feb09,
55873,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,090,,Feb09,
55873,PEAC,Lab,SL157,"cup, sterile, 8 oz",item,0.542,1,,090,,Feb09,
55873,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,090,,Feb09,
55873,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,8,,090,,Feb09,
55873,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,,090,,Feb09,
55873,PEAC,"Kit, Pack, Tray",SA099,"Kit, probe, cryoablation, prostate (Galil-Endocare)",kit,4700,1,,090,,Feb09,
55873,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,4,,090,,Feb09,
55873,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,2,,090,,Feb09,
55873,PEAC,"Gown, Drape",SB017,"drape-sleeve, sterile (4in x 8ft)",item,0.159,2,,090,,Feb09,
55873,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,,090,,Feb09,
55873,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,090,,Feb09,
55873,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,090,,Feb09,
55873,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,090,,Feb09,
55873,PEAC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,50,,090,,Feb09,
55873,PEAC,"Accessory, Procedure",SD079,"gas, helium",cu ft,0.25,473,,090,,Feb09,
55873,PEAC,"Accessory, Procedure",SD227,"gas, argon",cu ft,0.25,523,,090,,Feb09,
55873,PEAC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,,090,,Feb09,
55873,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,,090,,Feb09,
55873,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,2,,090,,Feb09,
55873,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,2,,090,,Feb09,
55873,PEAC,"Pharmacy, NonRx",SJ079,"basin, sterile 500cc",item,3,1,,090,,Feb09,
55873,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,,090,,Feb09,
55873,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,090,,Feb09,
55873,PEAC,"Kit, Pack, Tray",SA006,"kit, catheter, suprapubic",kit,34.75,1,,090,,Feb09,
55873,PEAC,"Cutters, Closures, Cautery",SF047,"scalpel, safety, surgical, with blade (#10-20)",item,2.143,1,,090,,Feb09,
55875,CMS WALK: BOTH SITES,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,55860,,
55875,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,55860,,
55875,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
55875,CMS WALK: BOTH SITES,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,55860,,
55876,RUC,"Kit, Pack, Tray",SA045,"pack, drapes, cystoscopy",pack,9.864,1,0,000,,CPT07,
55876,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT07,
55876,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,000,,CPT07,
55876,RUC,"Hypodermic, IV",SC042,"needle, spine, Sprotte",item,8.6,1,0,000,,CPT07,
55876,RUC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,2,0,000,,CPT07,
55876,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,CPT07,
55899,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
55920,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,CPT08,B
55970,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
55980,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
56405,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,1,010,,,
56405,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
56405,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
56405,PEAC,Infection Control,SM003,autoclave tape,yd,0.092,0.67,,010,,,
56405,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
56405,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,1,010,,,
56405,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,010,,,
56405,PEAC,"Pharmacy, NonRx",SJ036,Monsel's soln,ml,1.297,2,,010,,,
56405,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,55,,010,,,
56405,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,010,,,
56405,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,,010,,,
56405,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,010,,,
56420,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Feb05,
56420,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,Feb05,
56420,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Feb05,
56420,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Feb05,
56420,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Feb05,
56420,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,45,0,010,,Feb05,
56420,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,010,,Feb05,
56420,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,0,010,,Feb05,
56420,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,0,010,,Feb05,
56440,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,010,,,
56440,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
56441,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
56441,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
56441,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,1,010,,,
56441,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
56441,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
56441,PEAC,Infection Control,SM003,autoclave tape,yd,0.092,0.67,,010,,,
56441,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,1,010,,,
56441,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,1,010,,,
56441,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,010,,,
56441,PEAC,"Pharmacy, NonRx",SJ036,Monsel's soln,ml,1.297,2,,010,,,
56441,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,55,,010,,,
56441,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,010,,,
56441,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,,010,,,
56441,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,010,,,
56442,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
56501,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
56501,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
56501,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,010,,,
56501,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
56501,PEAC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,,010,,,
56501,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
56501,PEAC,Infection Control,SM003,autoclave tape,yd,0.092,0.67,,010,,,
56501,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
56501,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,,
56501,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,1,,010,,,
56501,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,55,,010,,,
56501,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,010,,,
56501,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,,010,,,
56501,PEAC,"Pharmacy, Rx",SH064,silver sulfadiazene cream (Silvadene),gm,0.161,1,,010,,,
56501,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,010,,,
56515,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
56515,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
56515,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,010,,,
56515,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
56515,PEAC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,,010,,,
56515,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
56515,PEAC,Infection Control,SM003,autoclave tape,yd,0.092,0.67,,010,,,
56515,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
56515,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,,
56515,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,1,,010,,,
56515,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,55,,010,,,
56515,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,010,,,
56515,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,,010,,,
56515,PEAC,"Pharmacy, Rx",SH064,silver sulfadiazene cream (Silvadene),gm,0.161,1,,010,,,
56515,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,010,,,
56605,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
56605,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,000,,,
56605,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
56605,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
56605,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
56605,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
56605,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
56605,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,000,,,
56605,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
56605,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,,
56606,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,ZZZ,,,
56606,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,ZZZ,,,
56606,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,ZZZ,,,
56606,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,ZZZ,,,
56606,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,ZZZ,,,
56606,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,ZZZ,,,
56620,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,4,090,,Feb08,ss
56620,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,Feb08,ss
56620,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
56620,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Feb08,ss
56620,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
56625,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,Apr06,J
56625,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
56625,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
56625,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
56625,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,9,090,,Apr06,J
56630,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,Apr06,J
56630,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
56630,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
56630,PERC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,,1,090,,Apr06,J
56630,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,Apr06,J
56630,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,16,090,,Apr06,J
56630,PERC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,Apr06,J
56630,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
56631,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
56631,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
56631,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
56631,PERC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,,1,090,,Apr06,J
56631,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,Apr06,J
56631,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,24,090,,Apr06,J
56631,PERC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,Apr06,J
56631,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
56632,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,5,090,,Apr06,J
56632,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,5,090,,Apr06,J
56632,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
56632,PERC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,,1,090,,Apr06,J
56632,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,Apr06,J
56632,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,24,090,,Apr06,J
56632,PERC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,Apr06,J
56632,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
56633,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,Apr06,J
56633,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
56633,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
56633,PERC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,,1,090,,Apr06,J
56633,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,Apr06,J
56633,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,16,090,,Apr06,J
56633,PERC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,Apr06,J
56633,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
56634,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
56634,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
56634,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
56634,PERC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,,1,090,,Apr06,J
56634,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,Apr06,J
56634,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,24,090,,Apr06,J
56634,PERC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,Apr06,J
56634,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
56637,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
56637,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
56637,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
56637,PERC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,,1,090,,Apr06,J
56637,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,Apr06,J
56637,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,24,090,,Apr06,J
56637,PERC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,Apr06,J
56640,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,Apr06,J
56640,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
56640,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
56640,PERC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,,1,090,,Apr06,J
56640,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,Apr06,J
56640,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,24,090,,Apr06,J
56640,PERC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,Apr06,J
56700,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,010,,,
56700,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,010,,,
56700,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
56700,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,010,,,
56700,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,10,010,,,
56700,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,010,,,
56700,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,010,,,
56700,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,1,010,,,
56700,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,010,,,
56740,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,010,,,
56740,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,010,,,
56740,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
56740,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,010,,,
56740,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,10,010,,,
56740,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,010,,,
56740,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,010,,,
56740,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,1,010,,,
56740,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,010,,,
56800,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,010,,,
56800,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
56800,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,010,,,
56805,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,Apr06,J
56805,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
56805,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
56805,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
56805,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
56810,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,010,,,
56810,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
56810,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,010,,,
56820,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
56820,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
56820,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
56820,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
56820,RUC,Lab,SL136,"stain, Lugol's",ml,0.695,2,,000,,,
56820,RUC,"Pharmacy, Rx",SH001,acetic acid 5%,ml,0.012,2.1,,000,,,
56820,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,000,,,
56821,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
56821,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
56821,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
56821,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,,000,,,
56821,RUC,"Hypodermic, IV",SC046,"punch, biopsy",item,1.888,1,,000,,,
56821,RUC,"Hypodermic, IV",SC063,syringe-needle 10ml 26g,item,0.273,1,,000,,,
56821,RUC,Infection Control,SM002,autoclave bag,item,0.07,2,,000,,,
56821,RUC,Infection Control,SM003,autoclave tape,yd,0.092,0.67,,000,,,
56821,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
56821,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
56821,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,000,,,
56821,RUC,Lab,SL136,"stain, Lugol's",ml,0.695,2,,000,,,
56821,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,,000,,,
56821,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,000,,,
56821,RUC,"Pharmacy, Rx",SH001,acetic acid 5%,ml,0.012,2.1,,000,,,
56821,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,,
56821,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,000,,,
57000,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,010,,,
57000,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
57000,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,010,,,
57010,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
57010,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
57010,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57010,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
57010,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
57020,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
57020,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
57020,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
57020,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
57020,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
57020,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,55,,000,,,
57022,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,010,,,
57022,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
57022,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,010,,,
57023,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,010,,,
57023,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
57023,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,010,,,
57061,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
57061,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
57061,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,010,,,
57061,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,010,,,
57061,PEAC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,,010,,,
57061,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
57061,PEAC,Infection Control,SM003,autoclave tape,yd,0.092,0.67,,010,,,
57061,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
57061,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,,
57061,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,010,,,
57061,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,55,,010,,,
57061,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,010,,,
57061,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,,010,,,
57061,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,010,,,
57065,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
57065,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
57065,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,010,,,
57065,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,010,,,
57065,PEAC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,,010,,,
57065,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
57065,PEAC,Infection Control,SM003,autoclave tape,yd,0.092,0.67,,010,,,
57065,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
57065,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,,
57065,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,010,,,
57065,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,55,,010,,,
57065,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,010,,,
57065,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,,010,,,
57065,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,010,,,
57100,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,,,
57100,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,000,,,
57100,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
57100,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
57100,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
57100,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
57100,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
57100,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,000,,,
57100,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
57105,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
57105,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
57105,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,1,010,,,
57105,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,1,010,,,
57105,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
57105,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
57105,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,,
57105,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,010,,,
57105,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,10,010,,,
57105,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,2,010,,,
57105,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,1,1,010,,,
57105,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
57105,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,2,2,010,,,
57105,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,12,010,,,
57106,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,Apr06,J
57106,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
57106,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57106,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
57106,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
57107,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,Apr06,J
57107,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
57107,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57107,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
57107,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
57109,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,Apr06,J
57109,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
57109,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57109,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
57109,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
57110,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
57110,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
57110,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57110,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
57110,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
57111,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,Apr06,J
57111,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
57111,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57111,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
57111,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
57112,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,Apr06,J
57112,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
57112,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57112,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
57112,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
57120,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
57120,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
57120,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57120,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
57120,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
57130,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
57130,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
57130,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,010,,,
57130,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,010,,,
57130,PEAC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,,010,,,
57130,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
57130,PEAC,Infection Control,SM003,autoclave tape,yd,0.092,0.67,,010,,,
57130,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
57130,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,,
57130,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,010,,,
57130,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,55,,010,,,
57130,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,010,,,
57130,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,,010,,,
57130,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,010,,,
57135,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
57135,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
57135,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,010,,,
57135,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,010,,,
57135,PEAC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,,010,,,
57135,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
57135,PEAC,Infection Control,SM003,autoclave tape,yd,0.092,0.67,,010,,,
57135,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
57135,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,,
57135,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,010,,,
57135,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,55,,010,,,
57135,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,010,,,
57135,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,,010,,,
57135,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,010,,,
57150,PEAC,"Accessory, Procedure",SD129,"tubing, irrigation (cysto)",item,5.077,1,0,000,Feb05,Feb05,
57150,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,Feb05,Feb05,
57150,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,0,000,Feb05,Feb05,
57150,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,000,Feb05,Feb05,
57150,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,0,000,,Feb05,
57155,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,000,,CPT11,30
57155,RUC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,,000,,CPT11,30
57155,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,CPT11,30
57155,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,CPT11,30
57155,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,CPT11,30
57155,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,CPT11,30
57155,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,CPT11,30
57155,RUC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,,000,,CPT11,30
57155,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,CPT11,30
57155,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,30
57155,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,CPT11,30
57156,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,30
57156,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,CPT11,30
57156,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,000,,CPT11,30
57156,RUC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,,000,,CPT11,30
57156,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,CPT11,30
57156,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,CPT11,30
57156,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,CPT11,30
57156,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,CPT11,30
57156,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,CPT11,30
57156,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,2,,000,,CPT11,30
57156,RUC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,,000,,CPT11,30
57160,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
57160,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
57160,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
57170,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Feb05,
57170,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,0,000,,Feb05,
57170,PEAC,"Accessory, Procedure",SD217,diaphragm fitting set,item,75,0,0,000,,Feb05,
57180,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,0,010,,Feb05,
57180,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Feb05,
57180,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,0,010,,Feb05,
57180,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,010,,Feb05,
57180,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,45,0,010,,Feb05,
57180,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Feb05,
57180,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Feb05,
57180,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Feb05,
57180,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,Feb05,
57180,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,10,0,010,,Feb05,
57180,PEAC,Infection Control,SM003,autoclave tape,yd,0.092,1,0,010,,Feb05,
57180,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,010,,Feb05,
57180,PEAC,"Pharmacy, NonRx",SJ036,Monsel's soln,ml,1.297,2,0,010,,Feb05,
57180,PEAC,"Wound Care, Dressings",SG092,"packing, gauze, plain, 1 in (5 yd uou)",item,6.17,1,0,010,,Feb05,
57200,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
57200,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57200,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57210,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57210,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
57210,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57210,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57220,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57220,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
57220,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57220,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57230,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57230,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
57230,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57230,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57240,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57240,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
57240,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57240,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57250,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57250,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
57250,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57250,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57260,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57260,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
57260,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57260,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57265,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57265,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
57265,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57265,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57267,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
57268,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57268,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
57268,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57268,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57270,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57270,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
57270,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57270,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57280,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57280,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
57280,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57280,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57282,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
57282,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
57282,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,,
57282,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57283,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,,2,090,,,
57283,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
57283,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57284,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,CPT08,E*
57284,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT08,E*
57284,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT08,E*
57284,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,CPT08,E*
57285,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,CPT08,E
57285,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT08,E
57285,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT08,E
57285,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,CPT08,E
57287,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,,ss
57287,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Feb08,ss
57287,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,4,090,,Feb08,ss
57287,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Sep02,
57288,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Feb08,ss
57288,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Feb08,ss
57288,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Feb08,ss
57288,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Feb08,ss
57289,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
57289,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
57289,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,,
57289,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57291,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57291,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
57291,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57291,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57292,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57292,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
57292,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57292,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57295,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,88170,RUC05,
57295,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,RUC05,
57295,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,RUC05,
57295,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,RUC05,
57296,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT07,
57296,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,CPT07,
57296,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,CPT07,
57296,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT07,
57300,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
57300,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
57300,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,,
57300,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57305,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
57305,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
57305,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,,
57305,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57307,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,Apr06,J
57307,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57307,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
57307,PERC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,15,090,,Apr06,J
57307,PERC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,4,090,,Apr06,J
57307,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
57308,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57308,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
57308,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
57308,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
57310,CPEP,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57310,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57310,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57310,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
57310,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,,
57310,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,PFS07,
57310,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,PFS07,
57310,PERC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,PFS07,
57311,CPEP,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57311,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57311,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
57311,CPEP,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
57311,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,,
57311,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,PFS07,
57311,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,PFS07,
57311,PERC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,PFS07,
57320,CPEP,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57320,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57320,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57320,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
57320,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,,
57320,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,20,090,,PFS07,
57320,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,PFS07,
57320,PERC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,,PFS07,
57330,CPEP,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57330,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57330,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57330,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
57330,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,,
57335,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,Apr06,J
57335,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
57335,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57335,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
57335,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,9,090,,Apr06,J
57400,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
57410,CPEP,"Accessory, Procedure",SD118,"specula, vaginal",item,0.54,1,0,000,,,
57410,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,000,,,
57410,CPEP,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
57410,CPEP,"Kit, Pack, Tray",SA064,"tray, epidural",tray,23.829,1,,000,,,
57410,CPEP,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,0,000,,,
57410,CPEP,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,000,,,
57410,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,000,,,
57415,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,010,,,
57415,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
57415,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,010,,,
57420,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
57420,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
57420,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
57420,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
57420,RUC,Lab,SL136,"stain, Lugol's",ml,0.695,2,,000,,,
57420,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,,000,,,
57420,RUC,"Pharmacy, Rx",SH001,acetic acid 5%,ml,0.012,2.1,,000,,,
57420,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,000,,,
57421,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
57421,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
57421,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
57421,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,,000,,,
57421,RUC,"Hypodermic, IV",SC063,syringe-needle 10ml 26g,item,0.273,1,,000,,,
57421,RUC,Infection Control,SM002,autoclave bag,item,0.07,2,,000,,,
57421,RUC,Infection Control,SM003,autoclave tape,yd,0.092,0.67,,000,,,
57421,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
57421,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
57421,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,000,,,
57421,RUC,Lab,SL136,"stain, Lugol's",ml,0.695,2,,000,,,
57421,RUC,"Pharmacy, NonRx",SJ036,Monsel's soln,ml,1.297,2,,000,,,
57421,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,,000,,,
57421,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,000,,,
57421,RUC,"Pharmacy, Rx",SH001,acetic acid 5%,ml,0.012,2.1,,000,,,
57421,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,,
57421,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,000,,,
57423,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,CPT08,E
57423,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT08,E
57423,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT08,E
57423,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,CPT08,E
57425,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
57425,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
57425,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
57425,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
57426,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,14
57426,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,CPT10,14
57426,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT10,14
57426,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,CPT10,14
57452,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
57452,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
57452,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
57452,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
57452,RUC,Lab,SL136,"stain, Lugol's",ml,0.695,2,,000,,,
57452,RUC,"Pharmacy, Rx",SH001,acetic acid 5%,ml,0.012,2.1,,000,,,
57452,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,000,,,
57454,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
57454,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
57454,PEAC,Infection Control,SM002,autoclave bag,item,0.07,2,,000,,,
57454,PEAC,Infection Control,SM003,autoclave tape,yd,0.092,0.67,,000,,,
57454,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
57454,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
57454,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,000,,,
57454,PEAC,Lab,SL136,"stain, Lugol's",ml,0.695,2,,000,,,
57454,PEAC,"Pharmacy, Rx",SH001,acetic acid 5%,ml,0.012,2.1,,000,,,
57454,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,000,,,
57455,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
57455,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
57455,RUC,Infection Control,SM002,autoclave bag,item,0.07,2,,000,,,
57455,RUC,Infection Control,SM003,autoclave tape,yd,0.092,0.67,,000,,,
57455,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
57455,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
57455,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,3,,000,,,
57455,RUC,Lab,SL136,"stain, Lugol's",ml,0.695,2,,000,,,
57455,RUC,"Pharmacy, NonRx",SJ036,Monsel's soln,ml,1.297,2,,000,,,
57455,RUC,"Pharmacy, Rx",SH001,acetic acid 5%,ml,0.012,2.1,,000,,,
57455,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,000,,,
57456,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
57456,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
57456,RUC,Infection Control,SM002,autoclave bag,item,0.07,2,,000,,,
57456,RUC,Infection Control,SM003,autoclave tape,yd,0.092,0.67,,000,,,
57456,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
57456,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
57456,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,000,,,
57456,RUC,Lab,SL136,"stain, Lugol's",ml,0.695,2,,000,,,
57456,RUC,"Pharmacy, NonRx",SJ036,Monsel's soln,ml,1.297,2,,000,,,
57456,RUC,"Pharmacy, Rx",SH001,acetic acid 5%,ml,0.012,2.1,,000,,,
57456,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,000,,,
57460,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,4,,000,,,
57460,RUC,"Cutters, Closures, Cautery",SF014,"cautery, electrode extender",item,7.383,1,,000,,,
57460,RUC,"Cutters, Closures, Cautery",SF017,"cautery, monopolar, electrode, loop",item,12.693,1,,000,,,
57460,RUC,"Cutters, Closures, Cautery",SF019,"cautery, monopolar, electrode, spatula",item,40,1,,000,,,
57460,RUC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,000,,,
57460,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,000,,,
57460,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
57460,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
57460,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,,
57460,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
57460,RUC,"Hypodermic, IV",SC063,syringe-needle 10ml 26g,item,0.273,1,,000,,,
57460,RUC,Infection Control,SM002,autoclave bag,item,0.07,2,,000,,,
57460,RUC,Infection Control,SM003,autoclave tape,yd,0.092,0.67,,000,,,
57460,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
57460,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
57460,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,,000,,,
57460,RUC,Lab,SL136,"stain, Lugol's",ml,0.695,2,,000,,,
57460,RUC,"Pharmacy, NonRx",SJ036,Monsel's soln,ml,1.297,2,,000,,,
57460,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,,000,,,
57460,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,000,,,
57460,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,000,,,
57460,RUC,"Pharmacy, Rx",SH001,acetic acid 5%,ml,0.012,20,,000,,,
57460,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,,
57460,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,,000,,,
57461,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,4,,000,,,
57461,RUC,"Cutters, Closures, Cautery",SF014,"cautery, electrode extender",item,7.383,1,,000,,,
57461,RUC,"Cutters, Closures, Cautery",SF017,"cautery, monopolar, electrode, loop",item,12.693,1,,000,,,
57461,RUC,"Cutters, Closures, Cautery",SF019,"cautery, monopolar, electrode, spatula",item,40,1,,000,,,
57461,RUC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,000,,,
57461,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,000,,,
57461,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
57461,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
57461,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,,
57461,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
57461,RUC,"Hypodermic, IV",SC063,syringe-needle 10ml 26g,item,0.273,1,,000,,,
57461,RUC,Infection Control,SM002,autoclave bag,item,0.07,2,,000,,,
57461,RUC,Infection Control,SM003,autoclave tape,yd,0.092,0.67,,000,,,
57461,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
57461,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
57461,RUC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,3,,000,,,
57461,RUC,Lab,SL136,"stain, Lugol's",ml,0.695,2,,000,,,
57461,RUC,"Pharmacy, NonRx",SJ036,Monsel's soln,ml,1.297,2,,000,,,
57461,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,,000,,,
57461,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,000,,,
57461,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,000,,,
57461,RUC,"Pharmacy, Rx",SH001,acetic acid 5%,ml,0.012,20,,000,,,
57461,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,000,,,
57461,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,,000,,,
57500,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
57500,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,,000,,,
57500,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
57500,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,000,,,
57500,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
57500,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
57500,PEAC,Infection Control,SM002,autoclave bag,item,0.07,1,,000,,,
57500,PEAC,Infection Control,SM003,autoclave tape,yd,0.092,0.67,,000,,,
57500,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
57500,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
57500,PEAC,Lab,SL136,"stain, Lugol's",ml,0.695,2,,000,,,
57500,PEAC,"Pharmacy, NonRx",SJ036,Monsel's soln,ml,1.297,10,,000,,,
57500,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
57500,PEAC,"Pharmacy, Rx",SH001,acetic acid 5%,ml,0.012,2.1,,000,,,
57500,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,,000,,,
57500,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,30,,000,,,
57500,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,000,,,
57500,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,000,,,
57505,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
57505,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,010,,,
57505,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,010,,,
57505,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
57505,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
57505,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,,
57505,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
57505,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,55,,010,,,
57505,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,010,,,
57505,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,,010,,,
57510,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
57510,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
57510,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,010,,,
57510,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,010,,,
57510,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
57510,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
57510,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,010,,,
57510,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,010,,,
57510,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,55,,010,,,
57510,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,010,,,
57510,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,,010,,,
57511,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
57511,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,010,,,
57511,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,010,,,
57511,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,,
57511,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
57511,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
57511,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,,
57511,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,55,,010,,,
57511,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,3,,010,,,
57511,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,,010,,,
57513,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,010,,,
57513,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
57513,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
57513,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
57513,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,,
57513,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,55,,010,,,
57513,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,3,,010,,,
57513,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,,010,,,
57520,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,7
57520,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2.5,1.5,090,,Aug03,7
57520,PEAC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,0,090,,Aug03,7
57520,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,090,,Aug03,7
57520,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,7
57520,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2.5,1.5,090,,Aug03,7
57520,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2.5,1.5,090,,Aug03,7
57520,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,0,090,,Aug03,7
57520,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,090,,Aug03,7
57520,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,1,0,090,,Aug03,7
57522,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Aug03,7
57522,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2,1,090,,Aug03,7
57522,PEAC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,0,090,,Aug03,7
57522,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,090,,Aug03,7
57522,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,7
57522,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,090,,Aug03,7
57522,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,090,,Aug03,7
57522,PEAC,"Pharmacy, NonRx",SJ052,"swab, procto 16in",item,0.117,3,0,090,,Aug03,7
57522,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,090,,Aug03,7
57522,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,1,0,090,,Aug03,7
57530,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
57530,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
57530,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57530,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
57530,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
57531,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,Apr06,J
57531,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
57531,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57531,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
57531,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
57540,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
57540,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
57540,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57540,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
57540,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
57545,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
57545,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
57545,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57545,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
57545,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
57550,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
57550,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
57550,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57550,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
57550,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
57555,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
57555,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
57555,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57555,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
57555,PERC,"Office Supply, Grocery",SK054,"pad, urinary incontinence (Depends)",item,0.509,,1,090,,Apr06,J
57555,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
57555,PERC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,,15,090,,Apr06,J
57556,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
57556,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
57556,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57556,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
57556,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
57558,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,010,,,
57558,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,010,,,
57558,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
57558,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,,
57700,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,Apr06,J
57700,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
57700,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57700,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
57700,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,Apr06,J
57720,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
57720,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
57720,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
57720,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
57720,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
57800,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
57800,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
57800,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
57800,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
58100,RUC,"Accessory, Procedure",SD039,"curette, suction, endometrial (Pipelle)",item,4.121,1,,000,,,
58100,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
58100,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
58100,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
58100,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
58110,RUC,"Accessory, Procedure",SD039,"curette, suction, endometrial (Pipelle)",item,4.121,1,,ZZZ,,RUC05,
58120,PEAC,"Accessory, Procedure",SD127,"tube, suction NG (Salem sump)",item,3.218,1,0,010,,Apr06,J
58120,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,0,010,,Apr06,J
58120,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,010,,Apr06,J
58120,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Apr06,J
58120,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Apr06,J
58120,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,010,,Apr06,J
58120,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,1,0,010,,Apr06,J
58120,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Apr06,J
58120,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,010,,Apr06,J
58120,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,0,010,,Apr06,J
58120,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,010,,,
58120,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,,
58120,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
58120,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,,
58140,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58140,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58140,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58140,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58140,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58145,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58145,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58145,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58145,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58145,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58146,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
58146,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
58146,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
58146,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
58150,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
58150,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
58150,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,,
58150,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
58152,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1.5,090,,,
58152,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
58152,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1.5,090,,,
58152,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
58180,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
58180,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
58180,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,,
58180,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
58200,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
58200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
58200,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,,
58200,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
58210,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
58210,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
58210,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
58210,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
58240,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,6,090,,CPT07,
58240,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,CPT07,
58240,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,6,090,,CPT07,
58240,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT07,
58260,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
58260,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
58260,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
58262,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
58262,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,,
58262,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
58263,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
58263,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,,
58263,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
58267,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2.5,090,,,
58267,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
58267,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2.5,090,,,
58270,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
58270,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
58270,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
58275,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
58275,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
58275,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
58280,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
58280,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
58280,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
58285,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,,
58285,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
58285,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,,
58290,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
58290,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
58290,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
58290,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
58291,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
58291,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
58291,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
58291,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
58292,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
58292,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
58292,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
58292,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
58293,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
58293,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
58293,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
58293,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
58294,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
58294,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
58294,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
58294,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
58300,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Feb05,
58300,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,50,0,XXX,,Feb05,
58300,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,0,XXX,,Feb05,
58301,CPEP,"Accessory, Procedure",SD118,"specula, vaginal",item,0.54,1,,000,,,
58301,CPEP,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,000,,,
58301,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
58301,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
58301,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
58301,CPEP,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
58301,CPEP,"Gown, Drape",SB037,pillow case,item,0.307,1,,000,,,
58301,CPEP,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
58301,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
58301,CPEP,"Office Supply, Grocery",SK052,"pad, feminine mini",item,0.11,1,,000,,,
58301,CPEP,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,1,,000,,,
58301,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,50,,000,,,
58301,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,4,,000,,,
58301,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
58301,CPEP,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,,000,,,
58301,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,000,,,
58321,CPEP,"Accessory, Procedure",SD118,"specula, vaginal",item,0.54,1,,000,,,
58321,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
58321,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
58321,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
58321,CPEP,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
58321,CPEP,"Gown, Drape",SB037,pillow case,item,0.307,1,,000,,,
58321,CPEP,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,,000,,,
58321,CPEP,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,,
58321,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
58321,CPEP,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
58321,CPEP,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,000,,,
58321,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,000,,,
58321,CPEP,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,,000,,,
58322,CPEP,"Accessory, Procedure",SD118,"specula, vaginal",item,0.54,1,,000,,,
58322,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
58322,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
58322,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
58322,CPEP,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
58322,CPEP,"Gown, Drape",SB037,pillow case,item,0.307,1,,000,,,
58322,CPEP,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,,000,,,
58322,CPEP,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,,
58322,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
58322,CPEP,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
58322,CPEP,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,000,,,
58322,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,000,,,
58322,CPEP,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,,000,,,
58323,PEAC,Lab,SL030,"cover slip, glass",item,0.079,1,0,000,,Feb05,
58323,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,0,000,,Feb05,
58323,PEAC,Lab,SL108,pipette,item,0.033,2,0,000,,Feb05,
58323,PEAC,Lab,SL122,"slide, microscope",item,0.055,1,0,000,,Feb05,
58323,PEAC,Lab,SL143,test tube,item,0.273,5,0,000,,Feb05,
58340,CPEP,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,,000,,,
58340,CPEP,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,000,,,
58340,CPEP,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,000,,,
58340,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,000,,,
58340,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,3,,000,,,
58340,CPEP,"Gown, Drape",SB033,"mask, surgical",item,0.196,3,,000,,,
58340,CPEP,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,,000,,,
58340,CPEP,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,000,,,
58340,CPEP,"Hypodermic, IV",SC041,"needle, arterial (Seldinger)",item,5.175,1,0,000,,,
58340,CPEP,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,000,,,
58340,CPEP,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,,000,,,
58340,CPEP,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,3,,000,,,
58340,CPEP,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,,000,,,
58340,CPEP,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,000,,,
58340,CPEP,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,,000,,,
58340,CPEP,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,,
58340,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,,000,,,
58345,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,010,,,
58345,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
58345,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,010,,,
58346,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
58346,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
58346,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
58350,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,010,,,
58350,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,010,,,
58350,PEAC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,2,,010,,,
58350,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,010,,,
58350,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
58350,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
58350,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,,
58350,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,55,,010,,,
58350,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,010,,,
58350,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,,010,,,
58353,PEAC,"Accessory, Procedure",SD018,"catheter, balloon, thermal ablation (Thermachoice)",tray,727,1,0,010,,,
58353,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,010,,,
58353,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,010,,,
58353,PEAC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,2,,010,,,
58353,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,010,,,
58353,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
58353,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
58353,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,,
58353,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,55,,010,,,
58353,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,010,,,
58353,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,30,,010,,,
58356,RUC,"Accessory, Procedure",SD215,"probe, endometrial cryoablation (Her Option)",item,1250,1,0,010,,,
58356,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
58356,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
58356,RUC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,,010,43830,,
58356,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,88170,,
58356,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,010,,,
58356,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,010,,,
58356,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,010,,,
58356,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,,010,,,
58356,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,010,88170,,
58356,RUC,"Accessory, Procedure",SD039,"curette, suction, endometrial (Pipelle)",item,4.121,1,,010,,,
58356,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,,010,,,
58356,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,010,,,
58356,RUC,"Pharmacy, NonRx",SJ042,povidone surgical scrub (Betadine),ml,0.009,100,,010,,,
58356,RUC,"Gown, Drape",SB038,safety glasses,item,2.902,2,,010,,,
58356,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,3,,010,88171,,
58356,RUC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,20,,010,,,
58356,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,,
58356,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,010,,Aug03,5
58400,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58400,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58400,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58400,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58400,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58410,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58410,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58410,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58410,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58410,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58520,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58520,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58520,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58520,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58520,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58540,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58540,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58540,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58540,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58540,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58541,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,CPT07,
58541,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,CPT07,
58541,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT07,
58541,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT07,
58542,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,CPT07,
58542,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,CPT07,
58542,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT07,
58542,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT07,
58543,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,CPT07,
58543,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,CPT07,
58543,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT07,
58543,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT07,
58544,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,CPT07,
58544,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,CPT07,
58544,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT07,
58544,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT07,
58545,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
58545,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
58545,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,,
58546,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
58546,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
58546,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,,
58548,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,CPT07,
58548,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT07,
58548,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,CPT07,
58548,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT07,
58550,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
58550,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
58550,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,,
58552,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
58552,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
58552,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,,
58553,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
58553,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
58553,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,,
58554,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
58554,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
58554,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,,
58555,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,000,,Apr06,J
58555,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Apr06,J
58555,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,0,000,,Apr06,J
58555,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,Apr06,J
58555,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,000,,Apr06,J
58555,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,Apr06,J
58555,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,000,,Apr06,J
58555,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,1,0,000,,Apr06,J
58555,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,000,,Apr06,J
58555,RUC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,CPT10,47
58555,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,,000,,CPT10,47
58555,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,CPT10,47
58555,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,CPT10,47
58555,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,CPT10,47
58555,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,000,,CPT10,47
58555,RUC,"Pharmacy, NonRx",SJ036,Monsel's soln,ml,1.297,10,,000,,CPT10,47
58555,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,CPT10,47
58558,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,0,000,,Apr06,J
58558,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Apr06,J
58558,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,000,,Apr06,J
58558,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,Apr06,J
58558,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,Apr06,J
58558,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,1,0,000,,Apr06,J
58558,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,000,,Apr06,J
58558,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,000,,Apr06,J
58558,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,000,,Apr06,J
58558,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,Apr06,J
58558,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,Apr06,J
58558,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,1,0,000,,Apr06,J
58558,PEAC,"Accessory, Procedure",SD127,"tube, suction NG (Salem sump)",item,3.218,1,0,000,,Apr06,J
58558,RUC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,CPT10,47
58558,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,,000,,CPT10,47
58558,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,CPT10,47
58558,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,CPT10,47
58558,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,CPT10,47
58558,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,000,,CPT10,47
58558,RUC,"Pharmacy, NonRx",SJ036,Monsel's soln,ml,1.297,10,,000,,CPT10,47
58558,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,CPT10,47
58559,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
58560,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
58561,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
58562,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,0,000,,Apr06,
58562,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Apr06,
58562,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,000,,Apr06,
58562,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,000,,Apr06,J
58562,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,Apr06,J
58562,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,000,,Apr06,J
58562,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,Apr06,J
58562,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,1,0,000,,Apr06,J
58562,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,000,,,
58562,RUC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,CPT10,47
58562,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,,000,,CPT10,47
58562,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,CPT10,47
58562,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,CPT10,47
58562,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,000,,CPT10,47
58562,RUC,"Pharmacy, NonRx",SJ036,Monsel's soln,ml,1.297,10,,000,,CPT10,47
58562,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,CPT10,47
58563,CMS,"Accessory, Procedure",SD070,endosheath,item,9.5,1,,000,,,
58563,CMS,"Accessory, Procedure",SD177,"hysteroscope, ablation device",item,1146,1,,000,,,
58563,CMS,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
58563,CMS,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
58563,CMS,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,,
58563,CMS,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,000,,,
58563,CMS,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,2,,000,,,
58563,CMS,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,,
58563,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
58563,CMS,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
58563,CMS,"Office Supply, Grocery",SK032,"film, type 667 Polaroid (per exposure)",item,1,2,,000,,,
58563,CMS,"Office Supply, Grocery",SK051,"pad, feminine maxi",item,0.15,1,,000,,,
58563,CMS,"Office Supply, Grocery",SK052,"pad, feminine mini",item,0.11,1,,000,,,
58563,CMS,"Pharmacy, NonRx",SJ036,Monsel's soln,ml,1.297,10,,000,,,
58563,CMS,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,4,,000,,,
58563,CMS,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,,000,,,
58563,CMS,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,Mar03,12
58563,CMS,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,1,,000,,,
58563,CMS,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,20,,000,,,
58563,CMS,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,4,,000,,Aug03,6
58563,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,,000,,CPT10,47
58563,RUC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,000,,CPT10,47
58563,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,CPT10,47
58565,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,090,,,
58565,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,090,,,
58565,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,090,,,
58565,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,3,0,090,,,
58565,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,,
58565,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,090,,,
58565,RUC,"Hypodermic, IV",SC062,"syringe, Toomey",item,2.726,1,0,090,,,
58565,RUC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,1,0,090,,,
58565,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,,
58565,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,3,2,090,,,
58565,RUC,"Kit, Pack, Tray",SA058,"pack, urology cystoscopy visit",pack,24.685,1,0,090,,,
58565,RUC,"Kit, Pack, Tray",SA075,"kit, hysteroscopic tubal implant for sterilization",kit,1245,1,0,090,,,
58565,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,090,,,
58565,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,3,0,090,,,
58565,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,,
58570,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,CPT08,F
58570,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT08,F
58570,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT08,F
58570,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,CPT08,F
58571,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,CPT08,F
58571,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT08,F
58571,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT08,F
58571,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,CPT08,F
58572,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,CPT08,F
58572,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT08,F
58572,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT08,F
58572,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,CPT08,F
58573,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,CPT08,F
58573,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT08,F
58573,RUC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,CPT08,F
58573,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,CPT08,F
58578,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
58579,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
58600,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,Apr06,J
58600,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,Apr06,J
58600,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58600,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
58600,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,Apr06,J
58605,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,Apr06,J
58605,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,Apr06,J
58605,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58605,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
58605,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,Apr06,J
58611,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
58615,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,010,,,
58615,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
58615,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,010,,,
58615,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,010,,,
58660,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,Apr06,J
58660,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,Apr06,J
58660,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
58660,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58660,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58661,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,010,,,
58661,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,010,,,
58661,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
58661,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,010,,,
58662,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,Apr06,J
58662,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,Apr06,J
58662,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58662,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
58662,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58670,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,Apr06,J
58670,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,Apr06,J
58670,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
58670,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58670,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58671,NPRM,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,,
58671,NPRM,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
58671,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
58671,NPRM,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,,
58671,NPRM,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
58672,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,Apr06,J
58672,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,Apr06,J
58672,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58672,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
58672,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58673,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,Apr06,J
58673,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,Apr06,J
58673,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58673,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
58673,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58679,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
58700,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58700,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58700,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58700,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58700,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58720,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58720,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58720,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58720,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58720,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58740,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58740,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58740,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58740,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58740,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58750,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58750,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58750,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58750,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58750,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58752,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58752,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58752,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58752,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58752,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58760,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58760,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58760,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58760,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58760,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58770,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58770,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58770,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58770,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58770,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58800,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2.5,1.5,090,,Aug03,7
58800,PEAC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,3,0,090,,Aug03,7
58800,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,2,0,090,,Aug03,7
58800,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Aug03,7
58800,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,090,,Aug03,7
58800,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2.5,1.5,090,,Aug03,7
58800,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2.5,1.5,090,,Aug03,7
58800,PEAC,Lab,SL033,culture swab system (Culturette),item,0.865,1,0,090,,Aug03,7
58800,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,090,,Aug03,7
58805,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58805,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58805,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58805,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58805,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58820,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58820,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58820,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58820,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58820,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58822,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58822,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58822,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58822,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58822,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58823,PEAC,"Accessory, Procedure",SD043,"dilator, vessel, angiographic",item,6.5,1,0,000,,Jan04,9
58823,PEAC,"Accessory, Procedure",SD088,guidewire,item,9.998,1,0,000,,Jan04,9
58823,PEAC,"Accessory, Procedure",SD146,catheter percutaneous fastener (Percu-Stay),item,12.745,1,0,000,,Jan04,9
58823,PEAC,"Accessory, Procedure",SD161,"drainage catheter, all purpose",item,88.43,1,0,000,,Jan04,9
58823,PEAC,"Accessory, Procedure",SD163,"drainage pouch, nephrostomy-biliary",item,13.25,1,0,000,,Jan04,9
58823,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,000,,Jan04,9
58823,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Jan04,9
58823,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,,Jan04,9
58823,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Jan04,9
58823,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,Jan04,9
58823,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Jan04,9
58823,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,000,,Jan04,9
58823,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Jan04,9
58823,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Jan04,9
58823,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,9
58823,PEAC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,Jan04,9
58823,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,Jan04,9
58823,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,0,000,,Jan04,9
58823,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,Jan04,9
58823,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Jan04,9
58823,PEAC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,Jan04,9
58823,PEAC,"Kit, Pack, Tray",SA071,"kit, AccuStick II Introducer System with RO Marker",kit,82.62,1,0,000,,Jan04,9
58823,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,Jan04,9
58823,PEAC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,Jan04,9
58823,PEAC,Lab,SL157,"cup, sterile, 8 oz",item,0.542,1,0,000,,Jan04,9
58823,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,Jan04,9
58823,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,0,000,,Jan04,9
58823,PEAC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,000,,Jan04,9
58823,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Jan04,9
58823,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,000,,Jan04,9
58823,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,0,000,,Jan04,9
58823,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Jan04,9
58825,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58825,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58825,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58825,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58825,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58900,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58900,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58900,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58900,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58900,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58920,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58920,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58920,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58920,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58920,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58925,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58925,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58925,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58925,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58925,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58940,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58940,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58940,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58940,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58940,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
58943,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58943,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58943,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58943,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58943,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,9,090,,Apr06,J
58950,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,Apr06,J
58950,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
58950,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58950,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
58950,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,9,090,,Apr06,J
58951,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58951,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58951,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58951,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58951,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,9,090,,Apr06,J
58952,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,Apr06,J
58952,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
58952,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58952,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
58952,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,9,090,,Apr06,J
58953,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
58953,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
58953,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
58953,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
58954,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,,
58954,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
58954,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
58954,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
58956,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,,1,090,,,
58956,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
58956,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,,
58956,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
58957,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT07,
58957,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT07,
58957,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,CPT07,
58957,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,CPT07,
58958,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,CPT07,
58958,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT07,
58958,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,CPT07,
58958,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,CPT07,
58960,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
58960,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
58960,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
58960,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
58960,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,9,090,,Apr06,J
58970,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
58970,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
58970,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1.5,,000,,,
58970,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,,
58970,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,,
58970,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
58970,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
58974,PEAC,"Accessory, Procedure",SD025,"catheter, intrauterine insemination",item,7.1,1,,000,,,
58974,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
58974,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
58974,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1.5,,000,,,
58974,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,,
58974,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
58974,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
58976,PEAC,"Accessory, Procedure",SD025,"catheter, intrauterine insemination",item,7.1,1,,000,,,
58976,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
58976,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
58976,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1.5,,000,,,
58976,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,,
58976,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
58976,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
58999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
59000,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
59000,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
59000,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
59000,PEAC,"Kit, Pack, Tray",SA059,"tray, amniocentesis",tray,19.423,1,,000,,,
59001,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
59012,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
59015,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
59015,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
59015,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
59020,PEAC,"Accessory, Procedure",SD124,"tourniquet, non-latex 1in x 18in",item,0.226,1,,000,,,
59020,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
59020,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
59020,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,000,,,
59020,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,,
59020,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,000,,,
59020,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,000,,,
59020,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,,000,,,
59020,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,6,,000,,,
59020,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,150,,000,,,
59020,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,000,,,
59025,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
59025,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
59025,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,6,,000,,,
59025,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,150,,000,,,
59030,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Aug03,7
59050,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
59051,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
59070,RUC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,000,,,
59070,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,3,,000,,,
59070,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
59070,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,2,,000,,,
59070,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
59070,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,000,,,
59070,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,,
59070,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,,000,,,
59070,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
59070,RUC,"Pharmacy, NonRx",SJ033,lubricating jelly (Surgilube),oz,0.501,1,,000,,,
59070,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
59070,RUC,"Pharmacy, Rx",SH041,Indigo Carmine soln 0.8% inj (5cc vial uou),item,11.88,1,,000,,,
59070,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,,
59070,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,000,,,
59072,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
59074,RUC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,000,,,
59074,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,3,,000,,,
59074,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
59074,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,2,,000,,,
59074,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,000,,,
59074,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,000,,,
59074,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,,
59074,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,,000,,,
59074,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
59074,RUC,"Pharmacy, NonRx",SJ033,lubricating jelly (Surgilube),oz,0.501,1,,000,,,
59074,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
59074,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,,
59076,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
59100,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
59100,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
59100,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
59100,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
59100,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
59120,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
59120,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
59120,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
59120,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
59120,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
59121,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
59121,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
59121,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
59121,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
59121,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
59130,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
59130,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
59130,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
59130,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
59130,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
59135,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
59135,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
59135,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
59135,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
59135,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
59136,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
59136,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
59136,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
59136,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
59136,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,5,090,,Apr06,J
59140,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,,1.5,090,,Aug03,7
59140,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1.5,090,,Aug03,7
59140,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1.5,090,,Aug03,7
59140,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1.5,090,,Aug03,7
59150,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
59150,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
59150,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
59150,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,8,090,,Apr06,J
59150,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
59151,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
59151,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
59151,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
59151,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,Apr06,J
59160,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,1,0,010,Feb05,Feb05,
59160,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,0,010,Feb05,Feb05,
59160,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Feb05,
59160,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,Feb05,
59160,PEAC,"Accessory, Procedure",SD127,"tube, suction NG (Salem sump)",item,3.218,1,0,010,,Feb05,
59160,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,010,,Feb05,
59160,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,010,,Feb05,
59160,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Feb05,
59160,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,0,010,,Feb05,
59160,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,100,0,010,,Feb05,
59160,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,Feb05,
59200,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
59200,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
59200,PEAC,Infection Control,SM003,autoclave tape,yd,0.092,1,,000,,,
59200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
59200,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
59200,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,50,,000,,,
59200,PEAC,"Pharmacy, Rx",SH045,Laminaria tent,item,3.583,3,,000,,,
59300,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Feb05,
59300,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,0,000,,Feb05,
59300,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,Feb05,
59300,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,Feb05,
59300,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,Feb05,
59300,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,45,0,000,,Feb05,
59300,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,000,,Feb05,
59300,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,15,0,000,,Feb05,
59300,PEAC,"Wound Care, Dressings",SG062,"packing, gauze plain 0.25-0.50in (5 yd uou)",item,4.023,0.4,0,000,,Feb05,
59300,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,0.5,0,000,,Feb05,
59300,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,000,,Feb05,
59300,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,10,0,000,,Feb05,
59300,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,000,,Feb05,
59320,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
59325,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
59350,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
59400,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,14,MMM,,,
59400,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,MMM,,,
59400,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,,13,MMM,,,
59400,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,MMM,,,
59400,PEAC,"Pharmacy, NonRx",SJ054,"test strip, glucose-protein (Chemstrip GP, Uristix)",item,0.257,,13,MMM,,,
59400,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,,650,MMM,,,
59409,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,MMM,,,
59410,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,MMM,,CPT11,MD Time
59410,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,MMM,,CPT11,MD Time
59412,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,MMM,,,
59414,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,MMM,,,
59425,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,,MMM,,,
59425,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,MMM,,,
59425,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,5,,MMM,,,
59425,PEAC,"Pharmacy, NonRx",SJ054,"test strip, glucose-protein (Chemstrip GP, Uristix)",item,0.257,5,,MMM,,,
59425,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,250,,MMM,,,
59426,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,10,,MMM,,,
59426,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,MMM,,,
59426,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,10,,MMM,,,
59426,PEAC,"Pharmacy, NonRx",SJ054,"test strip, glucose-protein (Chemstrip GP, Uristix)",item,0.257,10,,MMM,,,
59426,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,500,,MMM,,,
59430,RUC,"Accessory, Procedure",SD118,"specula, vaginal",item,0.54,2,,MMM,,CPT11,MD Time
59430,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,MMM,,CPT11,MD Time
59430,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,MMM,,CPT11,MD Time
59430,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,,MMM,,CPT11,MD Time
59430,RUC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,2,,MMM,,CPT11,MD Time
59430,RUC,"Pharmacy, NonRx",SJ054,"test strip, glucose-protein (Chemstrip GP, Uristix)",item,0.257,2,,MMM,,CPT11,MD Time
59430,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,100,,MMM,,CPT11,MD Time
59510,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,MMM,,,
59510,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,15,MMM,,CPT11,MD Time
59510,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,MMM,,,
59510,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,MMM,,,
59510,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,,13,MMM,,,
59510,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,MMM,,,
59510,PEAC,"Pharmacy, NonRx",SJ054,"test strip, glucose-protein (Chemstrip GP, Uristix)",item,0.257,,13,MMM,,,
59510,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,,650,MMM,,,
59514,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,MMM,,,
59515,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,MMM,,CPT11,MD Time
59515,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,MMM,,CPT11,MD Time
59525,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
59610,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,14,MMM,,,
59610,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,MMM,,,
59610,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,,13,MMM,,,
59610,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,MMM,,,
59610,PEAC,"Pharmacy, NonRx",SJ054,"test strip, glucose-protein (Chemstrip GP, Uristix)",item,0.257,,13,MMM,,,
59610,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,,650,MMM,,,
59612,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,MMM,,,
59614,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,MMM,,CPT11,MD Time
59618,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,MMM,,CPT11,MD Time
59618,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,15,MMM,,CPT11,MD Time
59618,RUC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,MMM,,CPT11,MD Time
59618,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,MMM,,CPT11,MD Time
59618,RUC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,,12,MMM,,CPT11,MD Time
59618,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,,4,MMM,,CPT11,MD Time
59618,RUC,"Pharmacy, NonRx",SJ054,"test strip, glucose-protein (Chemstrip GP, Uristix)",item,0.257,,12,MMM,,CPT11,MD Time
59618,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,,600,MMM,,CPT11,MD Time
59620,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,MMM,,,
59622,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,MMM,,,
59622,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,MMM,,,
59812,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,50,0,090,,Apr06,J
59812,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,090,,Apr06,J
59812,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,090,,Apr06,J
59812,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,090,,Apr06,J
59812,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,090,,Apr06,J
59812,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Apr06,J
59812,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Apr06,J
59812,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Apr06,J
59812,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,090,,Apr06,J
59812,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Apr06,J
59812,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,090,,Apr06,J
59812,PEAC,"Accessory, Procedure",SD127,"tube, suction NG (Salem sump)",item,3.218,1,0,090,,Apr06,J
59820,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,7
59820,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,1,0,090,,Aug03,7
59820,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,0,090,,Aug03,7
59820,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,3,2,090,,Aug03,7
59820,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,090,,Aug03,7
59820,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Aug03,7
59820,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,7
59820,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Aug03,7
59820,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,3,2,090,,Aug03,7
59820,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Aug03,7
59820,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,50,0,090,,Aug03,7
59820,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,090,,Aug03,7
59820,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,090,,Aug03,7
59821,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Aug03,7
59821,PEAC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,1,0,090,,Aug03,7
59821,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,0,090,,Aug03,7
59821,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,2.5,1.5,090,,Aug03,7
59821,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,090,,Aug03,7
59821,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Aug03,7
59821,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Aug03,7
59821,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2.5,1.5,090,,Aug03,7
59821,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2.5,1.5,090,,Aug03,7
59821,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Aug03,7
59821,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,50,0,090,,Aug03,7
59821,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,090,,Aug03,7
59821,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,090,,Aug03,7
59830,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
59830,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
59830,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,,
59830,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
59840,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
59840,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,,
59840,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
59841,PEAC,"Accessory, Procedure",SD039,"curette, suction, endometrial (Pipelle)",item,4.121,1,,010,,,
59841,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,010,,,
59841,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,1,010,,,
59841,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,010,,,
59841,PEAC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,,010,,,
59841,PEAC,"Hypodermic, IV",SC063,syringe-needle 10ml 26g,item,0.273,1,,010,,,
59841,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
59841,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,2,1,010,,,
59841,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
59841,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,50,,010,,,
59841,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,,010,,,
59850,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,Apr06,J
59850,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,Apr06,J
59850,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
59850,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,Apr06,J
59851,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,2,090,,Apr06,J
59851,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,2,090,,Apr06,J
59851,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
59851,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,Apr06,J
59852,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,3,090,,Apr06,J
59852,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,,Apr06,J
59852,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
59852,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
59852,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,Apr06,J
59855,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,Apr06,J
59855,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,Apr06,J
59855,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
59855,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
59855,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,Apr06,J
59856,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,Apr06,J
59856,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,Apr06,J
59856,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
59856,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,Apr06,J
59857,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,1,090,,Apr06,J
59857,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,Apr06,J
59857,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr06,J
59857,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,Apr06,J
59866,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
59870,PERC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,,4,090,,Apr06,J
59870,PERC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,4,090,,Apr06,J
59870,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
59870,PERC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,4,090,,Apr06,J
59870,PERC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,Apr06,J
59871,CMS WALK: BOTH SITES,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,000,15851,,
59871,CMS WALK: BOTH SITES,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,15851,,
59871,CMS WALK: BOTH SITES,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,000,15851,,
59871,CMS WALK: BOTH SITES,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,15851,,
59871,CMS WALK: BOTH SITES,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,15851,,
59871,CMS WALK: BOTH SITES,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,15851,,
59871,CMS WALK: BOTH SITES,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,15851,,
59871,CMS WALK: BOTH SITES,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,000,15851,,
59871,CMS WALK: BOTH SITES,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,15851,,
59871,CMS WALK: BOTH SITES,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,15851,,
59871,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,000,15851,,
59871,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,,000,15851,,
59871,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,15851,,
59871,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,000,15851,,
59871,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,15851,,
59871,CMS WALK: BOTH SITES,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,15851,,
59871,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,000,15851,,
59871,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,6,,000,15851,,
59871,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,15851,,
59897,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
59898,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
59899,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
60000,CPEP,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
60000,CPEP,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,,010,,,
60000,CPEP,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,1,010,,,
60000,CPEP,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,,010,,,
60000,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,2,010,,,
60000,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,1,010,,,
60000,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,1,1,010,,,
60000,CPEP,"Gown, Drape",SB037,pillow case,item,0.307,1,1,010,,,
60000,CPEP,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
60000,CPEP,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,010,,,
60000,CPEP,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,2,1,010,,,
60000,CPEP,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,1,010,,,
60000,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,60,60,010,,,
60000,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,20,,010,,,
60000,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,2,010,,,
60000,CPEP,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,1,1,010,,,
60000,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,1,010,,,
60000,CPEP,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,3,,010,,,
60000,CPEP,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,2,2,010,,,
60000,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,4,4,010,,,
60000,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,,010,,,
60000,CPEP,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,2,2,010,,,
60000,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,3,010,,,
60000,CPEP,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,,010,,,
60000,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,1,010,,,
60000,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,3,,010,,,
60100,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
60100,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
60100,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
60100,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
60100,PEAC,"Hypodermic, IV",SC025,"needle, 14-20g, biopsy",item,8.375,1,,000,,,
60100,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,000,,,
60100,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
60100,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,000,,,
60200,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60200,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60200,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60200,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
60200,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60200,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60200,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60200,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60210,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60210,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60210,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60210,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
60210,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60210,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60210,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60210,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60212,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60212,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60212,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60212,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
60212,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60212,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60212,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60212,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60220,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60220,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60220,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60220,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
60220,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60220,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60220,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60220,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60225,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60225,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60225,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60225,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
60225,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60225,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60225,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60225,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60240,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60240,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60240,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60240,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
60240,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60240,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60240,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60240,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60252,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60252,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60252,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60252,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
60252,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60252,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60252,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60252,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60254,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60254,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60254,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60254,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
60254,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60254,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60254,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60254,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60260,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60260,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60260,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60260,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
60260,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60260,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60260,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60260,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60270,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60270,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60270,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60270,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
60270,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60270,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60270,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60270,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60271,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60271,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60271,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60271,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
60271,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60271,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60271,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60271,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60280,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60280,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60280,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60280,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
60280,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60280,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60280,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60280,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60281,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60281,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60281,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60281,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
60281,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60281,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60281,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60281,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60300,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT08,rn
60300,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,CPT08,rn
60300,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,0,000,,CPT08,rn
60300,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,CPT08,rn
60300,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,000,,CPT08,rn
60300,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,CPT08,rn
60300,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,CPT08,rn
60300,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,000,,CPT08,rn
60300,PEAC,"Kit, Pack, Tray",SA046,"pack, drapes, laparotomy (chest-abdomen)",pack,26.118,1,0,000,,CPT08,rn
60300,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,000,,CPT08,rn
60300,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,000,,CPT08,rn
60300,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,CPT08,rn
60300,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,4,0,000,,CPT08,rn
60300,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,CPT08,rn
60500,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60500,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60500,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60500,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
60500,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60500,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60500,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60500,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60502,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60502,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60502,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60502,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
60502,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60502,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60502,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60505,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60505,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60505,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60505,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,Apr06,J
60505,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60505,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60505,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60505,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60512,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
60520,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60520,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60520,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60520,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
60520,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60520,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60520,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60520,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60521,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60521,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60521,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60521,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
60521,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60521,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60521,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60521,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60522,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60522,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60522,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60522,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
60522,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60522,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60522,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60522,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60540,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60540,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60540,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60540,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
60540,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60540,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60540,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60540,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60545,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60545,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60545,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
60545,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
60545,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60545,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60545,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60545,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60600,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,1,090,,,
60600,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,,
60600,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
60600,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
60600,CPEP,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,1,090,,,
60600,CPEP,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,1,090,,,
60600,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,20,090,,,
60600,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,180,090,,,
60605,CPEP,"Accessory, Procedure",SD070,endosheath,item,9.5,,4,090,,,
60605,PERC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Apr06,J
60605,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
60605,CPEP,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,,
60605,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
60605,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,8,090,,,
60605,CPEP,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,3,090,,,
60605,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,,4,090,,,
60605,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,32,090,,,
60605,CPEP,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,8,090,,,
60605,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,,
60605,CPEP,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,,,
60650,CMS,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,50546,,
60650,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
60659,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
60699,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
61000,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
61001,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
61020,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
61026,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
61050,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
61055,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
61070,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
61105,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,,
61105,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
61107,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
61108,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61108,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
61120,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
61120,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
61140,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61140,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
61150,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
61150,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
61151,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
61151,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
61154,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61154,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
61156,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
61156,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
61210,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
61215,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
61215,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
61250,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
61250,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
61253,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
61253,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
61304,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
61304,PEAC,"Kit, Pack, Tray",SA055,"pack, post-op incision care, craniotomy",pack,7.3,,1,090,,,
61305,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61305,PEAC,"Kit, Pack, Tray",SA055,"pack, post-op incision care, craniotomy",pack,7.3,,1,090,,,
61312,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
61312,PEAC,"Kit, Pack, Tray",SA055,"pack, post-op incision care, craniotomy",pack,7.3,,1,090,,,
61313,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61313,PEAC,"Kit, Pack, Tray",SA055,"pack, post-op incision care, craniotomy",pack,7.3,,1,090,,,
61314,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61314,PEAC,"Kit, Pack, Tray",SA055,"pack, post-op incision care, craniotomy",pack,7.3,,1,090,,,
61315,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61315,PEAC,"Kit, Pack, Tray",SA055,"pack, post-op incision care, craniotomy",pack,7.3,,1,090,,,
61316,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
61320,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
61320,PEAC,"Kit, Pack, Tray",SA055,"pack, post-op incision care, craniotomy",pack,7.3,,1,090,,,
61321,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61321,PEAC,"Kit, Pack, Tray",SA055,"pack, post-op incision care, craniotomy",pack,7.3,,1,090,,,
61322,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
61323,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61330,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61330,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
61332,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
61332,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
61333,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
61333,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
61334,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
61334,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
61340,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
61340,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
61343,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61343,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61343,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61345,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61345,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61345,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61440,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61440,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61440,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61450,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61450,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61450,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61458,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61458,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61458,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61460,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61460,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61460,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61470,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61470,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61470,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61480,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61480,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61480,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61490,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61490,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61490,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61500,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61500,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61500,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61501,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61501,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61501,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61510,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61510,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
61510,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61512,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61512,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61512,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61514,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61514,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61514,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61516,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61516,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61516,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61517,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
61518,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61518,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
61518,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61519,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61519,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61519,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61520,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61520,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
61520,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61521,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61521,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61521,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61522,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61522,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61522,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61524,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61524,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61524,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61526,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61526,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61526,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61530,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61530,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61530,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61531,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61531,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61531,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61533,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61533,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61533,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61534,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61534,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61534,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61535,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61535,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61535,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61536,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61536,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61536,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61537,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
61537,RUC,"Kit, Pack, Tray",SA055,"pack, post-op incision care, craniotomy",pack,7.3,,1,090,,,
61538,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61538,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61538,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61539,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61539,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61539,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61540,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61540,RUC,"Kit, Pack, Tray",SA055,"pack, post-op incision care, craniotomy",pack,7.3,,1,090,,,
61541,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61541,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61541,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61542,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61542,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61542,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61543,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61543,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61543,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61544,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61544,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61544,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61545,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61545,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
61545,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61546,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61546,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61546,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61548,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61548,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61548,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61550,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61550,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61550,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61552,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61552,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61552,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61556,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61556,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61556,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61557,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61557,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61557,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61558,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61558,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61558,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61559,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61559,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
61559,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61563,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61563,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61563,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61564,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61564,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61564,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61566,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61566,RUC,"Kit, Pack, Tray",SA055,"pack, post-op incision care, craniotomy",pack,7.3,,1,090,,,
61567,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61567,RUC,"Kit, Pack, Tray",SA055,"pack, post-op incision care, craniotomy",pack,7.3,,1,090,,,
61570,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61570,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61570,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61571,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61571,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61571,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61575,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61575,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61575,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61576,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
61576,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
61576,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Jan04,21
61576,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Jan04,21
61576,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Jan04,21
61576,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,Jan04,21
61576,PEAC,"Kit, Pack, Tray",SA035,"kit, tracheostomy care",kit,2.085,,2,090,,Jan04,21
61576,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Jan04,21
61576,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Jan04,21
61576,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
61576,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Jan04,21
61576,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,Jan04,21
61576,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Jan04,21
61576,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,Jan04,21
61576,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
61576,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,8,090,,Jan04,21
61576,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,2,090,,Jan04,21
61576,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Jan04,21
61576,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,Jan04,21
61576,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,12,090,,Jan04,21
61576,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,8,090,,Jan04,21
61580,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,,
61580,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,5,090,,,
61580,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,5,090,,,
61580,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61580,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,,
61580,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,5,090,,,
61580,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,5,090,,,
61580,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,10,090,,,
61580,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,,5,090,,,
61580,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,,10,090,,,
61580,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61580,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61580,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
61580,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,,5,090,,,
61580,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,25,090,,,
61580,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,,
61580,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,,
61580,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,5,090,,,
61580,PEAC,"Pharmacy, NonRx",SJ040,phenylephrine 1% nasal spray (NeoSynephrine),ml,0.333,,5,090,,,
61580,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61580,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,25,090,,,
61580,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61580,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61580,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,5,090,,,
61580,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,,5,090,,,
61580,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2.5,090,,,
61580,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61580,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,20,090,,,
61580,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61580,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61580,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,20,090,,,
61580,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61580,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,5,090,,,
61580,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61580,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61580,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61581,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,6,090,,,
61581,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,6,090,,,
61581,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,6,090,,,
61581,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61581,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,,
61581,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,6,090,,,
61581,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,6,090,,,
61581,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,12,090,,,
61581,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,,6,090,,,
61581,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,,12,090,,,
61581,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61581,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61581,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,6,090,,,
61581,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,,6,090,,,
61581,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,30,090,,,
61581,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,6,090,,,
61581,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
61581,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,6,090,,,
61581,PEAC,"Pharmacy, NonRx",SJ040,phenylephrine 1% nasal spray (NeoSynephrine),ml,0.333,,6,090,,,
61581,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61581,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,30,090,,,
61581,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61581,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61581,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,6,090,,,
61581,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,,6,090,,,
61581,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,3,090,,,
61581,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61581,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,24,090,,,
61581,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61581,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61581,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,24,090,,,
61581,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61581,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,6,090,,,
61581,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61581,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61581,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61582,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,,
61582,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,5,090,,,
61582,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,5,090,,,
61582,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61582,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,,
61582,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,5,090,,,
61582,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,5,090,,,
61582,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,10,090,,,
61582,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,,5,090,,,
61582,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,,10,090,,,
61582,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61582,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61582,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
61582,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,,5,090,,,
61582,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,25,090,,,
61582,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,,
61582,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,,
61582,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,5,090,,,
61582,PEAC,"Pharmacy, NonRx",SJ040,phenylephrine 1% nasal spray (NeoSynephrine),ml,0.333,,5,090,,,
61582,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61582,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,25,090,,,
61582,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61582,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61582,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,5,090,,,
61582,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,,5,090,,,
61582,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2.5,090,,,
61582,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61582,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,20,090,,,
61582,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61582,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61582,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,20,090,,,
61582,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61582,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,5,090,,,
61582,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61582,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61582,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61583,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,,
61583,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,3,090,,,
61583,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3,090,,,
61583,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61583,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,,
61583,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,3,090,,,
61583,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,,
61583,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,6,090,,,
61583,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,,3,090,,,
61583,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,,6,090,,,
61583,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61583,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61583,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61583,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,,3,090,,,
61583,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,,
61583,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,,
61583,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
61583,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,,
61583,PEAC,"Pharmacy, NonRx",SJ040,phenylephrine 1% nasal spray (NeoSynephrine),ml,0.333,,3,090,,,
61583,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61583,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,,
61583,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61583,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61583,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,,
61583,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,,3,090,,,
61583,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,1.5,090,,,
61583,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61583,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,12,090,,,
61583,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61583,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61583,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,12,090,,,
61583,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61583,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,3,090,,,
61583,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61583,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61583,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61584,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,,
61584,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,3,090,,,
61584,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3,090,,,
61584,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61584,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,,
61584,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,3,090,,,
61584,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,,
61584,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,6,090,,,
61584,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,,3,090,,,
61584,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,,6,090,,,
61584,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61584,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61584,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61584,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,,3,090,,,
61584,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,,
61584,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,,
61584,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
61584,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,,
61584,PEAC,"Pharmacy, NonRx",SJ040,phenylephrine 1% nasal spray (NeoSynephrine),ml,0.333,,3,090,,,
61584,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61584,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,,
61584,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61584,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61584,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,,
61584,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,,3,090,,,
61584,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,1.5,090,,,
61584,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61584,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,12,090,,,
61584,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61584,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61584,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,12,090,,,
61584,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61584,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,3,090,,,
61584,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61584,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61584,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61585,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,,
61585,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,3,090,,,
61585,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3,090,,,
61585,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61585,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,,
61585,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,3,090,,,
61585,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,,
61585,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,6,090,,,
61585,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,,3,090,,,
61585,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,,6,090,,,
61585,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61585,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61585,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61585,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,,3,090,,,
61585,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,,
61585,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,,
61585,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
61585,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,3,090,,,
61585,PEAC,"Pharmacy, NonRx",SJ040,phenylephrine 1% nasal spray (NeoSynephrine),ml,0.333,,3,090,,,
61585,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61585,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,,
61585,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61585,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61585,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,,
61585,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,,3,090,,,
61585,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,1.5,090,,,
61585,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61585,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,12,090,,,
61585,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61585,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61585,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,12,090,,,
61585,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61585,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,3,090,,,
61585,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61585,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61585,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61586,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,,
61586,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,4,090,,,
61586,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,4,090,,,
61586,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61586,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,
61586,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,4,090,,,
61586,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,,
61586,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,8,090,,,
61586,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,,4,090,,,
61586,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,,8,090,,,
61586,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61586,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61586,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
61586,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,,4,090,,,
61586,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,,
61586,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,,
61586,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
61586,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,,4,090,,,
61586,PEAC,"Pharmacy, NonRx",SJ040,phenylephrine 1% nasal spray (NeoSynephrine),ml,0.333,,4,090,,,
61586,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61586,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,,
61586,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61586,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61586,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,,
61586,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,,4,090,,,
61586,PEAC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,,2,090,,,
61586,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61586,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,16,090,,,
61586,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61586,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61586,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,16,090,,,
61586,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61586,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,4,090,,,
61586,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61586,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61586,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61590,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,,
61590,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,5,090,,,
61590,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,5,090,,,
61590,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61590,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,,
61590,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,5,090,,,
61590,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,5,090,,,
61590,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61590,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61590,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
61590,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,25,090,,,
61590,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,,
61590,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,,
61590,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61590,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,25,090,,,
61590,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61590,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61590,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,5,090,,,
61590,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61590,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,20,090,,,
61590,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61590,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61590,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,20,090,,,
61590,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61590,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,5,090,,,
61590,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61590,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61590,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61591,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,,
61591,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,5,090,,,
61591,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,5,090,,,
61591,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61591,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,,
61591,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,5,090,,,
61591,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,5,090,,,
61591,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61591,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61591,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
61591,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,25,090,,,
61591,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,,
61591,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,,
61591,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61591,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,25,090,,,
61591,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61591,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61591,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,5,090,,,
61591,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61591,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,20,090,,,
61591,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61591,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61591,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,20,090,,,
61591,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61591,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,5,090,,,
61591,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61591,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61591,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61592,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,,
61592,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,4,090,,,
61592,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,4,090,,,
61592,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61592,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,
61592,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,4,090,,,
61592,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,,
61592,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61592,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61592,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
61592,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,,
61592,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,,
61592,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
61592,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61592,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,,
61592,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61592,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61592,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,,
61592,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61592,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,16,090,,,
61592,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61592,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61592,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,16,090,,,
61592,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61592,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,4,090,,,
61592,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61592,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61592,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61595,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,,
61595,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,5,090,,,
61595,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,5,090,,,
61595,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61595,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,,
61595,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,5,090,,,
61595,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,5,090,,,
61595,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61595,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61595,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
61595,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,25,090,,,
61595,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,,
61595,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,,
61595,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61595,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,25,090,,,
61595,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61595,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61595,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,5,090,,,
61595,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61595,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,20,090,,,
61595,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61595,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61595,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,20,090,,,
61595,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61595,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,5,090,,,
61595,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61595,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61595,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61596,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,,
61596,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,4,090,,,
61596,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,4,090,,,
61596,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61596,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,
61596,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,4,090,,,
61596,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,,
61596,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61596,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61596,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
61596,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,,
61596,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,,
61596,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
61596,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61596,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,,
61596,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61596,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61596,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,,
61596,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61596,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,16,090,,,
61596,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61596,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61596,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,16,090,,,
61596,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61596,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,4,090,,,
61596,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61596,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61596,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61597,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,,
61597,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,3,090,,,
61597,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3,090,,,
61597,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61597,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,,
61597,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,3,090,,,
61597,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,,
61597,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61597,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61597,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61597,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,,
61597,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,,
61597,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
61597,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61597,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,,
61597,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61597,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61597,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,,
61597,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61597,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,12,090,,,
61597,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61597,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61597,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,12,090,,,
61597,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61597,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,3,090,,,
61597,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61597,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61597,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61598,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,,
61598,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,4,090,,,
61598,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,4,090,,,
61598,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61598,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,
61598,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,4,090,,,
61598,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,,
61598,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61598,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61598,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
61598,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,,
61598,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,,
61598,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
61598,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61598,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,,
61598,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61598,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61598,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,,
61598,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61598,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,16,090,,,
61598,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61598,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61598,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,16,090,,,
61598,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61598,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,4,090,,,
61598,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61598,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61598,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61600,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,,
61600,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,5,090,,,
61600,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,5,090,,,
61600,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61600,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,,
61600,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,5,090,,,
61600,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,5,090,,,
61600,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61600,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
61600,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,25,090,,,
61600,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,,
61600,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,,
61600,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61600,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,25,090,,,
61600,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61600,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61600,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,5,090,,,
61600,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61600,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,20,090,,,
61600,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61600,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61600,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,20,090,,,
61600,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61600,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,5,090,,,
61600,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61600,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61600,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61601,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,,
61601,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,4,090,,,
61601,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,4,090,,,
61601,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61601,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,
61601,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,4,090,,,
61601,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,,
61601,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61601,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61601,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
61601,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,,
61601,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,,
61601,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
61601,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61601,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,,
61601,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61601,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61601,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,,
61601,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61601,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,16,090,,,
61601,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61601,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61601,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,16,090,,,
61601,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61601,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,4,090,,,
61601,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61601,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61601,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61605,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,,
61605,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,5,090,,,
61605,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,5,090,,,
61605,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61605,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,,
61605,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,5,090,,,
61605,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,5,090,,,
61605,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61605,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61605,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,5,090,,,
61605,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,25,090,,,
61605,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,,
61605,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,,
61605,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61605,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,25,090,,,
61605,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61605,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61605,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,5,090,,,
61605,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61605,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,20,090,,,
61605,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61605,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61605,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,20,090,,,
61605,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61605,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,5,090,,,
61605,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61605,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61605,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61606,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,,
61606,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,3,090,,,
61606,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3,090,,,
61606,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61606,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,,
61606,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,3,090,,,
61606,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,,
61606,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61606,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61606,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61606,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,,
61606,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,,
61606,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
61606,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61606,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,,
61606,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61606,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61606,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,,
61606,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61606,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,12,090,,,
61606,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61606,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61606,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,12,090,,,
61606,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61606,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,3,090,,,
61606,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61606,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61606,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61607,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,,
61607,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,3,090,,,
61607,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3,090,,,
61607,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61607,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,,
61607,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,3,090,,,
61607,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,,
61607,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61607,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61607,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61607,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,,
61607,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,,
61607,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
61607,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61607,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,,
61607,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61607,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61607,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,,
61607,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61607,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,12,090,,,
61607,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61607,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61607,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,12,090,,,
61607,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61607,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,3,090,,,
61607,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61607,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61607,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61608,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,,
61608,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,3,090,,,
61608,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3,090,,,
61608,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61608,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,,
61608,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,3,090,,,
61608,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,,
61608,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61608,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61608,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61608,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,,
61608,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,,
61608,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
61608,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61608,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,,
61608,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61608,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61608,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,,
61608,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61608,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,12,090,,,
61608,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61608,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61608,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,12,090,,,
61608,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61608,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,3,090,,,
61608,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61608,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61608,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61609,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
61610,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
61611,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
61612,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
61613,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,,
61613,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,3,090,,,
61613,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,3,090,,,
61613,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61613,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,3,090,,,
61613,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,3,090,,,
61613,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,,
61613,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61613,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61613,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61613,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,,
61613,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,,
61613,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
61613,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61613,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,,
61613,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61613,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61613,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,,
61613,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61613,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,12,090,,,
61613,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61613,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61613,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,12,090,,,
61613,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61613,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,3,090,,,
61613,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61613,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61613,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61615,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,,
61615,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,4,090,,,
61615,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,4,090,,,
61615,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61615,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,
61615,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,4,090,,,
61615,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,,
61615,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61615,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61615,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
61615,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,,
61615,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,,
61615,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
61615,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61615,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,,
61615,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61615,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61615,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,,
61615,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61615,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,16,090,,,
61615,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61615,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61615,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,16,090,,,
61615,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61615,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,4,090,,,
61615,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61615,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61615,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61616,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,,
61616,PEAC,"Accessory, Procedure",SD010,"canister, vacuum",item,5.456,,4,090,,,
61616,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,,4,090,,,
61616,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,,
61616,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,,
61616,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,,4,090,,,
61616,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,,
61616,PEAC,"Kit, Pack, Tray",SA030,"kit, staple removal",kit,1.203,,1,090,,,
61616,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,,,
61616,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
61616,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,,
61616,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,,
61616,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,,
61616,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,20,090,,,
61616,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,,
61616,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,,2,090,,,
61616,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,,
61616,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,,
61616,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,,1,090,,,
61616,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,,16,090,,,
61616,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,,
61616,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,1,090,,,
61616,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,16,090,,,
61616,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,,
61616,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,4,090,,,
61616,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,,
61616,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,2,090,,,
61616,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
61618,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61618,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61618,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61619,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61619,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61619,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61623,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
61624,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
61626,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
61630,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,88170,RUC05,
61635,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,88170,RUC05,
61640,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,RUC05,
61641,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
61642,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
61680,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61680,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61680,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61682,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61682,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61682,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61684,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61684,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61684,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61686,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61686,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61686,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61690,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61690,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61690,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61692,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61692,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61692,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61697,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
61697,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61697,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61698,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
61698,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61698,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61700,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61700,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61700,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61702,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61702,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61702,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61703,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61703,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61703,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61705,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61705,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61705,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61708,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61708,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61708,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61710,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61710,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61710,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61711,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61711,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61711,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61720,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61720,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61720,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61735,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61735,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61735,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61750,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61750,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61750,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61751,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61751,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61751,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61760,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61760,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
61760,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61770,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61770,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61770,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61790,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61790,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61790,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61791,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61791,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61791,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61796,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT09,17
61797,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,CPT09,17
61798,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT09,17
61799,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,CPT09,17
61800,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,ZZZ,,CPT09,17
61850,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61850,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61850,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61860,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61860,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61860,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61863,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61863,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
61864,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
61867,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
61867,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
61868,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
61870,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61870,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61870,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61875,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61875,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61875,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61880,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
61880,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
61880,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61885,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
61885,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,2,090,,CPT11,32
61885,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,0,1,090,,CPT11,32
61886,CMS,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,61885,,
61886,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
61886,CMS,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,61885,,
61888,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,010,,Feb05,
61888,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,Feb05,
62000,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62000,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62000,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62005,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62005,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62005,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62010,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62010,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
62010,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62100,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62100,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
62100,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62115,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62115,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
62115,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62116,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62116,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
62116,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62117,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62117,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
62117,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62120,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
62120,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
62120,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
62120,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,4,090,,Jan04,21
62120,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
62120,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Jan04,21
62120,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Jan04,21
62120,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
62120,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
62120,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Jan04,21
62120,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
62120,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
62120,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
62120,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
62120,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
62120,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
62120,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
62120,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
62120,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
62120,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
62120,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,16,090,,Jan04,21
62120,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
62120,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
62120,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
62120,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
62121,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Jan04,21
62121,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Jan04,21
62121,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,2,090,,Jan04,21
62121,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Jan04,21
62121,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,2,090,,Jan04,21
62121,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Jan04,21
62121,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Jan04,21
62121,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,Jan04,21
62121,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,2,090,,Jan04,21
62121,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Jan04,21
62121,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
62121,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Jan04,21
62121,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,Jan04,21
62121,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Jan04,21
62121,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,10,090,,Jan04,21
62121,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
62121,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,2,090,,Jan04,21
62121,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
62121,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
62121,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
62121,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Jan04,21
62121,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
62121,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,Jan04,21
62121,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
62121,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,8,090,,Jan04,21
62140,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62140,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62140,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62141,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62141,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62141,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62142,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62142,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62142,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62143,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62143,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62143,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62145,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62145,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62145,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62146,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62146,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62146,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62147,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62147,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62147,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62148,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
62160,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
62161,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
62161,RUC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
62162,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
62162,RUC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
62163,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
62163,RUC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
62164,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
62164,RUC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
62165,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
62165,RUC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
62180,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62180,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62180,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62190,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62190,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62190,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62192,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62192,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62192,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62194,PEAC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,010,,Feb05,
62194,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,010,,Feb05,
62200,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62200,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62200,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62201,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62201,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
62201,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62220,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62220,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62220,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62223,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62223,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
62223,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62225,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62225,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62225,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62230,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62230,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62230,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62252,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
62256,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62256,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62256,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62258,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62258,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62258,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62263,PEAC,"Accessory, Procedure",SD028,"catheter, Racz (Tun-L-Kath)",item,62.275,1,,010,,,
62263,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,010,,,
62263,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,010,,,
62263,PEAC,"Hypodermic, IV",SC027,"needle, 18-19g, filter",item,0.37,3,,010,,,
62263,PEAC,"Hypodermic, IV",SC038,"needle, epidural (RK)",item,10,1,,010,,,
62263,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,6,,010,,,
62263,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,3,,010,,,
62263,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
62263,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,010,,Feb08,cs
62263,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,010,,,
62263,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,010,,,
62264,RUC,"Accessory, Procedure",SD028,"catheter, Racz (Tun-L-Kath)",item,62.275,1,,010,,,
62264,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,,010,,,
62264,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,010,,,
62264,RUC,"Hypodermic, IV",SC027,"needle, 18-19g, filter",item,0.37,1,,010,,,
62264,RUC,"Hypodermic, IV",SC038,"needle, epidural (RK)",item,10,1,,010,,,
62264,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,010,,,
62264,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,010,,,
62264,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
62264,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,010,,,cs
62264,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,010,,,
62267,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT09,18
62267,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,CPT09,18
62267,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,CPT09,18
62267,RUC,"Hypodermic, IV",SC035,"needle, Chiba",item,8.477,1,,000,,CPT09,18
62267,RUC,Lab,SL033,culture swab system (Culturette),item,0.865,1,,000,,CPT09,18
62267,RUC,Lab,,"tube, anerobic culture",item,,1,,000,,CPT09,18
62268,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,0,,000,,CPT11,Letter
62268,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,0,,000,,CPT11,Letter
62268,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,0,,000,,CPT11,Letter
62268,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,,000,,CPT11,Letter
62269,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,0,,000,,CPT11,Letter
62269,RUC,"Hypodermic, IV",SC025,"needle, 14-20g, biopsy",item,8.375,0,,000,,CPT11,Letter
62269,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,0,,000,,CPT11,Letter
62269,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,,000,,CPT11,Letter
62270,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
62270,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
62270,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
62270,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
62270,PEAC,"Hypodermic, IV",SC048,spinal manometer,item,26.325,1,,000,,,
62270,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,000,,,
62270,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
62270,PEAC,"Kit, Pack, Tray",SA065,"tray, lumbar puncture",tray,18.552,1,,000,,,
62270,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
62272,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
62272,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
62272,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
62272,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
62272,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,000,,,
62272,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,000,,,
62272,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
62272,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
62272,PEAC,"Hypodermic, IV",SC048,spinal manometer,item,26.325,1,,000,,,
62272,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,000,,,
62272,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
62272,PEAC,"Kit, Pack, Tray",SA068,"tray, spinal anesthesia",tray,21.832,1,,000,,,
62272,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
62272,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,,
62272,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,000,,,
62273,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,,
62273,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
62273,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
62273,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
62273,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,000,,,
62273,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,000,,,
62273,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
62273,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
62273,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,5,,000,,,
62273,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,000,,,
62273,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
62273,PEAC,"Kit, Pack, Tray",SA065,"tray, lumbar puncture",tray,18.552,1,,000,,,
62273,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,000,,,
62273,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,,,
62273,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,000,,,
62280,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,Jan04,5
62280,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Jan04,5
62280,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Jan04,5
62280,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,Jan04,5
62280,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,010,,Jan04,5
62280,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,010,,Jan04,5
62280,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,010,,Jan04,5
62280,PEAC,"Kit, Pack, Tray",SA068,"tray, spinal anesthesia",tray,21.832,1,0,010,,Jan04,5
62280,PEAC,"Pharmacy, Rx",SH055,phenol 1000ppm,ml,0.059,10,0,010,,Jan04,5
62281,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,Jan04,5
62281,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Jan04,5
62281,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Jan04,5
62281,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,Jan04,5
62281,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,010,,Jan04,5
62281,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,010,,Jan04,5
62281,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Jan04,5
62281,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,010,,Jan04,5
62281,PEAC,"Kit, Pack, Tray",SA064,"tray, epidural",tray,23.829,1,0,010,,Jan04,5
62281,PEAC,"Pharmacy, Rx",SH055,phenol 1000ppm,ml,0.059,10,0,010,,Jan04,5
62281,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,010,,Jan04,5
62282,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,Jan04,5
62282,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,Jan04,5
62282,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Jan04,5
62282,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,Jan04,5
62282,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,010,,Jan04,5
62282,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,010,,Jan04,5
62282,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,Jan04,5
62282,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,010,,Jan04,5
62282,PEAC,"Kit, Pack, Tray",SA064,"tray, epidural",tray,23.829,1,0,010,,Jan04,5
62282,PEAC,"Pharmacy, Rx",SH055,phenol 1000ppm,ml,0.059,10,0,010,,Jan04,5
62282,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,010,,Jan04,5
62284,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
62284,PEAC,"Hypodermic, IV",SC042,"needle, spine, Sprotte",item,8.6,1,,000,,,
62284,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
62284,PEAC,"Kit, Pack, Tray",SA066,"tray, myelogram",tray,23.869,1,,000,,,
62287,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
62287,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
62287,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
62290,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,,
62290,PEAC,"Hypodermic, IV",SC035,"needle, Chiba",item,8.477,1,,000,,,
62290,PEAC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,,000,,,
62290,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
62290,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
62291,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,,
62291,PEAC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,,000,,,
62291,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
62291,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
62292,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62294,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
62310,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,Jan04,5
62310,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Jan04,5
62310,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,Jan04,5
62310,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,Jan04,5
62310,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,5
62310,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Jan04,5
62310,PEAC,"Kit, Pack, Tray",SA064,"tray, epidural",tray,23.829,1,0,000,,Jan04,5
62311,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,Jan04,5
62311,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Jan04,5
62311,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Jan04,5
62311,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,Jan04,5
62311,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,Jan04,5
62311,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,5
62311,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Jan04,5
62311,PEAC,"Kit, Pack, Tray",SA064,"tray, epidural",tray,23.829,1,0,000,,Jan04,5
62318,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,Jan04,5
62318,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Jan04,5
62318,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,Jan04,5
62318,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,Jan04,5
62318,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,5
62318,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Jan04,5
62318,PEAC,"Kit, Pack, Tray",SA064,"tray, epidural",tray,23.829,1,0,000,,Jan04,5
62319,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,Jan04,5
62319,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Jan04,5
62319,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Jan04,5
62319,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,Jan04,5
62319,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,Jan04,5
62319,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,000,,Jan04,5
62319,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Jan04,5
62319,PEAC,"Kit, Pack, Tray",SA064,"tray, epidural",tray,23.829,1,0,000,,Jan04,5
62350,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,63780,,
62350,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr08,ss
62350,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,63780,,
62351,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,63750,,
62351,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
62351,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,63750,,
62355,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,61888,,
62355,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Feb08,ss
62355,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,61888,,
62360,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,63780,,
62360,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr08,ss
62360,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,63780,,
62361,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,63750,,
62361,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Feb08,ss
62361,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,63750,,
62362,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,63780,,
62362,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Feb08,ss
62362,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,63780,,
62365,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Apr08,ss
62365,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
62367,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Mar03,17
62368,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Mar03,17
63001,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
63001,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63003,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,,
63003,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63005,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63005,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63011,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63011,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63012,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63012,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63015,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63015,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63016,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63016,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63017,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63017,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63020,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63020,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63030,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63030,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63035,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
63040,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63040,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63042,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63042,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63043,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
63044,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
63045,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63045,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63046,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63046,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63047,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63047,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63048,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
63050,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63050,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
63051,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63051,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,,
63055,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63055,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63056,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63056,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63057,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
63064,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63064,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63066,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
63075,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63075,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63076,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
63077,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63077,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63078,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
63081,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63081,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63082,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
63085,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63085,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63086,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
63087,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63087,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63088,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
63090,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,,
63090,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
63091,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
63101,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
63101,RUC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
63102,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
63102,RUC,"Kit, Pack, Tray",SA056,"pack, post-op incision care, neurosurgical",pack,6.203,,1,090,,,
63103,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
63170,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63170,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63172,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63172,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
63173,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63173,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63180,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63180,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63182,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63182,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63185,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63185,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63190,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63190,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63191,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63191,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63194,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63194,NPRM,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,2,090,,,
63195,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63195,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
63196,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63196,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63197,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63197,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63198,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63198,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63199,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63199,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63200,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63200,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63200,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63250,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63250,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63250,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63251,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63251,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63251,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63252,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63252,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63252,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63265,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63265,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63265,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63266,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63266,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63266,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63267,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63267,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63267,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63268,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63268,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63268,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63270,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63270,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63270,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63271,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63271,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63271,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63272,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63272,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63272,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63273,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63273,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63273,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63275,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63275,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63275,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63276,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63276,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63276,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63277,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63277,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63277,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63278,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63278,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63278,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63280,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63280,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63280,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63281,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63281,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63281,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63282,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63282,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63282,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63283,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63283,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63283,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63285,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63285,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63285,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63286,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63286,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63286,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63287,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63287,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63287,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63290,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63290,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63290,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63295,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
63300,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63300,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63300,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63301,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63301,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63301,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63302,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63302,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63302,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63303,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63303,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63303,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63304,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63304,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63304,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63305,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63305,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63305,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63306,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63306,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63306,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63307,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63307,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63307,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63308,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
63600,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
63610,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,0,,000,,CPT11,Letter
63610,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,0,,000,,CPT11,Letter
63610,RUC,"Kit, Pack, Tray",SA022,"kit, percutaneous neuro test stimulation",kit,305,0,,000,,CPT11,Letter
63610,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,0,,000,,CPT11,Letter
63610,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,,000,,CPT11,Letter
63615,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
63620,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,CPT09,17
63621,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,CPT09,17
63650,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63650,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Feb08,ss
63650,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63655,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,33
63655,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,33
63660,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63660,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
63660,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63661,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,CPT10,33
63661,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,CPT10,33
63661,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,CPT10,33
63661,RUC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,CPT10,33
63661,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,CPT10,33
63661,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,CPT10,33
63661,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,CPT10,33
63661,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,CPT10,33
63661,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,CPT10,33
63661,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,010,,CPT10,33
63661,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,CPT10,33
63661,RUC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,010,,CPT10,33
63661,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,CPT10,33
63661,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,010,,CPT10,33
63661,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,010,,CPT10,33
63662,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,33
63662,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,33
63663,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,CPT10,33
63663,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,CPT10,33
63663,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,CPT10,33
63663,RUC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,CPT10,33
63663,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,CPT10,33
63663,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,CPT10,33
63663,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,CPT10,33
63663,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,CPT10,33
63663,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,CPT10,33
63663,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,010,,CPT10,33
63663,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,010,,CPT10,33
63663,RUC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,010,,CPT10,33
63663,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,010,,CPT10,33
63663,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,010,,CPT10,33
63663,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,010,,CPT10,33
63664,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT10,33
63664,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,CPT10,33
63685,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63685,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Feb08,ss
63685,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63688,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63688,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,Feb08,ss
63688,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63700,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63700,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63700,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
63702,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63702,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63702,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
63704,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63704,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
63704,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
63706,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63706,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
63706,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,4,090,,,
63707,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63707,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63707,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63709,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63709,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63709,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63710,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63710,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63710,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63740,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63740,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
63740,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63741,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63741,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
63741,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63744,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63744,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
63744,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
63746,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
63746,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
63746,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64400,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,,
64400,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,,
64400,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64400,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
64400,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,,000,,,
64402,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,,
64402,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,,
64402,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64402,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
64402,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,,000,,,
64405,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,,,
64405,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,,
64405,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,,000,,,
64405,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,000,64721,,
64405,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
64405,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,,000,,,
64405,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,,
64405,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
64405,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,,,
64405,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,,000,,,
64405,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,,000,,,
64405,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,000,,,
64405,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,000,,,
64408,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,,
64408,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,,
64408,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64408,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
64408,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,,000,,,
64410,PEAC,"Accessory, Procedure",SD050,"electrode needle, injectable (Myoject)",item,20,1,,000,,,
64410,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,,
64410,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64410,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
64410,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,,000,,,
64412,PEAC,"Accessory, Procedure",SD050,"electrode needle, injectable (Myoject)",item,20,1,,000,,,
64412,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,,
64412,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64412,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
64412,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,,000,,,
64413,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,,
64413,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,,
64413,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64413,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
64413,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,,000,,,
64415,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,000,,CPT11,56
64415,RUC,"Accessory, Procedure",SD050,"electrode needle, injectable (Myoject)",item,20,1,0,000,,CPT11,56
64415,RUC,"Pharmacy, Rx",SH022,bupivacaine 0.5% inj (Marcaine),ml,0.1,30,0,000,,CPT11,56
64416,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,010,,CPT09,rv
64417,PEAC,"Accessory, Procedure",SD050,"electrode needle, injectable (Myoject)",item,20,1,,000,,,
64417,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,2,,000,,,
64417,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64417,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
64417,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,20,,000,,,
64418,PEAC,"Accessory, Procedure",SD050,"electrode needle, injectable (Myoject)",item,20,1,,000,,,
64418,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,,
64418,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64418,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
64418,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,,000,,,
64420,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,,
64420,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,,
64420,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64420,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
64420,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,,000,,,
64421,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,3,,000,,,
64421,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,,
64421,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64421,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
64421,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,,000,,,
64425,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,,
64425,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,,
64425,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64425,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
64425,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,,000,,,
64430,PEAC,"Hypodermic, IV",SC040,"needle, Kopan",item,18.75,1,,000,,,
64430,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,,
64430,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64430,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
64430,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
64430,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,,000,,,
64435,PEAC,"Hypodermic, IV",SC040,"needle, Kopan",item,18.75,1,,000,,,
64435,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,,
64435,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64435,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
64435,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,000,,,
64435,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,,000,,,
64445,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,000,,CPT11,56
64445,RUC,"Accessory, Procedure",SD050,"electrode needle, injectable (Myoject)",item,20,1,0,000,,CPT11,56
64445,RUC,"Pharmacy, Rx",SH022,bupivacaine 0.5% inj (Marcaine),ml,0.1,30,0,000,,CPT11,56
64446,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,010,,CPT09,rv
64447,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,000,,CPT11,56
64447,RUC,"Accessory, Procedure",SD050,"electrode needle, injectable (Myoject)",item,20,1,0,000,,CPT11,56
64447,RUC,"Pharmacy, Rx",SH022,bupivacaine 0.5% inj (Marcaine),ml,0.1,30,0,000,,CPT11,56
64448,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,010,,CPT09,rv
64449,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,010,,CPT09,rv
64450,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,,
64450,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64450,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
64450,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,,000,,,
64455,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,CPT09,20
64455,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,0,000,,CPT09,20
64455,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,CPT09,20
64455,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,CPT09,20
64455,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,000,,CPT09,20
64455,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,CPT09,20
64455,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,CPT09,20
64455,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,CPT09,20
64455,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,,CPT09,20
64470,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,Jan04,5
64470,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Jan04,5
64470,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Jan04,5
64470,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,Jan04,5
64470,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,Jan04,5
64470,PEAC,"Hypodermic, IV",SC048,spinal manometer,item,26.325,1,0,000,,Jan04,5
64470,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,000,,Jan04,5
64470,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Jan04,5
64470,PEAC,"Kit, Pack, Tray",SA068,"tray, spinal anesthesia",tray,21.832,1,0,000,,Jan04,5
64470,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,0,000,,Jan04,5
64470,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,Jan04,5
64472,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,ZZZ,,Jan04,5
64472,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,0,ZZZ,,Jan04,5
64475,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,Jan04,5
64475,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,,Jan04,5
64475,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Jan04,5
64475,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,Jan04,5
64475,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,Jan04,5
64475,PEAC,"Hypodermic, IV",SC048,spinal manometer,item,26.325,1,0,000,,Jan04,5
64475,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,000,,Jan04,5
64475,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Jan04,5
64475,PEAC,"Kit, Pack, Tray",SA068,"tray, spinal anesthesia",tray,21.832,1,0,000,,Jan04,5
64475,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,0,000,,Jan04,5
64475,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,Jan04,5
64476,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,ZZZ,,Jan04,5
64476,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,0,ZZZ,,Jan04,5
64479,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,CPT11,33
64479,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,000,,CPT11,33
64479,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,CPT11,33
64479,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,CPT11,33
64479,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,,000,,CPT11,33
64479,RUC,"Office Supply, Grocery",SK025,"film, dry, radiographic, 8in x 10in",item,0.98,2,,000,,CPT11,33
64479,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT11,33
64480,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,ZZZ,,CPT11,33
64483,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,CPT11,33
64483,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,000,,CPT11,33
64483,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,CPT11,33
64483,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,000,,CPT11,33
64483,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,,000,,CPT11,33
64483,RUC,"Office Supply, Grocery",SK025,"film, dry, radiographic, 8in x 10in",item,0.98,2,,000,,CPT11,33
64483,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT11,33
64484,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,ZZZ,,CPT11,33
64490,RUC,"Office Supply, Grocery",SK025,"film, dry, radiographic, 8in x 10in",item,0.98,2,0,000,,CPT10,34
64490,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,000,,CPT10,34
64490,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,000,,CPT10,34
64490,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT10,34
64490,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,000,,CPT10,34
64490,RUC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,3,0,000,,CPT10,34
64490,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,CPT10,34
64491,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,ZZZ,,CPT10,34
64491,RUC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,3,0,ZZZ,,CPT10,34
64492,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,ZZZ,,CPT10,34
64492,RUC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,3,0,ZZZ,,CPT10,34
64492,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,ZZZ,,CPT10,34
64493,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT10,34
64493,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,000,,CPT10,34
64493,RUC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,0,000,,CPT10,34
64493,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,CPT10,34
64493,RUC,"Office Supply, Grocery",SK025,"film, dry, radiographic, 8in x 10in",item,0.98,2,0,000,,CPT10,34
64493,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,000,,CPT10,34
64493,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,000,,CPT10,34
64494,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,ZZZ,,CPT10,34
64494,RUC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,0,ZZZ,,CPT10,34
64495,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,0,ZZZ,,CPT10,34
64495,RUC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,0,ZZZ,,CPT10,34
64495,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,ZZZ,,CPT10,34
64505,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,,
64505,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,,000,,,
64505,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,000,,,
64505,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,,000,,,
64508,RUC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,0,,000,,CPT11,Letter
64508,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,0,,000,,CPT11,Letter
64508,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,0,,000,,CPT11,Letter
64508,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,,000,,CPT11,Letter
64508,RUC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,0,,000,,CPT11,Letter
64510,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,,
64510,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,,000,,,
64510,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64510,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,000,,,
64510,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,0,000,,,
64517,RUC,"Hypodermic, IV",SC035,"needle, Chiba",item,8.477,1,,000,,,
64517,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,000,,,
64517,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,,000,,,
64517,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64517,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
64517,RUC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,20,,000,,,
64517,RUC,"Pharmacy, Rx",SH060,renographin-60,ml,0.38,1,,000,,,
64520,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,,
64520,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,,000,,,
64520,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64520,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,000,,,
64520,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,0,000,,,
64530,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,000,,,
64530,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,,000,,,
64530,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
64530,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,000,,,
64530,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,10,,000,,,
64550,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
64550,PEAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,000,,,
64550,PEAC,"Pharmacy, NonRx",SJ024,electrolyte coupling gel,ml,0.016,1,,000,,,
64550,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
64550,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,000,,,
64550,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,000,,,
64553,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
64553,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
64553,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
64553,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
64553,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
64555,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
64555,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,010,,,
64555,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
64555,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
64555,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
64555,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,010,,,
64555,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
64560,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
64560,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,,010,,,
64560,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
64560,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
64560,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
64561,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,010,,Mar04,V
64561,PEAC,"Kit, Pack, Tray",SA022,"kit, percutaneous neuro test stimulation",kit,305,1,0,010,,Mar04,V
64561,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Mar04,V
64561,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,0,010,,Mar04,V
64561,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,010,,Mar04,V
64565,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
64565,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
64565,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
64565,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
64565,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
64566,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,11
64566,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,000,,CPT11,11
64566,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,,CPT11,11
64566,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,10,,000,,CPT11,11
64566,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,000,,CPT11,11
64566,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,,000,,CPT11,11
64566,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,CPT11,11
64566,RUC,"Accessory, Procedure",SD246,urgent PC lead,item,65,1,,000,,CPT11,11
64568,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,2,090,,CPT11,32
64568,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,0,1,090,,CPT11,32
64569,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,2,090,,CPT11,32
64569,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,0,1,090,,CPT11,32
64570,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0,2,090,,CPT11,32
64570,RUC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,0,1,090,,CPT11,32
64575,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64575,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64575,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64577,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64577,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64577,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64580,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64580,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64580,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64581,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,090,,,
64581,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
64585,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
64585,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
64585,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,010,,,
64585,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
64585,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
64585,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
64585,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
64585,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
64585,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
64585,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,010,,,
64585,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
64585,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
64585,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,010,,,
64585,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,010,,,
64585,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
64585,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
64585,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
64585,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,cs
64585,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
64585,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,010,,,
64585,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,,010,,,
64585,PEAC,"Pharmacy, NonRx",SJ017,DuraPrep surgical soln (26ml uou),item,7.95,1,,010,,,
64585,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,010,,,
64585,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
64585,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,5,,010,,,
64585,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,010,,,
64585,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,010,,,
64590,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
64590,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
64590,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,010,,,
64590,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
64590,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
64590,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
64590,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
64590,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
64590,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
64590,PEAC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,,010,,,
64590,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
64590,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
64590,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,010,,,
64590,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,010,,,
64590,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
64590,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
64590,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
64590,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,cs
64590,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
64590,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,010,,,
64590,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,,010,,,
64590,PEAC,"Pharmacy, NonRx",SJ017,DuraPrep surgical soln (26ml uou),item,7.95,1,,010,,,
64590,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,010,,,
64590,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
64590,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,5,,010,,,
64590,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,010,,,
64590,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,010,,,
64595,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
64595,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,010,,,
64595,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,,010,,,
64595,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
64595,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,,
64595,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
64595,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
64595,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,,010,,,
64595,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,010,,,
64595,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,010,,,
64595,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,,
64595,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,,010,,,
64595,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,010,,,
64595,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,010,,,
64595,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
64595,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
64595,PEAC,"Kit, Pack, Tray",SA046,"pack, drapes, laparotomy (chest-abdomen)",pack,26.118,1,,010,,,
64595,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,cs
64595,PEAC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,1,1,010,,,
64595,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,010,,,
64595,PEAC,"Pharmacy, NonRx",SJ011,bulb syringe (Asepto),item,0.99,1,,010,,,
64595,PEAC,"Pharmacy, NonRx",SJ017,DuraPrep surgical soln (26ml uou),item,7.95,1,,010,,,
64595,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,010,,,
64595,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,010,,,
64595,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,5,,010,,,
64595,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,010,,,
64595,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,010,,,
64600,PEAC,"Accessory, Procedure",SD011,cannula (radiofrequency denervation) (SMK-C10),item,25,1,0,010,,,
64600,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,,
64600,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,010,,,
64600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
64605,PEAC,"Accessory, Procedure",SD011,cannula (radiofrequency denervation) (SMK-C10),item,25,1,0,010,,,
64605,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,,
64605,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,010,,,
64605,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
64610,PEAC,"Accessory, Procedure",SD011,cannula (radiofrequency denervation) (SMK-C10),item,25,1,0,010,,,
64610,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,,
64610,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,010,,,
64610,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
64611,RUC,Lab,SL107,phosphate buffered saline solution,ml,0.041,2,0,010,,CPT11,12
64611,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,5,0,010,,CPT11,12
64611,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,4,0,010,,CPT11,12
64611,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,4,0,010,,CPT11,12
64611,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,CPT11,12
64611,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,CPT11,12
64611,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,010,,CPT11,12
64611,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,4,0,010,,CPT11,12
64611,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,CPT11,12
64612,RUC,Lab,SL107,phosphate buffered saline solution,ml,0.041,4,,010,,RUC05,
64612,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,,010,,RUC05,
64612,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,,010,,RUC05,
64612,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,010,,RUC05,
64612,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,1,,010,,RUC05,
64612,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,2,1,010,ok,Apr06,J
64612,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,010,,RUC05,
64612,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,1,010,,RUC05,
64613,RUC,Lab,SL107,phosphate buffered saline solution,ml,0.041,1,,010,,RUC05,
64613,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,RUC05,
64613,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,2,,010,,RUC05,
64613,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,2,,010,,RUC05,
64613,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,1,010,,RUC05,
64613,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,010,,RUC05,
64613,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,RUC05,
64613,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,010,,RUC05,
64613,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,,010,,RUC05,
64614,RUC,Lab,SL107,phosphate buffered saline solution,ml,0.041,2,,010,,RUC05,
64614,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,10,,010,,RUC05,
64614,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,10,,010,,RUC05,
64614,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,4,,010,,RUC05,
64614,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,010,,RUC05,
64614,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,010,,RUC05,
64614,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,010,,RUC05,
64614,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,5,,010,,RUC05,
64620,PEAC,"Accessory, Procedure",SD083,"gas, nitrous oxide",liter,0.007,1,,010,,,
64620,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
64620,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
64622,PEAC,"Accessory, Procedure",SD011,cannula (radiofrequency denervation) (SMK-C10),item,25,1,0,010,,Jan04,5
64622,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Jan04,5
64622,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,010,,Jan04,5
64622,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,Jan04,5
64623,PEAC,"Accessory, Procedure",SD011,cannula (radiofrequency denervation) (SMK-C10),item,25,1,0,ZZZ,,Jan04,5
64626,PEAC,"Accessory, Procedure",SD011,cannula (radiofrequency denervation) (SMK-C10),item,25,1,0,010,,Jan04,5
64626,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,010,,Jan04,5
64626,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,010,,Jan04,5
64626,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,Jan04,5
64627,PEAC,"Accessory, Procedure",SD011,cannula (radiofrequency denervation) (SMK-C10),item,25,1,0,ZZZ,,Jan04,5
64630,PEAC,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,010,,,
64630,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
64630,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
64630,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
64630,PEAC,"Kit, Pack, Tray",SA051,"pack, pelvic exam",pack,1.172,1,,010,,,
64630,PEAC,"Pharmacy, Rx",SH055,phenol 1000ppm,ml,0.059,10,,010,,,
64632,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,010,,CPT09,20
64632,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,0,010,,CPT09,20
64632,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,CPT09,20
64632,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,010,,CPT09,20
64632,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,010,,CPT09,20
64632,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,CPT09,20
64632,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,010,,CPT09,20
64632,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,010,,CPT09,20
64632,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,010,,CPT09,20
64632,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,010,,CPT09,20
64632,RUC,"Pharmacy, Rx",SH062,sclerosing solution inj,ml,2.029,1,0,010,,CPT09,20
64640,PEAC,"Accessory, Procedure",SD050,"electrode needle, injectable (Myoject)",item,20,1,,010,,,
64640,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,010,,,
64640,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,,
64640,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
64640,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,010,,,
64640,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
64640,PEAC,"Pharmacy, Rx",SH021,bupivacaine 0.25% inj (Marcaine),ml,0.254,5,,010,,,
64640,PEAC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,1,,010,,,
64640,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,010,,,
64650,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,4,,000,,RUC05,
64650,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,RUC05,
64650,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,4,,000,,RUC05,
64650,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,1,,000,,RUC05,
64650,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,10,,000,,RUC05,
64650,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,RUC05,
64650,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,000,,RUC05,
64650,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,RUC05,
64650,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,000,,RUC05,
64650,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,000,,RUC05,
64650,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,,000,,RUC05,
64650,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,RUC05,
64650,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,,000,,RUC05,
64650,RUC,"Office Supply, Grocery",SK112,"starch, fine",oz,29.56,1,,000,,RUC05,
64653,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,4,,000,,RUC05,
64653,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,RUC05,
64653,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,4,,000,,RUC05,
64653,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,1,,000,,RUC05,
64653,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,10,,000,,RUC05,
64653,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,RUC05,
64653,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,000,,RUC05,
64653,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,000,,RUC05,
64653,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,000,,RUC05,
64653,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,000,,RUC05,
64653,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,,000,,RUC05,
64653,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,RUC05,
64653,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,,000,,RUC05,
64653,RUC,"Office Supply, Grocery",SK112,"starch, fine",oz,29.56,1,,000,,RUC05,
64680,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,010,,,
64680,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
64680,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
64680,PEAC,"Pharmacy, Rx",SH055,phenol 1000ppm,ml,0.059,10,,010,,,
64681,RUC,"Hypodermic, IV",SC035,"needle, Chiba",item,8.477,1,,010,,,
64681,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,010,,,
64681,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,,010,,,
64681,RUC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
64681,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,010,,,
64681,RUC,"Pharmacy, Rx",SH055,phenol 1000ppm,ml,0.059,1,,010,,,
64681,RUC,"Pharmacy, Rx",SH060,renographin-60,ml,0.38,1,,010,,,
64702,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64702,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
64702,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64704,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64704,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64704,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64704,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64708,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64708,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr08,ss
64708,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64712,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64712,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64712,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64713,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64713,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
64713,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64714,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64714,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
64714,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64716,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3,090,,Jan04,21
64716,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Jan04,21
64716,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3,090,,Jan04,21
64716,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Jan04,21
64716,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Jan04,21
64716,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Jan04,21
64716,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
64716,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,Jan04,21
64716,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Jan04,21
64716,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,Jan04,21
64716,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
64716,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
64716,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,4,090,,Jan04,21
64718,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64718,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
64718,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64719,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64719,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64719,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64721,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,090,,,
64721,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Apr06,J
64721,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,64721,Apr06,J
64721,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,4,4,090,,,
64722,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64722,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64722,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64726,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64726,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64726,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64726,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64727,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
64732,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64732,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64732,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64734,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64734,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64734,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64736,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64736,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64736,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64738,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64738,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64738,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64740,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,090,,Jan04,21
64740,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Jan04,21
64740,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,2,090,,Jan04,21
64740,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Jan04,21
64740,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,2,090,,Jan04,21
64740,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Jan04,21
64740,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Jan04,21
64740,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,Jan04,21
64740,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
64740,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,Jan04,21
64740,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
64742,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64742,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64742,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64744,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64744,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64744,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64746,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64746,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64746,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64752,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64752,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64752,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64755,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64755,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64755,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64760,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64760,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64760,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64761,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64761,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64761,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64763,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64763,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64763,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64766,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64766,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64766,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64771,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64771,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64771,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64772,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64772,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64772,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64774,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64774,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64774,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64776,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64776,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64776,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64778,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
64782,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64782,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64782,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64782,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64783,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
64784,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64784,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64784,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64786,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64786,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64786,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64787,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
64788,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64788,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64788,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64790,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64790,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64790,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64792,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64792,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64792,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64795,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
64802,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64802,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64802,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64804,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64804,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64804,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64809,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64809,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64809,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64818,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64818,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64818,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64820,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64820,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Apr06,J
64820,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64821,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
64821,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
64822,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
64822,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
64823,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,,
64823,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,,
64831,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64831,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,Feb08,ss
64831,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64832,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
64834,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64834,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,2,090,,Apr06,J
64834,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64835,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64835,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64835,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64836,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64836,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64836,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64837,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
64840,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64840,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64840,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64856,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64856,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64856,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64857,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64857,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64857,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64858,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64858,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64858,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64859,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
64861,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64861,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64861,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64862,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64862,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64862,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64864,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,2,090,,Jan04,21
64864,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Jan04,21
64864,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,2,090,,Jan04,21
64864,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Jan04,21
64864,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Jan04,21
64864,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,Jan04,21
64864,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
64864,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,Jan04,21
64864,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
64865,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2.5,090,,Jan04,21
64865,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,5,090,,Jan04,21
64865,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,2.5,090,,Jan04,21
64865,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2.5,090,,Jan04,21
64865,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,2.5,090,,Jan04,21
64865,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Jan04,21
64865,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Jan04,21
64865,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2.5,090,,Jan04,21
64865,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,2.5,090,,Jan04,21
64865,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Jan04,21
64865,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
64865,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,12.5,090,,Jan04,21
64865,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2.5,090,,Jan04,21
64865,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,25,090,,Jan04,21
64865,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,12.5,090,,Jan04,21
64865,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
64865,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,2.5,090,,Jan04,21
64865,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
64865,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
64865,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
64865,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,10,090,,Jan04,21
64865,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
64865,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,Jan04,21
64865,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
64865,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,10,090,,Jan04,21
64866,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2.5,090,,Jan04,21
64866,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,5,090,,Jan04,21
64866,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,2.5,090,,Jan04,21
64866,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2.5,090,,Jan04,21
64866,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,2.5,090,,Jan04,21
64866,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Jan04,21
64866,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Jan04,21
64866,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2.5,090,,Jan04,21
64866,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,2.5,090,,Jan04,21
64866,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Jan04,21
64866,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
64866,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,12.5,090,,Jan04,21
64866,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2.5,090,,Jan04,21
64866,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,25,090,,Jan04,21
64866,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,12.5,090,,Jan04,21
64866,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
64866,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,2.5,090,,Jan04,21
64866,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
64866,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
64866,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
64866,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,10,090,,Jan04,21
64866,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
64866,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,Jan04,21
64866,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
64866,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,10,090,,Jan04,21
64868,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Jan04,21
64868,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Jan04,21
64868,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,2,090,,Jan04,21
64868,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,2,090,,Jan04,21
64868,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,2,090,,Jan04,21
64868,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Jan04,21
64868,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Jan04,21
64868,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,Jan04,21
64868,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,2,090,,Jan04,21
64868,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,1,090,,Jan04,21
64868,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
64868,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Jan04,21
64868,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,Jan04,21
64868,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Jan04,21
64868,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,10,090,,Jan04,21
64868,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
64868,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,2,090,,Jan04,21
64868,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
64868,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
64868,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
64868,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,8,090,,Jan04,21
64868,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
64868,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,Jan04,21
64868,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
64868,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,8,090,,Jan04,21
64870,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64870,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64870,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64872,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
64874,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
64876,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
64885,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3,090,,Jan04,21
64885,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Jan04,21
64885,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3,090,,Jan04,21
64885,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Jan04,21
64885,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Jan04,21
64885,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Jan04,21
64885,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Jan04,21
64885,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Jan04,21
64885,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
64886,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3,090,,Jan04,21
64886,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,3,090,,Jan04,21
64886,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3,090,,Jan04,21
64886,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,2,090,,Jan04,21
64886,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,2,090,,Jan04,21
64886,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Jan04,21
64886,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
64886,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Jan04,21
64886,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
64890,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64890,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64890,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64891,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64891,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64891,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64892,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64892,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64892,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64893,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64893,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64893,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64895,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64895,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64895,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64896,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64896,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64896,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64897,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64897,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64897,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64898,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64898,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64898,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64901,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
64902,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
64905,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64905,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64905,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64907,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
64907,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
64907,CPEP,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,,2,090,,,
64910,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT07,
64910,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT07,
64911,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,CPT07,
64911,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,,CPT07,
64999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
65091,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,090,ok,Apr06,J
65091,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,180,090,,,
65091,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,200,090,,,
65091,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
65091,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
65091,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65091,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,12,090,,,
65091,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,6,090,,,
65091,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,6,090,,,
65091,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,72,090,,,
65093,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
65093,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,3.5,090,ok,Apr06,J
65093,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,180,090,,,
65093,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,200,090,,,
65093,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
65093,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
65093,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65093,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,12,090,,,
65093,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,6,090,,,
65093,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,6,090,,,
65093,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,72,090,,,
65101,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
65101,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,090,ok,Apr06,J
65101,CPEP,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,,1,090,,,
65101,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,180,090,,,
65101,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,200,090,,,
65101,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
65101,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
65101,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65101,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,12,090,,,
65101,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,6,090,,,
65101,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,6,090,,,
65101,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,72,090,,,
65103,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
65103,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,090,ok,Apr06,J
65103,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,180,090,,,
65103,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,200,090,,,
65103,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
65103,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
65103,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65103,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,12,090,,,
65103,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,6,090,,,
65103,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,6,090,,,
65103,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,72,090,,,
65105,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
65105,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4.5,090,ok,Apr06,J
65105,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,180,090,,,
65105,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,200,090,,,
65105,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
65105,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
65105,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65105,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,12,090,,,
65105,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,6,090,,,
65105,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,6,090,,,
65105,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,72,090,,,
65110,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
65110,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,5.5,090,ok,Apr06,J
65110,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,180,090,,,
65110,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,200,090,,,
65110,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
65110,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
65110,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65110,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,12,090,,,
65110,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,6,090,,,
65110,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,6,090,,,
65110,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,72,090,,,
65112,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
65112,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,6.5,090,ok,Apr06,J
65112,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,180,090,,,
65112,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,200,090,,,
65112,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
65112,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
65112,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65112,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,12,090,,,
65112,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,6,090,,,
65112,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,6,090,,,
65112,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,72,090,,,
65114,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
65114,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,6.5,090,ok,Apr06,J
65114,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,180,090,,,
65114,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,200,090,,,
65114,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
65114,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
65114,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65114,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,12,090,,,
65114,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,6,090,,,
65114,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,6,090,,,
65114,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,72,090,,,
65125,PEAC,"Accessory, Procedure",SD107,"peg, for prosthetic ocular implant",item,58.333,1,0,090,,Mar03,10
65125,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
65125,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
65125,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
65125,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
65125,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
65125,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
65125,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
65125,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
65125,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,4,0,090,,Mar03,10
65125,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
65125,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
65125,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
65125,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4,3,090,ok,Mar03,10
65125,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
65125,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
65125,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
65125,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
65125,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
65125,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
65125,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,090,,Mar03,10
65125,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
65125,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
65125,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
65130,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,090,ok,Apr06,J
65130,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,200,090,,,
65130,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,226,090,,,
65130,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
65130,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
65130,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65130,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,14,090,,,
65135,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,090,ok,Apr06,J
65135,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,200,090,,,
65135,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,226,090,,,
65135,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
65135,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
65135,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65135,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,14,090,,,
65140,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4.5,090,ok,Apr06,J
65140,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,200,090,,,
65140,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,226,090,,,
65140,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
65140,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
65140,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65140,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,14,090,,,
65150,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,3.5,090,ok,Apr06,J
65150,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,200,090,,,
65150,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,226,090,,,
65150,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
65150,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
65150,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65150,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,14,090,,,
65155,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4.5,090,ok,Apr06,J
65155,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,200,090,,,
65155,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,226,090,,,
65155,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
65155,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
65155,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65155,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,14,090,,,
65175,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,3.5,090,ok,Apr06,J
65175,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,200,090,,,
65175,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,226,090,,,
65175,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
65175,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
65175,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65175,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,14,090,,,
65205,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
65210,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
65220,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
65222,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
65235,PERC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,Apr06,J
65235,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
65235,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,45,090,,,
65235,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.6,090,,,
65235,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65235,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4.5,090,ok,Apr06,J
65235,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,1,090,,,
65235,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,1,090,,,
65235,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
65260,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,ok,Apr06,J
65260,CPEP,Lab,SL020,bleach,ml,0.001,,10,090,,,
65260,CPEP,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,,1,090,,,
65260,CPEP,"Pharmacy, NonRx",SJ015,contact lens soln (12oz uou),item,4.19,,1,090,,,
65260,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
65260,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,45,090,,,
65260,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.6,090,,,
65260,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
65260,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
65260,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65260,CPEP,"Wound Care, Dressings",SG043,"dressing, eye pad (Opticlude)",item,0.328,,1,090,,,
65260,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,2,090,,,
65260,CPEP,"Wound Care, Dressings",SG047,eye shield (fox) and garter,item,0.689,,1,090,,,
65260,CPEP,"Wound Care, Dressings",SG048,"eye shield, fox",item,0.6,,1,090,,,
65260,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,1,090,,,
65260,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,1,090,,,
65260,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,420,090,,,
65265,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5.5,090,ok,Apr06,J
65265,CPEP,Lab,SL020,bleach,ml,0.001,,10,090,,,
65265,CPEP,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,,1,090,,,
65265,CPEP,"Pharmacy, NonRx",SJ015,contact lens soln (12oz uou),item,4.19,,1,090,,,
65265,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
65265,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,50,090,,,
65265,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.7,090,,,
65265,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
65265,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
65265,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65265,CPEP,"Wound Care, Dressings",SG043,"dressing, eye pad (Opticlude)",item,0.328,,1,090,,,
65265,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,2,090,,,
65265,CPEP,"Wound Care, Dressings",SG047,eye shield (fox) and garter,item,0.689,,1,090,,,
65265,CPEP,"Wound Care, Dressings",SG048,"eye shield, fox",item,0.6,,1,090,,,
65265,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,1,090,,,
65265,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,1,090,,,
65265,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,432,090,,,
65270,PEAC,"Cutters, Closures, Cautery",SF049,"suture, nylon, 8-0 to 9-0",item,15.32,1,0,010,,Mar03,10
65270,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,010,,Mar03,10
65270,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,010,,Mar03,10
65270,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,010,,Mar03,10
65270,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,10
65270,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,2,1,010,ok,Mar03,10
65270,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,Mar03,10
65270,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,010,,Mar03,10
65272,PEAC,"Cutters, Closures, Cautery",SF049,"suture, nylon, 8-0 to 9-0",item,15.32,1,0,090,,Mar03,10
65272,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,090,,Mar03,10
65272,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,090,,Mar03,10
65272,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
65272,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,090,,Mar03,10
65272,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
65272,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
65272,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
65272,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
65272,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
65272,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
65272,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2.5,1.5,090,,Mar03,10
65272,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,3.5,2.5,090,ok,Mar03,10
65272,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,0.5,0,090,,Mar03,10
65272,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
65272,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,090,,Mar03,10
65273,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,2.5,090,ok,Mar03,10
65275,PEAC,"Cutters, Closures, Cautery",SF049,"suture, nylon, 8-0 to 9-0",item,15.32,1,0,090,,Mar03,10
65275,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
65275,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,090,,Mar03,10
65275,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
65275,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
65275,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
65275,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
65275,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,4,3,090,ok,Mar03,10
65275,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
65275,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,090,,Mar03,10
65280,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4.5,090,ok,Mar03,10
65285,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5.5,090,ok,Feb08,ss
65286,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
65286,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,090,,Mar03,10
65286,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
65286,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
65286,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
65286,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
65286,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,090,,Mar03,10
65286,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,4.5,3.5,090,ok,Mar03,10
65286,PEAC,"Pharmacy, Rx",SH076,"adhesive, cyanoacrylate (2ml uou).doc",item,28.988,1,0,090,,Mar03,10
65286,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
65286,PEAC,"Pharmacy, Rx",SH082,"hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)",item,61,1,0,090,,Mar03,10
65286,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,090,,Mar03,10
65290,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3.5,090,ok,Mar03,10
65400,PEAC,"Cutters, Closures, Cautery",SF044,"blade, surgical, super-sharp",item,4.1667,1,0,090,,Mar03,10
65400,PEAC,"Cutters, Closures, Cautery",SF008,"blade, surgical 64,65,67 (Beaver)",item,2.337,1,0,090,,Mar03,10
65400,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
65400,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,090,,Mar03,10
65400,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
65400,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
65400,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
65400,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
65400,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
65400,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
65400,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,5.5,4.5,090,,Mar03,10
65400,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,4,0,090,,Mar03,10
65400,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
65400,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,090,,Mar03,10
65410,PEAC,"Cutters, Closures, Cautery",SF044,"blade, surgical, super-sharp",item,4.1667,1,0,000,,Mar03,10
65410,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,000,,Mar03,10
65410,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
65410,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,000,,Mar03,10
65410,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,000,,Mar03,10
65420,PEAC,"Cutters, Closures, Cautery",SF044,"blade, surgical, super-sharp",item,4.1667,1,0,090,,Mar03,10
65420,PEAC,"Cutters, Closures, Cautery",SF049,"suture, nylon, 8-0 to 9-0",item,15.32,1,0,090,,Mar03,10
65420,PEAC,"Cutters, Closures, Cautery",SF008,"blade, surgical 64,65,67 (Beaver)",item,2.337,1,0,090,,Mar03,10
65420,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,090,,Mar03,10
65420,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,090,,Mar03,10
65420,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
65420,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,090,,Mar03,10
65420,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
65420,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
65420,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
65420,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
65420,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
65420,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
65420,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,5,4,090,,Mar03,10
65420,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,4,0,090,,Mar03,10
65420,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
65420,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
65420,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,090,,Mar03,10
65426,PEAC,"Cutters, Closures, Cautery",SF044,"blade, surgical, super-sharp",item,4.1667,1,0,090,,Mar03,10
65426,PEAC,"Cutters, Closures, Cautery",SF049,"suture, nylon, 8-0 to 9-0",item,15.32,2,0,090,,Mar03,10
65426,PEAC,"Cutters, Closures, Cautery",SF008,"blade, surgical 64,65,67 (Beaver)",item,2.337,1,0,090,,Mar03,10
65426,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,090,,Mar03,10
65426,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,090,,Mar03,10
65426,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
65426,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,090,,Mar03,10
65426,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
65426,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
65426,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
65426,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
65426,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
65426,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
65426,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,5,4,090,,Mar03,10
65426,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,4.5,0,090,,Mar03,10
65426,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
65426,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
65426,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,090,,Mar03,10
65430,PEAC,"Cutters, Closures, Cautery",SF008,"blade, surgical 64,65,67 (Beaver)",item,2.337,1,0,000,,Mar03,10
65430,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
65435,PEAC,"Cutters, Closures, Cautery",SF008,"blade, surgical 64,65,67 (Beaver)",item,2.337,1,0,000,,Mar03,10
65435,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
65436,PEAC,"Cutters, Closures, Cautery",SF008,"blade, surgical 64,65,67 (Beaver)",item,2.337,1,0,090,,Mar03,10
65436,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,3,2,090,,Mar03,10
65450,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
65450,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,3.5,2.5,090,,Mar03,10
65600,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2.5,,090,ok,Apr06,J
65600,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,60,,090,,,
65600,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,70,,090,,,
65600,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,0.4,,090,,,
65600,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,40,,090,,,
65600,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,2,,090,,,
65600,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,090,,,
65600,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,,090,,,
65600,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,2,,090,,,
65600,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,090,,,
65600,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,090,,,
65710,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,6,090,,Apr06,J
65710,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,27,090,,,
65710,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.2,090,,,
65730,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,6,090,ok,,
65730,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,5,090,,,
65730,PEAC,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.2,090,,,
65750,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,6,090,ok,Apr06,J
65750,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,27,090,,,
65750,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.2,090,,,
65755,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,6,090,ok,Apr06,J
65755,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,27,090,,,
65755,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.2,090,,,
65756,RUC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3,090,,CPT09,21
65756,RUC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,3,090,,CPT09,21
65757,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,CPT09,21
65760,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
65765,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
65767,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
65770,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
65770,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,6.5,090,,Apr06,J
65770,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,35,090,,,
65770,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.2,090,,,
65770,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
65770,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
65771,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,10
65772,PEAC,"Cutters, Closures, Cautery",SF044,"blade, surgical, super-sharp",item,4.1667,1,0,090,,Mar03,10
65772,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
65772,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,090,,Mar03,10
65772,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
65772,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
65772,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
65772,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
65772,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
65772,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,3.5,2.5,090,,Mar03,10
65772,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,4,0,090,,Mar03,10
65772,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
65772,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,090,,Mar03,10
65775,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,3.5,090,,Apr06,J
65775,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,21,090,,,
65775,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.2,090,,,
65778,RUC,"Accessory, Procedure",SD248,human amniotic membrane allograft mounted on a non-absorbable self-retaining ring,item,895,1,,010,,CPT11,13
65779,RUC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,3,2,010,,CPT11,13
65779,RUC,"Accessory, Procedure",SD247,human amniotic membrane allograft,item,595,1,,010,,CPT11,13
65779,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,010,,CPT11,13
65779,RUC,"Cutters, Closures, Cautery",SF049,"suture, nylon, 8-0 to 9-0",item,15.32,1,,010,,CPT11,13
65779,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,,010,,CPT11,13
65779,RUC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,,010,,CPT11,13
65779,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,010,,CPT11,13
65779,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,010,,CPT11,13
65779,RUC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,,010,,CPT11,13
65779,RUC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,1,,010,,CPT11,13
65779,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,010,,CPT11,13
65779,RUC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,,010,,CPT11,13
65780,RUC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,10,090,,,
65780,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
65781,RUC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,10,090,,,
65781,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
65782,RUC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,9,090,,,
65782,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,,,
65800,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,000,,Mar03,10
65800,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,000,,Mar03,10
65800,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,000,,Mar03,10
65800,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
65800,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,000,,Mar03,10
65800,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,000,,Mar03,10
65805,PEAC,"Cutters, Closures, Cautery",SF044,"blade, surgical, super-sharp",item,4.1667,1,0,000,,Mar03,10
65805,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,000,,Mar03,10
65805,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,000,,Mar03,10
65805,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
65805,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,000,,Mar03,10
65805,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,000,,Mar03,10
65810,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3,090,ok,Mar03,10
65810,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3,090,ok,Mar03,10
65815,PEAC,"Accessory, Procedure",SD145,"cannula, anterior chamber, 18-27g",item,2.688,1,0,090,,Mar03,10
65815,PEAC,"Cutters, Closures, Cautery",SF044,"blade, surgical, super-sharp",item,4.1667,1,0,090,,Mar03,10
65815,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
65815,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,090,,Mar03,10
65815,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
65815,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
65815,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
65815,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
65815,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,0,090,,Mar03,10
65815,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
65815,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,4,3,090,ok,Apr06,J
65815,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,4,0,090,,Mar03,10
65815,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
65815,PEAC,"Pharmacy, Rx",SH082,"hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)",item,61,1,0,090,,Mar03,10
65815,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,090,,Mar03,10
65820,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,5,090,,Apr06,J
65820,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,120,090,,,
65820,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,130,090,,,
65820,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.8,090,,,
65820,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,80,090,,,
65820,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,4,090,,,
65820,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
65820,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,8,090,,,
65820,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,4,090,,,
65820,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
65820,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,,
65850,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
65850,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4.5,090,ok,Apr06,J
65850,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,24,090,,,
65850,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
65850,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
65855,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar03,10
65855,PEAC,"Pharmacy, Rx",SH037,Goniosol 2.5% ophth,ml,0.58,1,0,010,,Mar03,10
65855,PEAC,"Pharmacy, Rx",SH044,Iopidine 1% ophth soln (0.1ml uou),item,11.013,1,0,010,,Mar03,10
65860,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,090,,Mar03,10
65860,PEAC,"Pharmacy, Rx",SH037,Goniosol 2.5% ophth,ml,0.58,1,0,090,,Mar03,10
65860,PEAC,"Pharmacy, Rx",SH044,Iopidine 1% ophth soln (0.1ml uou),item,11.013,1,0,090,,Mar03,10
65865,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
65865,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3.5,090,ok,Apr06,J
65865,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,15,090,,,
65865,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
65865,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
65870,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
65870,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3.5,090,ok,Apr06,J
65870,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,15,090,,,
65870,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
65870,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
65875,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
65875,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4,090,ok,Apr06,J
65875,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,15,090,,,
65875,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
65875,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
65880,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
65880,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4,090,ok,Apr06,J
65880,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,15,090,,,
65880,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
65880,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
65900,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
65900,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,ok,Apr06,J
65900,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,27,090,,,
65900,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.2,090,,,
65900,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,40,090,,,
65900,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,2,090,,,
65920,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
65920,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,ok,Apr06,J
65920,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,15,090,,,
65920,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
65920,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
65930,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
65930,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3,090,ok,Apr06,J
65930,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,24,090,,,
65930,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
65930,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
66020,PEAC,"Accessory, Procedure",SD145,"cannula, anterior chamber, 18-27g",item,2.688,1,0,010,,Mar04,E
66020,PEAC,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,1,0,010,,Mar04,E
66020,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,E
66020,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,010,,Mar04,E
66020,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,E
66020,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Mar04,E
66020,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,Mar04,E
66020,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,E
66020,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar04,E
66030,PEAC,"Accessory, Procedure",SD145,"cannula, anterior chamber, 18-27g",item,2.688,1,0,010,,Mar04,E
66030,PEAC,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,1,0,010,,Mar04,E
66030,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,E
66030,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,010,,Mar04,E
66030,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,E
66030,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Mar04,E
66030,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,Mar04,E
66030,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,E
66030,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar04,E
66130,PEAC,"Cutters, Closures, Cautery",SF044,"blade, surgical, super-sharp",item,4.1667,1,0,090,,Mar03,10
66130,PEAC,"Cutters, Closures, Cautery",SF049,"suture, nylon, 8-0 to 9-0",item,15.32,1,0,090,,Mar03,10
66130,PEAC,"Cutters, Closures, Cautery",SF008,"blade, surgical 64,65,67 (Beaver)",item,2.337,1,0,090,,Mar03,10
66130,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,090,,Mar03,10
66130,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,090,,Mar03,10
66130,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
66130,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,090,,Mar03,10
66130,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
66130,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
66130,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
66130,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
66130,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
66130,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,4,3,090,ok,Mar03,10
66130,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,0,090,,Mar03,10
66130,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
66130,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
66130,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,090,,Mar03,10
66150,PEAC,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
66150,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,7,090,ok,,
66150,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
66150,PEAC,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
66155,PEAC,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
66155,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,7,090,ok,,
66155,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
66155,PEAC,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
66160,PEAC,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
66160,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,7,090,ok,,
66160,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
66160,PEAC,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
66165,PEAC,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
66165,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,7,090,ok,,
66165,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
66165,PEAC,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
66170,PEAC,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
66170,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,9,090,ok,,
66170,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
66170,PEAC,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
66172,PEAC,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
66172,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,,1,090,,,
66172,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,12,090,ok,,
66172,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
66172,PEAC,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
66172,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,1,090,,,
66174,RUC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,0,6,090,,CPT11,14
66175,RUC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,0,6,090,,CPT11,14
66180,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5.5,090,ok,Apr06,J
66180,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,24,090,,,
66185,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
66185,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4.5,090,ok,Apr06,J
66185,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,24,090,,,
66185,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
66185,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
66220,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4.5,090,ok,Apr06,J
66220,CPEP,Lab,SL020,bleach,ml,0.001,,10,090,,,
66220,CPEP,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,,1,090,,,
66220,CPEP,"Pharmacy, NonRx",SJ015,contact lens soln (12oz uou),item,4.19,,1,090,,,
66220,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
66220,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,45,090,,,
66220,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.6,090,,,
66220,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
66220,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
66220,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
66220,CPEP,"Wound Care, Dressings",SG043,"dressing, eye pad (Opticlude)",item,0.328,,1,090,,,
66220,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,2,090,,,
66220,CPEP,"Wound Care, Dressings",SG047,eye shield (fox) and garter,item,0.689,,1,090,,,
66220,CPEP,"Wound Care, Dressings",SG048,"eye shield, fox",item,0.6,,1,090,,,
66220,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,1,090,,,
66220,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,1,090,,,
66220,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,420,090,,,
66225,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,ok,Apr06,J
66225,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,24,090,,,
66225,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.2,090,,,
66250,PEAC,"Accessory, Procedure",SD145,"cannula, anterior chamber, 18-27g",item,2.688,1,0,090,,Mar03,10
66250,PEAC,"Cutters, Closures, Cautery",SF044,"blade, surgical, super-sharp",item,4.1667,1,0,090,,Mar03,10
66250,PEAC,"Cutters, Closures, Cautery",SF049,"suture, nylon, 8-0 to 9-0",item,15.32,1,0,090,,Mar03,10
66250,PEAC,"Cutters, Closures, Cautery",SF008,"blade, surgical 64,65,67 (Beaver)",item,2.337,1,0,090,,Mar03,10
66250,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
66250,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,090,,Mar03,10
66250,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
66250,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
66250,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
66250,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,0,090,,Mar03,10
66250,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
66250,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,4.5,3.5,090,ok,Mar03,10
66250,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,4,0,090,,Mar03,10
66250,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
66250,PEAC,"Pharmacy, Rx",SH082,"hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)",item,61,1,0,090,,Mar03,10
66250,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,090,,Mar03,10
66500,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,2.5,090,ok,Apr06,J
66500,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
66500,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,70,090,,,
66500,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.4,090,,,
66500,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,40,090,,,
66500,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,2,090,,,
66500,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
66500,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,4,090,,,
66500,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,2,090,,,
66500,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,2,090,,,
66500,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
66505,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3,090,ok,Apr06,J
66505,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,60,090,,,
66505,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,70,090,,,
66505,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.4,090,,,
66505,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,40,090,,,
66505,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,2,090,,,
66505,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
66505,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,4,090,,,
66505,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,2,090,,,
66505,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,2,090,,,
66505,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,24,090,,,
66600,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4.5,090,ok,Apr06,J
66600,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,120,090,,,
66600,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,130,090,,,
66600,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.8,090,,,
66600,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,80,090,,,
66600,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,4,090,,,
66600,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
66600,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,8,090,,,
66600,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,4,090,,,
66600,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
66600,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,,
66605,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
66605,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4.5,090,ok,Apr06,J
66605,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,27,090,,,
66605,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.2,090,,,
66605,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,40,090,,,
66605,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,2,090,,,
66625,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3.5,090,ok,Mar03,10
66630,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3.5,090,ok,Mar03,10
66635,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3.5,090,ok,Mar03,10
66680,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
66680,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3,090,ok,Apr06,J
66680,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,15,090,,,
66680,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
66680,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
66682,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3.5,090,ok,Apr06,J
66682,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,120,090,,,
66682,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,130,090,,,
66682,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.8,090,,,
66682,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,80,090,,,
66682,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,4,090,,,
66682,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
66682,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,8,090,,,
66682,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,4,090,,,
66682,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
66682,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,,
66700,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,3,2,090,ok,,
66700,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,3,090,,,
66700,PEAC,"Pharmacy, Rx",SH044,Iopidine 1% ophth soln (0.1ml uou),item,11.013,1,,090,,,
66700,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,,090,,,
66710,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,3,2,090,ok,,
66710,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,3,090,,,
66710,PEAC,"Pharmacy, Rx",SH044,Iopidine 1% ophth soln (0.1ml uou),item,11.013,1,,090,,,
66710,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,,090,,,
66711,RUC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,ok,,
66720,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,3,2,090,,,
66720,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,3,090,,,
66720,PEAC,"Pharmacy, Rx",SH044,Iopidine 1% ophth soln (0.1ml uou),item,11.013,1,,090,,,
66720,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,090,,,
66740,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,3,2,090,ok,,
66740,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,3,090,,,
66740,PEAC,"Pharmacy, Rx",SH044,Iopidine 1% ophth soln (0.1ml uou),item,11.013,1,,090,,,
66740,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,,090,,,
66761,RUC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,3,2,010,,CPT11,34
66761,RUC,"Pharmacy, Rx",SH044,Iopidine 1% ophth soln (0.1ml uou),item,11.013,1,0,010,,CPT11,34
66761,RUC,"Pharmacy, Rx",SH097,Pilocarpine 2%,ml,2.853,1,0,010,,CPT11,34
66761,RUC,"Pharmacy, Rx",SH037,Goniosol 2.5% ophth,ml,0.58,1,0,010,,CPT11,34
66761,RUC,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,1,0,010,,CPT11,34
66762,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,3,2,090,,,
66762,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,3,090,,,
66762,PEAC,"Pharmacy, Rx",SH044,Iopidine 1% ophth soln (0.1ml uou),item,11.013,1,,090,,,
66770,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,3,2,090,,,
66770,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,3,090,,,
66770,PEAC,"Pharmacy, Rx",SH044,Iopidine 1% ophth soln (0.1ml uou),item,11.013,1,,090,,,
66770,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,,090,,,
66820,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,2.5,090,ok,Apr06,J
66820,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,120,090,,,
66820,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,130,090,,,
66820,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.8,090,,,
66820,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,4,090,,,
66820,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,80,090,,,
66820,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
66820,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,8,090,,,
66820,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,4,090,,,
66820,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
66820,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,,
66821,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,3,2,090,ok,,
66821,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,,090,,,
66821,PEAC,"Pharmacy, Rx",SH044,Iopidine 1% ophth soln (0.1ml uou),item,11.013,1,1,090,,,
66825,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,ok,Apr06,J
66825,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,120,090,,,
66825,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,130,090,,,
66825,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.8,090,,,
66825,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,4,090,,,
66825,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,80,090,,,
66825,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
66825,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,8,090,,,
66825,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,4,090,,,
66825,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
66825,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,,
66830,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4,090,66984,ok,
66840,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4,090,66984,ok,
66850,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4.5,090,66984,ok,
66852,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4.5,090,66984,ok,
66920,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4,090,66984,ok,
66930,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4.5,090,ok,Apr06,J
66930,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,15,090,,,
66940,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4.5,090,ok,Apr06,J
66940,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,15,090,,,
66982,RUC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,ok,Apr08,ss
66982,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,5,090,,,
66983,RUC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4.5,090,66984,ok,
66984,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4,090,ok,,
66985,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,66984,ok,
66986,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,66984,ok,
66990,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
66999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
67005,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4,090,ok,Apr06,J
67010,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4,090,ok,Apr06,J
67015,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4.5,090,ok,Apr06,J
67015,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
67015,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,45,090,,,
67015,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.6,090,,,
67015,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
67015,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
67015,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67015,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,2,090,,,
67015,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,1,090,,,
67015,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,1,090,,,
67015,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
67025,PEAC,"Accessory, Procedure",SD080,"gas, intraocular C3F8 (ISPAN) (per dose)",item,3.323,10,0,090,,Mar03,10
67025,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67025,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67025,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Mar03,10
67025,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67025,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67025,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67025,PEAC,"Gown, Drape",SB045,"drape, sterile, incise, ophthalmic",item,4.9,1,0,090,,Mar03,10
67025,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67025,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,090,,Mar03,10
67025,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,2,0,090,,Mar03,10
67025,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67025,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,5,4,090,ok,Mar03,10
67025,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,0,090,,Mar03,10
67025,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67025,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,090,,Mar03,10
67027,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,ok,Mar03,10
67028,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,CPT11,58
67028,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,CPT11,58
67028,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,CPT11,58
67028,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,,000,,CPT11,58
67028,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,000,,CPT11,58
67028,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,,000,,CPT11,58
67028,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,,000,,CPT11,58
67030,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4,090,ok,Apr06,J
67030,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
67030,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,45,090,,,
67030,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.5,090,,,
67030,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
67030,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
67030,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67030,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,2,090,,,
67030,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,1,090,,,
67030,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,1,090,,,
67030,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,,
67031,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,3.5,2.5,090,ok,Mar03,10
67031,PEAC,"Pharmacy, Rx",SH037,Goniosol 2.5% ophth,ml,0.58,1,0,090,,Mar03,10
67031,PEAC,"Pharmacy, Rx",SH044,Iopidine 1% ophth soln (0.1ml uou),item,11.013,1,0,090,,Mar03,10
67036,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4.5,090,ok,,
67039,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,7,090,ok,,
67039,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,27,090,67038,,
67040,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,7.5,090,67038,ok,
67040,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,27,090,67038,,
67041,RUC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,,CPT08,G
67042,RUC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,,CPT08,G
67043,RUC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,6,090,,CPT08,G
67101,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67101,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67101,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67101,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67101,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67101,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67101,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,090,,Mar03,10
67101,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,5,4,090,ok,Mar03,10
67101,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,0,090,,Mar03,10
67101,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67101,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,0,090,,Mar03,10
67105,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67105,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,090,,Mar03,10
67105,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,4.5,3.5,090,ok,Mar03,10
67105,PEAC,"Pharmacy, Rx",SH037,Goniosol 2.5% ophth,ml,0.58,0.1,0,090,,Mar03,10
67105,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,0,090,,Mar03,10
67107,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4.5,090,ok,Mar03,10
67108,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,ok,Mar03,10
67110,PEAC,"Accessory, Procedure",SD080,"gas, intraocular C3F8 (ISPAN) (per dose)",item,3.323,5,0,090,,Mar03,10
67110,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67110,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67110,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Mar03,10
67110,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67110,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67110,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67110,PEAC,"Gown, Drape",SB045,"drape, sterile, incise, ophthalmic",item,4.9,1,0,090,,Mar03,10
67110,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67110,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,3,0,090,,Mar03,10
67110,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,3,0,090,,Mar03,10
67110,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67110,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,5.5,4.5,090,ok,Mar03,10
67110,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,0,090,,Mar03,10
67110,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67110,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,0,090,,Mar03,10
67112,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,6,090,ok,Mar03,10
67113,RUC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,7,090,,CPT08,G
67115,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3.5,090,ok,Mar03,10
67120,PEAC,"Cutters, Closures, Cautery",SF052,"suture, vicryl, 7-0",item,21.773,1,0,090,,Mar03,10
67120,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67120,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67120,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,090,,Mar03,10
67120,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67120,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67120,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67120,PEAC,"Gown, Drape",SB045,"drape, sterile, incise, ophthalmic",item,4.9,1,0,090,,Mar03,10
67120,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67120,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67120,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,090,,Mar03,10
67120,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67120,PEAC,"Hypodermic, IV",SC081,"needle, retrobulbar (Atkinson)",item,1.825,1,0,090,,Mar03,10
67120,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67120,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,4.5,3.5,090,ok,Mar03,10
67120,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,0,090,,Mar03,10
67120,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67120,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,0,090,,Mar03,10
67121,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,ok,Mar03,10
67141,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67141,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67141,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67141,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67141,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67141,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,090,,Mar03,10
67141,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67141,PEAC,"Hypodermic, IV",SC081,"needle, retrobulbar (Atkinson)",item,1.825,1,0,090,,Mar03,10
67141,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,4,3,090,ol,Mar03,10
67141,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,0,090,,Mar03,10
67141,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,0,090,,Mar03,10
67145,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67145,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,090,,Mar03,10
67145,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,4,3,090,ok,Mar03,10
67145,PEAC,"Pharmacy, Rx",SH037,Goniosol 2.5% ophth,ml,0.58,0.1,0,090,,Mar03,10
67145,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,0,090,,Mar03,10
67208,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,090,,,
67208,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,4,3,090,ok,,
67208,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,,090,,,
67208,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,1,090,,,
67208,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,090,,,
67208,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,090,,,
67208,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,24,090,,,
67210,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,6,5,090,ok,,
67210,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,5,,090,,,
67218,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4,090,ok,Apr06,J
67218,CPEP,Lab,SL020,bleach,ml,0.001,,10,090,,,
67218,CPEP,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,,1,090,,,
67218,CPEP,"Pharmacy, NonRx",SJ015,contact lens soln (12oz uou),item,4.19,,1,090,,,
67218,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,,
67218,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,45,090,,,
67218,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.6,090,,,
67218,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
67218,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,1,090,,,
67218,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67218,CPEP,"Wound Care, Dressings",SG043,"dressing, eye pad (Opticlude)",item,0.328,,1,090,,,
67218,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,2,090,,,
67218,CPEP,"Wound Care, Dressings",SG047,eye shield (fox) and garter,item,0.689,,1,090,,,
67218,CPEP,"Wound Care, Dressings",SG048,"eye shield, fox",item,0.6,,1,090,,,
67218,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,1,090,,,
67218,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,1,090,,,
67218,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,420,090,,,
67220,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,5,4,090,ok,,
67220,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,5,,090,,,
67221,PEAC,"Kit, Pack, Tray",SA049,"pack, ocular photodynamic therapy",pack,20.675,1,0,000,,Feb05,
67221,PEAC,"Pharmacy, Rx",SH037,Goniosol 2.5% ophth,ml,0.58,1,0,000,,Feb05,
67221,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,1,0,000,ok,Feb05,
67225,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,G0184,Feb05,
67227,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,090,,,
67227,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,4,3,090,ok,,
67227,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,20,,090,,,
67227,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,1,090,,,
67227,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,090,,,
67227,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,090,,,
67227,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,24,090,,,
67228,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,4.5,3.5,090,ok,,
67228,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,5,,090,,,
67228,RUC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,5,0,090,,CPT08,H
67228,RUC,"Pharmacy, Rx",SH037,Goniosol 2.5% ophth,ml,0.58,3,0,090,,CPT08,H
67228,RUC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,4,3,090,,CPT08,H
67228,RUC,"Hypodermic, IV",SC081,"needle, retrobulbar (Atkinson)",item,1.825,3,0,090,,CPT08,H
67228,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,0,090,,CPT08,H
67229,RUC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,6,090,,CPT08,H
67250,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3,090,ok,Apr06,J
67250,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,200,090,,,
67250,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,226,090,,,
67250,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
67250,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,6,090,,,
67250,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67250,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,14,090,,,
67255,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4,090,ok,Apr06,J
67255,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,200,090,,,
67255,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,226,090,,,
67255,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
67255,CPEP,"Pharmacy, Rx",SH057,prednisolone acet 1% oph soln (5ml uou),item,6.67,,6,090,,,
67255,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67255,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,14,090,,,
67299,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
67311,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,3.5,090,,,
67311,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,5,090,,,
67311,PEAC,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.4,090,,,
67311,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67311,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,1,090,,,
67311,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,1,090,,,
67311,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,36,090,,,
67312,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,3.5,090,,Apr06,J
67312,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,
67312,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.4,090,,,
67312,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67312,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,1,090,,,
67312,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,1,090,,,
67312,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,36,090,,,
67314,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,090,,Apr06,J
67314,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,
67314,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.4,090,,,
67314,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67314,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,1,090,,,
67314,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,1,090,,,
67314,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,36,090,,,
67316,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,090,ok,Apr06,J
67316,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,
67316,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.4,090,,,
67316,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67316,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,1,090,,,
67316,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,1,090,,,
67316,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,36,090,,,
67318,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,090,,Apr06,J
67318,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,
67318,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.4,090,,,
67318,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67318,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,1,090,,,
67318,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,1,090,,,
67318,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,36,090,,,
67320,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
67331,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
67332,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
67334,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
67335,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
67340,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
67343,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,3.5,090,,Apr06,J
67343,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,40,090,,,
67343,CPEP,"Pharmacy, Rx",SH011,atropine 1% ophth,ml,0.212,,0.4,090,,,
67343,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67343,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,1,090,,,
67343,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,1,090,,,
67343,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,36,090,,,
67345,PEAC,"Accessory, Procedure",SD051,"electrode needle, monopolar EMG w-lead",item,3.03,1,0,010,,Mar04,E
67345,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,E
67345,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,010,,Mar04,E
67345,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,010,,Mar04,E
67345,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar04,E
67345,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,Mar04,E
67346,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
67399,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
67400,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
67400,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4.5,090,ok,Apr06,J
67400,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,180,090,,,
67400,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,200,090,,,
67400,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
67400,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
67400,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67400,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,12,090,,,
67400,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,6,090,,,
67400,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,6,090,,,
67400,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,72,090,,,
67405,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
67405,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4,090,ok,Apr06,J
67405,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,180,090,,,
67405,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,200,090,,,
67405,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
67405,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
67405,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67405,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,12,090,,,
67405,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,6,090,,,
67405,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,6,090,,,
67405,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,72,090,,,
67412,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
67412,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,2.5,090,ok,Apr06,J
67412,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
67412,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,260,090,,,
67412,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,8,090,,,
67412,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,160,090,,,
67412,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67412,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,16,090,,,
67412,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,8,090,,,
67412,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,8,090,,,
67412,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,96,090,,,
67413,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
67413,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,ok,Apr06,J
67413,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,180,090,,,
67413,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,200,090,,,
67413,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
67413,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
67413,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67413,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,12,090,,,
67413,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,6,090,,,
67413,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,6,090,,,
67413,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,72,090,,,
67414,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
67414,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
67414,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,260,090,,,
67414,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,8,090,,,
67414,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,160,090,,,
67414,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67414,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,16,090,,,
67414,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,8,090,,,
67414,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,8,090,,,
67414,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,96,090,,,
67414,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,3,090,ok,Apr06,J
67415,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
67420,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
67420,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,ok,Apr06,J
67420,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
67420,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,260,090,,,
67420,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,8,090,,,
67420,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,160,090,,,
67420,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67420,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,16,090,,,
67420,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,8,090,,,
67420,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,8,090,,,
67420,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,96,090,,,
67430,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
67430,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,6,090,ok,Apr06,J
67430,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
67430,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,260,090,,,
67430,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,8,090,,,
67430,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,160,090,,,
67430,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67430,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,16,090,,,
67430,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,8,090,,,
67430,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,8,090,,,
67430,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,96,090,,,
67440,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
67440,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5.5,090,ok,Apr06,J
67440,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
67440,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,260,090,,,
67440,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,8,090,,,
67440,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,160,090,,,
67440,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67440,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,16,090,,,
67440,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,8,090,,,
67440,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,8,090,,,
67440,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,96,090,,,
67445,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
67445,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
67445,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,260,090,,,
67445,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,8,090,,,
67445,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,160,090,,,
67445,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67445,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,16,090,,,
67445,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,8,090,,,
67445,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,8,090,,,
67445,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,96,090,,,
67445,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4,090,ok,Apr06,J
67450,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
67450,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,6,090,ok,Apr06,J
67450,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
67450,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,260,090,,,
67450,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,8,090,,,
67450,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,160,090,,,
67450,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67450,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,16,090,,,
67450,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,8,090,,,
67450,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,8,090,,,
67450,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,96,090,,,
67500,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,4,0,000,,Mar03,10
67500,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,0,000,,Mar03,10
67500,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
67500,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,3,0,000,,Mar03,10
67505,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,4,0,000,,Mar03,10
67505,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,0,000,,Mar03,10
67505,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
67505,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,3,0,000,,Mar03,10
67515,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,4,0,000,,Mar03,10
67515,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,0,000,,Mar03,10
67515,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
67515,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,3,0,000,,Mar03,10
67550,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,ok,Apr06,J
67550,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,200,090,,,
67550,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,226,090,,,
67550,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
67550,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
67550,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67550,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,14,090,,,
67560,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,ok,Apr06,J
67560,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,200,090,,,
67560,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,226,090,,,
67560,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,6,090,,,
67560,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,120,090,,,
67560,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67560,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,14,090,,,
67570,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
67570,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,4,090,ok,Apr06,J
67570,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,240,090,,,
67570,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,260,090,,,
67570,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,8,090,,,
67570,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,160,090,,,
67570,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
67570,CPEP,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,,16,090,,,
67570,CPEP,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,,8,090,,,
67570,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,8,090,,,
67570,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,96,090,,,
67599,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
67700,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,010,,Mar04,D
67700,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,010,,Mar04,D
67700,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,D
67700,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar04,D
67700,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar04,D
67700,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,D
67700,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,D
67700,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,010,,Mar04,D
67700,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,0,010,,Mar04,D
67700,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,D
67700,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Mar04,D
67700,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,D
67700,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,D
67700,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,D
67700,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar04,D
67700,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar04,D
67700,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,D
67700,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar04,D
67700,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,010,,Mar04,D
67700,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,1,0,010,,Mar04,D
67700,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,010,,Mar04,D
67700,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,010,,Mar04,D
67700,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,010,,Mar04,D
67700,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,Mar04,D
67700,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,010,,Mar04,D
67700,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,D
67700,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar04,D
67700,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,10,0,010,,Mar04,D
67710,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,010,,Mar04,D
67710,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,010,,Mar04,D
67710,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,D
67710,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,D
67710,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,D
67710,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,010,,Mar04,D
67710,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,0,010,,Mar04,D
67710,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,D
67710,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Mar04,D
67710,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,D
67710,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,D
67710,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,D
67710,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar04,D
67710,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar04,D
67710,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,D
67710,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar04,D
67710,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,010,,Mar04,D
67710,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,1,0,010,,Mar04,D
67710,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,010,,Mar04,D
67710,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,010,,Mar04,D
67710,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,010,,Mar04,D
67710,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,Mar04,D
67710,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,010,,Mar04,D
67710,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,D
67710,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar04,D
67710,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,10,0,010,,Mar04,D
67715,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,010,,Mar04,D
67715,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,010,,Mar04,D
67715,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,D
67715,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,D
67715,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,D
67715,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,010,,Mar04,D
67715,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,0,010,,Mar04,D
67715,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,D
67715,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Mar04,D
67715,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,D
67715,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar04,D
67715,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,D
67715,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar04,D
67715,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar04,D
67715,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,D
67715,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar04,D
67715,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,010,,Mar04,D
67715,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,1,0,010,,Mar04,D
67715,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,010,,Mar04,D
67715,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,010,,Mar04,D
67715,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,010,,Mar04,D
67715,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,Mar04,D
67715,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,010,,Mar04,D
67715,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,D
67715,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar04,D
67715,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,10,0,010,,Mar04,D
67800,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,10
67800,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,10
67800,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar03,10
67800,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar03,10
67800,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1.5,0.5,010,,Mar03,10
67800,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,3,0,010,,Mar03,10
67800,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,010,,Mar03,10
67800,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,3,0,010,,Mar03,10
67801,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,10
67801,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,10
67801,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar03,10
67801,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar03,10
67801,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1.5,0.5,010,,Mar03,10
67801,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,0,010,,Mar03,10
67801,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,5,0,010,,Mar03,10
67801,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,5,0,010,,Mar03,10
67805,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,10
67805,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,10
67805,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar03,10
67805,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar03,10
67805,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar03,10
67805,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,7,0,010,,Mar03,10
67805,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,5,0,010,,Mar03,10
67805,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,5,0,010,,Mar03,10
67808,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,3.5,2.5,090,,Mar03,10
67810,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,,000,67800,,
67810,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,67800,,
67810,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,000,67800,,
67810,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,,000,67800,,
67810,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,5,,000,67800,,
67810,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,67800,,
67810,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,67800,,
67810,PEAC,"Gown, Drape",SB038,safety glasses,item,2.902,3,,000,67800,,
67810,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,67800,,
67810,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,,000,67800,,
67810,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,67800,,
67810,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,,000,67800,,
67810,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,24,,000,67800,,
67810,PEAC,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,1,,000,67800,,
67810,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,,000,67800,,
67810,PEAC,"Pharmacy, Rx",SH058,"proparacaine 0.5% ophth (Ophthaine, Alcaine)",ml,0.596,1,,000,67800,,
67810,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,000,67800,,
67810,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,26,,000,67800,,
67810,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,,000,67800,,
67810,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,,000,67800,,
67810,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,000,67800,,
67810,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,ok,Apr06,J
67820,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
67825,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,Mar03,10
67825,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,10
67825,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar03,10
67825,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar03,10
67825,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar03,10
67825,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,010,,Mar03,10
67825,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,010,,Mar03,10
67825,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,010,,Mar03,10
67825,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,Mar03,10
67825,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,010,,Mar03,10
67825,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,10
67825,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Mar03,10
67825,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,4,0,010,,Mar03,10
67830,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,010,,Mar04,E
67830,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,E
67830,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar04,E
67830,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,2,0,010,,Mar04,E
67830,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,E
67830,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,E
67830,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,010,,Mar04,E
67830,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,0,010,,Mar04,E
67830,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,E
67830,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Mar04,E
67830,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,E
67830,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,E
67830,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar04,E
67830,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar04,E
67830,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,E
67830,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar04,E
67830,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,010,,Mar04,E
67830,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,1,0,010,,Mar04,E
67830,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,010,,Mar04,E
67830,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,010,,Mar04,E
67830,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,010,,Mar04,E
67830,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,Mar04,E
67830,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,010,,Mar04,E
67830,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,E
67830,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar04,E
67830,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,10,0,010,,Mar04,E
67835,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,3,090,ok,Apr06,J
67835,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,12,090,,,
67840,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,010,,Mar04,E
67840,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar04,E
67840,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Mar04,E
67840,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar04,E
67840,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,E
67840,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,E
67840,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,010,,Mar04,E
67840,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,0,010,,Mar04,E
67840,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,E
67840,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Mar04,E
67840,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,E
67840,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,E
67840,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar04,E
67840,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar04,E
67840,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,E
67840,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar04,E
67840,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,010,,Mar04,E
67840,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,1,0,010,,Mar04,E
67840,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,010,,Mar04,E
67840,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,010,,Mar04,E
67840,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,010,,Mar04,E
67840,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,Mar04,E
67840,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,010,,Mar04,E
67840,PEAC,"Wound Care, Dressings",SG048,"eye shield, fox",item,0.6,1,0,010,,Mar04,E
67840,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,E
67840,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar04,E
67840,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,10,0,010,,Mar04,E
67850,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar04,E
67850,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar04,E
67850,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,010,,Mar04,E
67850,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,1,0,010,,Mar04,E
67850,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar04,E
67850,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Mar04,E
67850,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar04,E
67850,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar04,E
67850,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar04,E
67850,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar04,E
67850,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar04,E
67850,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar04,E
67850,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,010,,Mar04,E
67850,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,1,0,010,,Mar04,E
67850,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,010,,Mar04,E
67850,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,010,,Mar04,E
67850,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,010,,Mar04,E
67850,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,010,,Mar04,E
67850,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar04,E
67850,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Mar04,E
67850,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,10,0,010,,Mar04,E
67875,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,000,,Mar03,10
67875,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Mar03,10
67875,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,Mar03,10
67875,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,000,,Mar03,10
67875,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,000,,Mar03,10
67875,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Mar03,10
67875,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,Mar03,10
67875,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Mar03,10
67875,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Mar03,10
67875,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,Mar03,10
67875,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,000,,Mar03,10
67875,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,000,,Mar03,10
67875,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,Mar03,10
67875,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
67875,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,000,,Mar03,10
67875,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,000,,Mar03,10
67875,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,000,,Mar03,10
67875,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,000,,Mar03,10
67875,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,000,,Mar03,10
67875,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,000,,Mar03,10
67875,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,000,,Mar03,10
67875,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,Mar03,10
67875,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Mar03,10
67875,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,10,0,000,,Mar03,10
67880,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,10
67880,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,10
67880,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,10
67880,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67880,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67880,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67880,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67880,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67880,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67880,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67880,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67880,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67880,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67880,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67880,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67880,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,3.5,2.5,090,,Mar03,10
67880,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67880,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67880,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67880,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67880,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67880,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67880,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,090,,Mar03,10
67880,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67880,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67880,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
67882,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,10
67882,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,10
67882,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,10
67882,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67882,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67882,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67882,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67882,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67882,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67882,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67882,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67882,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67882,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67882,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67882,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67882,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4,3,090,,Mar03,10
67882,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67882,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67882,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67882,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67882,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67882,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67882,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,090,,Mar03,10
67882,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67882,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67882,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
67900,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,10
67900,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,10
67900,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,10
67900,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67900,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67900,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67900,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67900,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67900,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67900,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67900,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67900,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67900,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67900,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67900,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67900,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4,3,090,,Mar03,10
67900,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67900,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67900,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67900,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67900,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67900,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67900,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,0,090,,Mar03,10
67900,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67900,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67900,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
67901,RUC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,RUC05,
67901,RUC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,5,0,090,,RUC05,
67901,RUC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,090,,RUC05,
67901,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,0,090,,RUC05,
67901,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,RUC05,
67901,RUC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,RUC05,
67901,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,RUC05,
67901,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,RUC05,
67901,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,RUC05,
67901,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,RUC05,
67901,RUC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,RUC05,
67901,RUC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,RUC05,
67901,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,RUC05,
67901,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,RUC05,
67901,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,RUC05,
67901,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,RUC05,
67901,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,RUC05,
67901,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,090,,RUC05,
67901,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,5,4,090,,RUC05,
67901,RUC,"Cutters, Closures, Cautery",SF052,"suture, vicryl, 7-0",item,21.773,1,0,090,,RUC05,
67901,RUC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,2,0,090,,RUC05,
67901,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,RUC05,
67901,RUC,"Wound Care, Dressings",SG048,"eye shield, fox",item,0.6,1,0,090,,RUC05,
67901,RUC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,090,,RUC05,
67901,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,RUC05,
67901,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,090,,RUC05,
67901,RUC,"Pharmacy, Rx",SH022,bupivacaine 0.5% inj (Marcaine),ml,0.1,5,0,090,,RUC05,
67901,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,RUC05,
67901,RUC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,RUC05,
67901,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,RUC05,
67901,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,20,0,090,,RUC05,
67901,RUC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,RUC05,
67901,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,RUC05,
67901,RUC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,0,090,,RUC05,
67901,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4,3,90,ok,Apr06,J
67902,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,RUC05,
67902,RUC,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,,RUC05,
67902,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,3,90,ok,Apr06,J
67903,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,10
67903,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,10
67903,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Mar03,10
67903,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,10
67903,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67903,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67903,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67903,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67903,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67903,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67903,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67903,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67903,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67903,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67903,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67903,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67903,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4,3,090,,Mar03,10
67903,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67903,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67903,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67903,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67903,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67903,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67903,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,0,090,,Mar03,10
67903,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67903,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67903,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
67904,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,10
67904,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,10
67904,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Mar03,10
67904,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Mar03,10
67904,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67904,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67904,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67904,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67904,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67904,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67904,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67904,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67904,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67904,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67904,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67904,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67904,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,5,4,090,,Mar03,10
67904,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67904,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67904,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67904,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67904,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67904,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67904,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,0,090,,Mar03,10
67904,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67904,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67904,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
67906,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,10
67906,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,10
67906,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67906,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67906,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67906,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67906,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67906,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67906,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67906,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67906,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67906,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67906,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67906,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67906,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4,3,090,ok,Mar03,10
67906,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67906,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67906,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67906,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67906,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67906,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67906,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,0,090,,Mar03,10
67906,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67906,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67906,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
67908,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,1,1,090,,,
67908,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4.5,3.5,090,ok,Apr06,J
67908,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,90,60,090,,,
67908,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,100,10,090,,,
67908,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,3,0,090,,,
67908,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,60,0,090,,,
67908,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,2,0,090,,,
67908,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,22,0,090,,,
67908,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,3,0,090,,,
67908,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,090,,,
67909,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,10
67909,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,10
67909,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Mar03,10
67909,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,10
67909,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67909,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67909,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67909,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67909,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67909,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67909,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67909,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67909,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67909,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67909,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67909,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67909,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4.5,3.5,090,,Mar03,10
67909,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67909,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67909,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67909,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67909,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67909,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67909,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,0,090,,Mar03,10
67909,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67909,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67909,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
67911,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,3.5,090,,Mar03,10
67912,RUC,"Accessory, Procedure",SD072,"eyelid weight implant, gold",item,217.5,1,0,090,,,
67912,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,090,,,
67912,RUC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,,
67912,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,,
67912,RUC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,,
67912,RUC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,,
67912,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,,
67912,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,090,,,
67912,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,,
67912,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,,
67912,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,,
67912,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,,,
67912,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,,
67912,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,,090,,,
67912,RUC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4,3,090,,,
67912,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,,
67912,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,0,090,,,
67912,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,10,0,090,,,
67912,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,,
67912,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,,
67914,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Mar03,10
67914,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67914,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67914,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67914,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67914,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67914,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67914,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67914,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67914,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67914,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67914,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67914,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67914,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2.5,1.5,090,,Mar03,10
67914,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67914,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67914,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67914,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67914,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67914,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67914,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,0,090,,Mar03,10
67914,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67914,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67914,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,10,0,090,,Mar03,10
67915,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,090,,Mar03,10
67915,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,090,,Mar03,10
67915,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67915,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67915,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67915,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67915,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67915,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67915,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67915,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67915,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67915,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67915,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67915,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2.5,1.5,090,,Mar03,10
67915,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67915,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67915,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67915,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67915,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67915,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67915,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,0,090,,Mar03,10
67915,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67915,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67915,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,10,0,090,,Mar03,10
67916,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,10
67916,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,10
67916,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Mar03,10
67916,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,10
67916,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67916,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67916,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67916,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67916,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67916,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67916,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67916,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67916,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67916,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67916,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67916,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67916,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4.5,3.5,090,,Mar03,10
67916,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67916,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67916,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67916,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67916,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67916,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67916,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,0,090,,Mar03,10
67916,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,0,090,,Mar03,10
67916,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67916,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67916,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
67917,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,10
67917,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,10
67917,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Mar03,10
67917,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,10
67917,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67917,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67917,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67917,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67917,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67917,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67917,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67917,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67917,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67917,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67917,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67917,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67917,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4.5,3.5,090,,Mar03,10
67917,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67917,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67917,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67917,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67917,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67917,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67917,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,0,090,,Mar03,10
67917,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,0,090,,Mar03,10
67917,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67917,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67917,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
67921,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Mar03,10
67921,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67921,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67921,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67921,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67921,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67921,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67921,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67921,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67921,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67921,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67921,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67921,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67921,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2.5,1.5,090,,Mar03,10
67921,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67921,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67921,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67921,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67921,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67921,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67921,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,0,090,,Mar03,10
67921,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67921,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67921,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,10,0,090,,Mar03,10
67922,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,090,,Mar03,10
67922,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,090,,Mar03,10
67922,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67922,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67922,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67922,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67922,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67922,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67922,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67922,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67922,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67922,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67922,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67922,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2.5,1.5,090,,Mar03,10
67922,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67922,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67922,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67922,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67922,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67922,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67922,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,0,090,,Mar03,10
67922,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67922,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67922,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,10,0,090,,Mar03,10
67923,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,10
67923,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,10
67923,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Mar03,10
67923,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,10
67923,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67923,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67923,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67923,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67923,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67923,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67923,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67923,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67923,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67923,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67923,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67923,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67923,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4.5,3.5,090,,Mar03,10
67923,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67923,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67923,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67923,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67923,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67923,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67923,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,0,090,,Mar03,10
67923,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,0,090,,Mar03,10
67923,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67923,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67923,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
67924,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,10
67924,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,10
67924,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Mar03,10
67924,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,3,0,090,,Mar03,10
67924,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67924,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67924,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67924,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67924,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67924,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67924,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67924,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67924,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67924,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67924,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67924,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67924,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4,3,090,,Mar03,10
67924,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67924,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67924,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67924,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67924,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67924,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67924,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,0,090,,Mar03,10
67924,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,0,090,,Mar03,10
67924,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67924,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67924,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
67930,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,10
67930,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,010,,Mar03,10
67930,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,010,,Mar03,10
67930,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,10
67930,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar03,10
67930,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar03,10
67930,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,010,,Mar03,10
67930,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,010,,Mar03,10
67930,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,10
67930,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar03,10
67930,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar03,10
67930,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar03,10
67930,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,10
67930,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar03,10
67930,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar03,10
67930,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,10
67930,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar03,10
67930,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,010,,Mar03,10
67930,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,010,,Mar03,10
67930,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,010,,Mar03,10
67930,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,010,,Mar03,10
67930,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,010,,Mar03,10
67930,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,Mar03,10
67930,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,010,,Mar03,10
67930,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,0,010,,Mar03,10
67930,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,10
67930,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Mar03,10
67930,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,010,,Mar03,10
67935,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,10
67935,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,10
67935,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Mar03,10
67935,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,10
67935,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67935,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67935,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67935,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67935,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67935,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67935,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67935,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67935,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67935,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67935,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67935,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67935,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4,3,090,,Mar03,10
67935,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67935,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67935,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67935,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67935,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67935,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67935,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,090,,Mar03,10
67935,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,0,090,,Mar03,10
67935,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67935,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67935,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
67938,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,010,,Mar03,10
67938,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,010,,Mar03,10
67938,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Mar03,10
67938,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,010,,Mar03,10
67938,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,010,,Mar03,10
67938,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Mar03,10
67938,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar03,10
67938,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar03,10
67938,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,010,,Mar03,10
67938,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,010,,Mar03,10
67938,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,10
67938,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar03,10
67938,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar03,10
67938,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Mar03,10
67938,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,10
67938,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar03,10
67938,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar03,10
67938,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,10
67938,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar03,10
67938,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,010,,Mar03,10
67938,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,010,,Mar03,10
67938,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,010,,Mar03,10
67938,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,010,,Mar03,10
67938,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,010,,Mar03,10
67938,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,Mar03,10
67938,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,0,010,,Mar03,10
67938,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,10
67938,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Mar03,10
67938,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,10,0,010,,Mar03,10
67950,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,10
67950,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,10
67950,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Mar03,10
67950,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,10
67950,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67950,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67950,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67950,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67950,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67950,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67950,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67950,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67950,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67950,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67950,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67950,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67950,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4.5,3.5,090,,Mar03,10
67950,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67950,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67950,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67950,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67950,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67950,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67950,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,0,090,,Mar03,10
67950,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,0,090,,Mar03,10
67950,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67950,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67950,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
67961,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,10
67961,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,10
67961,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Mar03,10
67961,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,10
67961,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67961,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67961,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67961,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67961,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67961,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67961,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67961,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67961,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67961,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67961,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67961,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67961,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4.5,3.5,090,,Mar03,10
67961,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67961,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67961,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67961,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67961,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67961,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67961,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,0,090,,Mar03,10
67961,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,0,090,,Mar03,10
67961,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67961,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67961,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
67966,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Mar03,10
67966,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Mar03,10
67966,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Mar03,10
67966,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Mar03,10
67966,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
67966,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Mar03,10
67966,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,090,,Mar03,10
67966,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,090,,Mar03,10
67966,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
67966,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
67966,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
67966,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,090,,Mar03,10
67966,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
67966,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,090,,Mar03,10
67966,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
67966,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
67966,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,5,4,090,,Mar03,10
67966,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Mar03,10
67966,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,090,,Mar03,10
67966,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,090,,Mar03,10
67966,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,090,,Mar03,10
67966,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,090,,Mar03,10
67966,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
67966,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,4,0,090,,Mar03,10
67966,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,0,090,,Mar03,10
67966,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Mar03,10
67966,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,090,,Mar03,10
67966,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
67971,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4.5,090,,Mar03,10
67973,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,5.5,090,,Mar03,10
67974,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,5.5,090,,Mar03,10
67975,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4.5,090,,Mar03,10
67999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
68020,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,10
68020,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar03,10
68040,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
68100,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,000,,Mar03,10
68100,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,000,,Mar03,10
68100,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,000,,Mar03,10
68100,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,Mar03,10
68100,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,000,,Mar03,10
68100,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
68100,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,000,,Mar03,10
68100,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,000,,Mar03,10
68100,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,000,,Mar03,10
68110,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,010,,Mar03,10
68110,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,010,,Mar03,10
68110,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,010,,Mar03,10
68110,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,10
68110,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar03,10
68110,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar03,10
68110,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,Mar03,10
68110,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,Mar03,10
68110,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,010,,Mar03,10
68115,PEAC,"Cutters, Closures, Cautery",SF049,"suture, nylon, 8-0 to 9-0",item,15.32,1,0,010,,Mar03,10
68115,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,010,,Mar03,10
68115,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,010,,Mar03,10
68115,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Mar03,10
68115,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,010,,Mar03,10
68115,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,10
68115,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,010,,Mar03,10
68115,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Mar03,10
68115,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,10
68115,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar03,10
68115,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,10
68115,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar03,10
68115,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,1,0,010,,Mar03,10
68115,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,Mar03,10
68115,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,010,,Mar03,10
68130,PEAC,"Cutters, Closures, Cautery",SF044,"blade, surgical, super-sharp",item,4.1667,1,0,090,,Mar03,10
68130,PEAC,"Cutters, Closures, Cautery",SF049,"suture, nylon, 8-0 to 9-0",item,15.32,1,0,090,,Mar03,10
68130,PEAC,"Cutters, Closures, Cautery",SF008,"blade, surgical 64,65,67 (Beaver)",item,2.337,1,0,090,,Mar03,10
68130,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,090,,Mar03,10
68130,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,090,,Mar03,10
68130,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
68130,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,090,,Mar03,10
68130,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
68130,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
68130,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
68130,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
68130,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
68130,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4.5,3.5,090,,Mar03,10
68130,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,0,090,,Mar03,10
68130,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
68130,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
68130,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,090,,Mar03,10
68135,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar03,10
68200,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,4,0,000,,Mar03,10
68200,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,0,000,,Mar03,10
68200,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
68200,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,3,0,000,,Mar03,10
68320,PEAC,"Cutters, Closures, Cautery",SF044,"blade, surgical, super-sharp",item,4.1667,1,0,090,,Mar03,10
68320,PEAC,"Cutters, Closures, Cautery",SF049,"suture, nylon, 8-0 to 9-0",item,15.32,2,0,090,,Mar03,10
68320,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,090,,Mar03,10
68320,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,090,,Mar03,10
68320,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
68320,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,090,,Mar03,10
68320,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
68320,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
68320,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
68320,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
68320,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
68320,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
68320,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,5,4,090,,Mar03,10
68320,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,0,090,,Mar03,10
68320,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
68320,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
68320,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,2,0,090,,Mar03,10
68325,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,090,,Mar03,10
68326,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,090,,Mar03,10
68328,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,090,,Mar03,10
68330,PEAC,"Cutters, Closures, Cautery",SF044,"blade, surgical, super-sharp",item,4.1667,1,0,090,,Mar03,10
68330,PEAC,"Cutters, Closures, Cautery",SF049,"suture, nylon, 8-0 to 9-0",item,15.32,1,0,090,,Mar03,10
68330,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,090,,Mar03,10
68330,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,090,,Mar03,10
68330,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
68330,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,090,,Mar03,10
68330,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
68330,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
68330,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
68330,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
68330,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
68330,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Mar03,10
68330,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4,3,090,,Mar03,10
68330,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,0,090,,Mar03,10
68330,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
68330,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,20,0,090,,Mar03,10
68330,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,2,0,090,,Mar03,10
68335,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,090,,Mar03,10
68340,PEAC,"Accessory, Procedure",SD158,"conformer, sterile, acrylic",item,20,1,0,090,,Mar03,10
68340,PEAC,"Cutters, Closures, Cautery",SF044,"blade, surgical, super-sharp",item,4.1667,1,0,090,,Mar03,10
68340,PEAC,"Cutters, Closures, Cautery",SF049,"suture, nylon, 8-0 to 9-0",item,15.32,1,0,090,,Mar03,10
68340,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,090,,Mar03,10
68340,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,090,,Mar03,10
68340,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
68340,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,090,,Mar03,10
68340,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
68340,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
68340,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
68340,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
68340,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
68340,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,3.5,2.5,090,,Mar03,10
68340,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,0,090,,Mar03,10
68340,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
68340,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,090,,Mar03,10
68360,PEAC,"Cutters, Closures, Cautery",SF044,"blade, surgical, super-sharp",item,4.1667,1,0,090,,Mar03,10
68360,PEAC,"Cutters, Closures, Cautery",SF049,"suture, nylon, 8-0 to 9-0",item,15.32,1,0,090,,Mar03,10
68360,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,090,,Mar03,10
68360,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,090,,Mar03,10
68360,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Mar03,10
68360,PEAC,"Gown, Drape",SB010,"drape, sterile, fenestrated 16in x 16in (eye)",item,3.435,1,0,090,,Mar03,10
68360,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Mar03,10
68360,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Mar03,10
68360,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Mar03,10
68360,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Mar03,10
68360,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,090,,Mar03,10
68360,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,3.5,2.5,090,,Mar03,10
68360,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,2,0,090,,Mar03,10
68360,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,090,,Mar03,10
68360,PEAC,"Wound Care, Dressings",SG085,"microsponge, cellulose (10 pack uou)",item,3.62,1,0,090,,Mar03,10
68362,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,090,,Mar03,10
68371,RUC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,010,,,
68371,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,010,,,
68384,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,,,,
68399,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
68400,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Sep04,
68400,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,010,,Sep04,
68400,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Sep04,
68400,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,010,,Sep04,
68400,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Sep04,
68400,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Sep04,
68400,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,010,,Sep04,
68400,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Sep04,
68400,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,010,,Sep04,
68400,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,0,010,,Sep04,
68400,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Sep04,
68400,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Sep04,
68400,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Sep04,
68400,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Sep04,
68400,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Sep04,
68400,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,010,,Sep04,
68400,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,010,,Sep04,
68400,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
68400,PEAC,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,1,0,010,,Sep04,
68400,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,010,,Sep04,
68400,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,,
68400,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,,Sep04,
68400,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,010,,Sep04,
68400,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,010,,Sep04,
68400,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,5,0,010,,Sep04,
68400,PEAC,"Wound Care, Dressings",SG043,"dressing, eye pad (Opticlude)",item,0.328,1,0,010,,Sep04,
68400,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,010,,,
68400,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,,
68400,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,,
68420,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,010,,Sep04,
68420,PEAC,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,1,0,010,,Sep04,
68420,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Sep04,
68420,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Sep04,
68420,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,ok,Apr06,J
68420,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,010,,Sep04,
68420,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Sep04,
68420,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Sep04,
68420,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Sep04,
68420,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,010,,Sep04,
68420,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Sep04,
68420,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Sep04,
68420,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Sep04,
68420,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,010,,Sep04,
68420,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,,Sep04,
68420,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Sep04,
68420,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,010,,Sep04,
68420,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
68420,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Sep04,
68420,PEAC,"Wound Care, Dressings",SG043,"dressing, eye pad (Opticlude)",item,0.328,1,0,010,,Sep04,
68420,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Sep04,
68420,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Sep04,
68420,PEAC,"Wound Care, Dressings",SG067,penrose drain (0.25in x 4in),item,0.497,1,0,010,,Sep04,
68420,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,010,,Sep04,
68420,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,5,0,010,,Sep04,
68420,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,010,,Sep04,
68420,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,010,,Sep04,
68420,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,010,,Sep04,
68420,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,010,,Sep04,
68440,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,ok,Apr06,J
68500,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
68500,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,5.5,090,ok,Apr06,J
68500,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,180,090,,,
68500,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,200,090,,,
68500,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,1,090,,,
68500,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
68500,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
68500,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,6,090,,,
68500,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,72,090,,,
68505,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
68505,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,5.5,090,ok,Apr06,J
68505,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,180,090,,,
68505,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,200,090,,,
68505,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,1,090,,,
68505,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
68505,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
68505,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,6,090,,,
68505,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,72,090,,,
68510,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,000,Sep04,Sep04,
68510,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,000,,Sep04,
68510,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,000,Sep04,Sep04,
68510,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Sep04,
68510,PEAC,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,1,0,000,,Sep04,
68510,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,Sep04,
68510,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,000,,Sep04,
68510,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,000,,Sep04,
68510,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,Sep04,
68510,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,000,,Sep04,
68510,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,Sep04,
68510,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,000,,Sep04,
68510,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,Sep04,
68510,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Sep04,
68510,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,,Sep04,
68510,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,000,Sep04,Sep04,
68510,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Sep04,
68510,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,Sep04,
68510,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,ok,Apr06,J
68510,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,000,,Sep04,
68510,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,Sep04,
68510,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,000,,Sep04,
68510,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,000,Sep04,Sep04,
68510,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,Sep04,Sep04,
68510,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,000,Sep04,Sep04,
68510,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,5,0,000,Sep04,Sep04,
68510,PEAC,"Wound Care, Dressings",SG043,"dressing, eye pad (Opticlude)",item,0.328,1,0,000,Sep04,Sep04,
68510,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,000,,Sep04,
68520,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
68520,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,1,090,ok,Apr06,J
68520,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,120,090,,,
68520,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,130,090,,,
68520,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,1,090,,,
68520,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
68520,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
68520,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
68520,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,,
68525,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
68530,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Sep04,
68530,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,010,,Sep04,
68530,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,010,,Sep04,
68530,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,010,,Sep04,
68530,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Sep04,
68530,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,010,,Sep04,
68530,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,010,,Sep04,
68530,PEAC,"Wound Care, Dressings",SG043,"dressing, eye pad (Opticlude)",item,0.328,1,0,010,,Sep04,
68530,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,30,0,010,,Sep04,
68530,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,20,0,010,,Sep04,
68530,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,010,,Sep04,
68530,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,010,,Sep04,
68530,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,010,,Sep04,
68530,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,010,,Sep04,
68530,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Apr06,J
68530,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,010,,Sep04,
68530,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,010,,Sep04,
68530,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Sep04,
68530,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,010,,Sep04,
68530,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,010,,Sep04,
68530,PEAC,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,1,0,010,,Sep04,
68530,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,010,,Sep04,
68530,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Sep04,
68530,PEAC,"Cutters, Closures, Cautery",SF037,"suture, nylon, 4-0 to 6-0, p, ps",item,6.714,1,0,010,,Sep04,
68530,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,5,0,010,,Sep04,
68530,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,010,,Sep04,
68530,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Sep04,
68530,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Sep04,
68530,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,010,,Sep04,
68540,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
68540,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,5,090,ok,Apr06,J
68540,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,120,090,,,
68540,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,130,090,,,
68540,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,1,090,,,
68540,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
68540,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
68540,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
68540,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,,
68550,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
68550,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,,6,090,ok,Apr06,J
68550,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,180,090,,,
68550,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,200,090,,,
68550,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,1,090,,,
68550,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
68550,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
68550,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,6,090,,,
68550,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,72,090,,,
68700,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,090,,Mar03,10
68705,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,010,,Mar03,10
68705,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,010,,Mar03,10
68705,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,Mar03,10
68705,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,10
68705,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar03,10
68705,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar03,10
68705,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,10
68705,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar03,10
68705,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,010,,Mar03,10
68705,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,010,,Mar03,10
68705,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,010,,Mar03,10
68705,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,010,,Mar03,10
68705,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,Mar03,10
68705,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,010,,Mar03,10
68705,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,10
68705,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Mar03,10
68705,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,6,0,010,,Mar03,10
68720,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
68720,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,090,ok,Apr06,J
68720,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,120,090,,,
68720,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,130,090,,,
68720,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,1,090,,,
68720,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
68720,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
68720,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
68720,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,,
68745,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
68745,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,090,ok,Apr06,J
68745,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,120,090,,,
68745,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,130,090,,,
68745,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,1,090,,,
68745,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
68745,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
68745,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,4,090,,,
68745,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,,
68750,CPEP,"Cutters, Closures, Cautery",SF006,"blade, surgical, super",item,2.083,,1,090,,,
68750,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4.5,090,ok,Apr06,J
68750,CPEP,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,150,090,,,
68750,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,,165,090,,,
68750,CPEP,"Pharmacy, Rx",SH027,dexamethasone 0.5% oph oint (4gm uou),item,6.47,,1,090,,,
68750,CPEP,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,,20,090,,,
68750,CPEP,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,1,090,,,
68750,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,5,090,,,
68750,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,60,090,,,
68760,PEAC,"Cutters, Closures, Cautery",SF012,"cautery, bipolar cord",item,4.733,1,0,010,,Mar03,10
68760,PEAC,"Cutters, Closures, Cautery",SF013,"cautery, bipolar, pencil-handpiece",item,26,1,0,010,,Mar03,10
68760,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,Mar03,10
68760,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,10
68760,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar03,10
68760,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar03,10
68760,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar03,10
68760,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,010,,Mar03,10
68760,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,010,,Mar03,10
68760,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,010,,Mar03,10
68760,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,010,,Mar03,10
68760,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,Mar03,10
68760,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,010,,Mar03,10
68760,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,10
68760,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Mar03,10
68760,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,4,0,010,,Mar03,10
68761,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,Mar03,10
68761,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar03,10
68761,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,010,,Mar03,10
68761,PEAC,"Wound Care, Dressings",SG070,punctum plug,pair,40,0.5,0,010,,Mar03,10
68761,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,2,0,010,,Mar03,10
68770,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,4,090,,Mar03,10
68801,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,10
68801,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,3,2,010,,Mar03,10
68801,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,6,0,010,,Mar03,10
68810,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,Mar03,10
68810,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar03,10
68810,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,10
68810,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,3,2,010,,Feb08,ss
68810,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,010,,Mar03,10
68810,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,010,,Mar03,10
68810,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,010,,Mar03,10
68810,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,010,,Mar03,10
68810,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,Mar03,10
68810,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,10
68810,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,6,0,010,,Mar03,10
68811,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,,2,010,,Mar03,10
68815,PEAC,"Accessory, Procedure",SD179,lacrimal duct stent-tube set,item,74,1,0,010,,Mar03,10
68815,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,010,,Mar03,10
68815,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,010,,Mar03,10
68815,PEAC,"Gown, Drape",SB015,"drape, sterile, u-shape",item,11.397,1,0,010,,Mar03,10
68815,PEAC,"Gown, Drape",SB016,"drape-cover, sterile, OR light handle",item,1.059,1,0,010,,Mar03,10
68815,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,010,,Mar03,10
68815,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,010,,Mar03,10
68815,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,010,,Mar03,10
68815,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,010,,Mar03,10
68815,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,Mar03,10
68815,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,Mar03,10
68815,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar03,10
68815,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,Mar03,10
68815,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,3,2,010,,Mar03,10
68815,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,010,,Mar03,10
68815,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,010,,Mar03,10
68815,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,1,0,010,,Mar03,10
68815,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,0.5,0,010,,Mar03,10
68815,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,010,,Mar03,10
68815,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,Mar03,10
68815,PEAC,"Wound Care, Dressings",SG046,"eye pad, sterile, strabismus",item,0.336,2,0,010,,Mar03,10
68815,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,010,,Mar03,10
68815,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,010,,Mar03,10
68815,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,10,0,010,,Mar03,10
68816,RUC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,6,0,010,,CPT08,I
68816,RUC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,CPT08,I
68816,RUC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,010,,CPT08,I
68816,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,010,,CPT08,I
68816,RUC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,3,2,010,,CPT08,I
68816,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,010,,CPT08,I
68816,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,CPT08,I
68816,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,CPT08,I
68816,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,010,,CPT08,I
68816,RUC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,1,0,010,,CPT08,I
68816,RUC,"Pharmacy, Rx",SH056,phenylephrine 2.5% ophth (Mydfrin),ml,0.391,1,0,010,,CPT08,I
68816,RUC,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,1,0,010,,CPT08,I
68816,RUC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,010,,CPT08,I
68816,RUC,"Accessory, Procedure",SD220,"catheter, balloon, lacrimal",item,306,1,0,010,,CPT08,I
68840,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,010,,Mar03,10
68840,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,010,,Mar03,10
68840,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,2,1,010,,Mar03,10
68840,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,5,0,010,,Mar03,10
68840,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,010,,Mar03,10
68840,PEAC,"Pharmacy, Rx",SH032,erythromycin ophth oint (3.5gm uou),item,2.95,1,0,010,,Mar03,10
68840,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,010,,Mar03,10
68840,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,010,,Mar03,10
68840,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,6,0,010,,Mar03,10
68850,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Mar03,10
68850,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,000,,Mar03,10
68850,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,000,,Mar03,10
68850,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,000,,Mar03,10
68850,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,1,0,000,,Mar03,10
68850,PEAC,"Pharmacy, Rx",SH078,balanced salt soln (BSS) (15ml uou),item,1.6,1,0,000,,Mar03,10
68850,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,4,0,000,,Mar03,10
68899,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
69000,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
69000,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
69000,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
69000,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
69000,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
69000,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
69000,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
69000,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,2,010,,,
69000,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
69000,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
69000,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
69000,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,,010,,,
69000,PEAC,Lab,SL033,culture swab system (Culturette),item,0.865,2,,010,,,
69000,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,1,010,,,
69000,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
69000,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,10,010,,,
69000,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,2,010,,,
69000,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,,010,,,
69000,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,,010,,,
69000,PEAC,"Wound Care, Dressings",SG032,dental rolls,item,0.025,2,,010,,,
69000,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,010,,,
69005,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,010,,,
69005,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,010,,,
69005,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,010,,,
69005,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,010,,,
69005,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,010,,,
69005,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,010,,,
69005,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,,010,,,
69005,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,2,010,,,
69005,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,1,010,,,
69005,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
69005,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
69005,PEAC,Lab,SL033,culture swab system (Culturette),item,0.865,2,,010,,,
69005,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,1,010,,,
69005,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
69005,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,10,010,,,
69005,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,2,010,,,
69005,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,1,,010,,,
69005,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,,010,,,
69005,PEAC,"Wound Care, Dressings",SG032,dental rolls,item,0.025,4,,010,,,
69005,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,010,,,
69020,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,,
69020,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,010,,,
69020,PEAC,"Cutters, Closures, Cautery",SF009,"blade, surgical chisel 81-86 (Beaver)",item,3.301,1,,010,,,
69020,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,2,010,,,
69020,PEAC,"Kit, Pack, Tray",SA023,"kit, phenol applicator",kit,15.152,1,0,010,,,
69020,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
69020,PEAC,Lab,SL033,culture swab system (Culturette),item,0.865,2,,010,,,
69020,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,4,2,010,,,
69020,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
69020,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
69020,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,10,010,,,
69020,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,4,2,010,,,
69020,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,2,010,,,
69020,PEAC,"Pharmacy, Rx",SH053,neomycin-polymyxin-hc otic soln (Cortisporin),ml,2.006,4,2,010,,,
69020,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,2,1,010,,,
69020,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,1,,010,,,
69020,PEAC,"Wound Care, Dressings",SG059,oto-wick,item,0.904,2,1,010,,,
69020,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,010,,,
69090,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
69100,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,000,,,
69100,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,000,,,
69100,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,0,000,,,
69100,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,,,
69100,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,000,,,
69100,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,0,000,,,
69100,PEAC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,0,000,,,
69100,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
69100,PEAC,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,000,,,
69100,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,000,,,
69100,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,,
69100,PEAC,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,1,0,000,,,
69100,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,0,000,,,
69100,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,000,,,
69100,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,,
69100,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,,
69100,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,000,,,
69100,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,000,,,
69100,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
69105,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
69105,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
69105,PEAC,"Cutters, Closures, Cautery",SF009,"blade, surgical chisel 81-86 (Beaver)",item,3.301,1,,000,,,
69105,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,,000,,,
69105,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,,000,,,
69105,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,000,,,
69105,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
69105,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,,,
69105,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
69105,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
69105,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
69105,PEAC,"Pharmacy, Rx",SH053,neomycin-polymyxin-hc otic soln (Cortisporin),ml,2.006,4,,000,,,
69105,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,4,0,000,,,
69105,PEAC,"Wound Care, Dressings",SG059,oto-wick,item,0.904,2,,000,,,
69110,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,090,,Jan04,21
69110,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,1,0,090,,Jan04,21
69110,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,0,090,,Jan04,21
69110,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Jan04,21
69110,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Jan04,21
69110,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Jan04,21
69110,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Jan04,21
69110,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,2,0,090,,Jan04,21
69110,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Jan04,21
69110,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Jan04,21
69110,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Jan04,21
69110,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,1,090,,Jan04,21
69110,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Jan04,21
69110,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Jan04,21
69110,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Jan04,21
69110,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,090,,Jan04,21
69110,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,1,0,090,,Jan04,21
69110,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Jan04,21
69110,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Jan04,21
69110,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Jan04,21
69110,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Jan04,21
69110,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,10,5,090,,Jan04,21
69110,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,3,2,090,,Jan04,21
69110,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,0,10,090,,Jan04,21
69110,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,50,30,090,,Jan04,21
69110,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Jan04,21
69110,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Jan04,21
69110,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,2,2,090,,Jan04,21
69110,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,3,2,090,,Jan04,21
69110,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,3,2,090,,Jan04,21
69110,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,3,2,090,,Jan04,21
69110,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,0,4,090,,Jan04,21
69110,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Jan04,21
69110,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,90,60,090,,Jan04,21
69110,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,0,6,090,,Jan04,21
69110,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,4,0,090,,Jan04,21
69120,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2,090,,Jan04,21
69120,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,4,090,,Jan04,21
69120,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,2,090,,Jan04,21
69120,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69120,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,2,090,,Jan04,21
69120,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,4,090,,Jan04,21
69120,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,4,090,,Jan04,21
69120,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2,090,,Jan04,21
69120,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,2,090,,Jan04,21
69120,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69120,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,10,090,,Jan04,21
69120,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2,090,,Jan04,21
69120,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,20,090,,Jan04,21
69120,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,10,090,,Jan04,21
69120,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69120,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,2,090,,Jan04,21
69120,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69120,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69120,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69120,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,2,090,,Jan04,21
69120,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69120,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,6,090,,Jan04,21
69120,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69120,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,8,090,,Jan04,21
69120,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,2,090,,Jan04,21
69140,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3.5,090,,Jan04,21
69140,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,7,090,,Jan04,21
69140,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3.5,090,,Jan04,21
69140,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69140,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3.5,090,,Jan04,21
69140,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,7,090,,Jan04,21
69140,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,7,090,,Jan04,21
69140,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3.5,090,,Jan04,21
69140,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3.5,090,,Jan04,21
69140,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,3.5,090,,Jan04,21
69140,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,3.5,090,,Jan04,21
69140,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69140,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,17.5,090,,Jan04,21
69140,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3.5,090,,Jan04,21
69140,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,35,090,,Jan04,21
69140,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,17.5,090,,Jan04,21
69140,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69140,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3.5,090,,Jan04,21
69140,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69140,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69140,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69140,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3.5,090,,Jan04,21
69140,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69140,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,Jan04,21
69140,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69140,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,14,090,,Jan04,21
69140,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3.5,090,,Jan04,21
69145,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,090,,Jan04,21
69145,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,2,1,090,,Jan04,21
69145,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,090,,Jan04,21
69145,PEAC,"Cutters, Closures, Cautery",SF008,"blade, surgical 64,65,67 (Beaver)",item,2.337,1,0,090,,Jan04,21
69145,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Jan04,21
69145,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Jan04,21
69145,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Jan04,21
69145,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Jan04,21
69145,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Jan04,21
69145,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Jan04,21
69145,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,1,090,,Jan04,21
69145,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,090,,Jan04,21
69145,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,090,,Jan04,21
69145,PEAC,"Gown, Drape",SB046,"drape, sterile, split-sheet",item,10.2425,1,0,090,,Jan04,21
69145,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,090,,Jan04,21
69145,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,1,0,090,,Jan04,21
69145,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Jan04,21
69145,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2.5,1.5,090,,Jan04,21
69145,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Jan04,21
69145,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,090,,Jan04,21
69145,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,10,5,090,,Jan04,21
69145,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2.5,1.5,090,,Jan04,21
69145,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,0,10,090,,Jan04,21
69145,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,50,30,090,,Jan04,21
69145,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Jan04,21
69145,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Jan04,21
69145,PEAC,"Pharmacy, Rx",SH081,Floxin 0.3% otic soln,ml,2.354,10,0,090,,Jan04,21
69145,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,1,1,090,,Jan04,21
69145,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,2,1,090,,Jan04,21
69145,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,1,090,,Jan04,21
69145,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,2,1,090,,Jan04,21
69145,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,0,4,090,,Jan04,21
69145,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Jan04,21
69145,PEAC,"Wound Care, Dressings",SG059,oto-wick,item,0.904,1,0,090,,Jan04,21
69145,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,60,30,090,,Jan04,21
69145,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,0,6,090,,Jan04,21
69145,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,8,4,090,,Jan04,21
69150,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69150,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69150,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69150,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69150,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69150,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69150,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69150,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69150,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69150,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69150,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69150,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69150,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69150,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69150,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69150,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69150,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69150,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69150,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69150,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69150,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69150,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69150,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69150,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69150,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69155,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,Jan04,21
69155,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,10,090,,Jan04,21
69155,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,5,090,,Jan04,21
69155,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69155,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,5,090,,Jan04,21
69155,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,Jan04,21
69155,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,10,090,,Jan04,21
69155,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,5,090,,Jan04,21
69155,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,5,090,,Jan04,21
69155,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69155,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,25,090,,Jan04,21
69155,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,Jan04,21
69155,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,Jan04,21
69155,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,25,090,,Jan04,21
69155,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69155,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,5,090,,Jan04,21
69155,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69155,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69155,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69155,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,5,090,,Jan04,21
69155,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69155,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,18,090,,Jan04,21
69155,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69155,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,20,090,,Jan04,21
69155,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,5,090,,Jan04,21
69200,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
69200,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
69200,PEAC,"Kit, Pack, Tray",SA023,"kit, phenol applicator",kit,15.152,1,0,000,,,
69200,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
69200,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
69200,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
69200,PEAC,"Pharmacy, Rx",SH053,neomycin-polymyxin-hc otic soln (Cortisporin),ml,2.006,2,,000,,,
69200,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,1,,000,,,
69200,PEAC,"Wound Care, Dressings",SG059,oto-wick,item,0.904,1,,000,,,
69205,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,010,,,
69205,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,010,,,
69205,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,,1,010,,,
69205,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,,2,010,,,
69210,PEAC,"Cutters, Closures, Cautery",SF023,curette for ear cerumen,item,0.919,2,,000,,,
69210,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
69210,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,,
69210,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,2,,000,,,
69210,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
69210,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
69210,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,000,,,
69220,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
69220,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
69220,PEAC,"Kit, Pack, Tray",SA023,"kit, phenol applicator",kit,15.152,1,0,000,,,
69220,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
69220,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
69220,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
69220,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
69220,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,000,,,
69220,PEAC,"Pharmacy, Rx",SH053,neomycin-polymyxin-hc otic soln (Cortisporin),ml,2.006,2,,000,,,
69220,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,1,,000,,,
69222,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,,
69222,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,010,,,
69222,PEAC,"Cutters, Closures, Cautery",SF009,"blade, surgical chisel 81-86 (Beaver)",item,3.301,1,,010,,,
69222,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,2,010,,,
69222,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
69222,PEAC,Lab,SL033,culture swab system (Culturette),item,0.865,2,,010,,,
69222,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
69222,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,4,2,010,,,
69222,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
69222,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
69222,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,10,010,,,
69222,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,4,2,010,,,
69222,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,2,010,,,
69222,PEAC,"Pharmacy, Rx",SH053,neomycin-polymyxin-hc otic soln (Cortisporin),ml,2.006,4,2,010,,,
69222,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,2,1,010,,,
69222,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,1,,010,,,
69222,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,010,,,
69300,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,090,,Feb05,
69300,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,1,0,090,,Feb05,
69300,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Feb05,
69300,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Feb05,
69300,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Feb05,
69300,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,090,,Feb05,
69300,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,10,0,090,,Feb05,
69300,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,090,,Feb05,
69300,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,090,88170,Feb05,
69300,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,090,,Feb05,
69300,PEAC,"Wound Care, Dressings",SG032,dental rolls,item,0.025,4,0,090,,Feb05,
69300,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,88170,Feb05,
69300,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,090,,Feb05,
69300,PEAC,"Cutters, Closures, Cautery",SF038,"suture, prolene, 3-0 to 7-0, p, ps, pc",item,8.76,2,0,090,,Feb05,
69300,PEAC,"Cutters, Closures, Cautery",SF035,"suture, chromic, 2-0 to 5-0",item,4.291,1,0,090,,Feb05,
69300,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,090,,Feb05,
69300,PEAC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,1,0,090,,Feb05,
69300,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,25,0,090,,Feb05,
69300,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,12,0,090,,Feb05,
69300,PEAC,"Pharmacy, NonRx",SJ035,mineral oil,ml,0.011,1,0,090,,Feb05,
69300,PEAC,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,2,0,090,,Feb05,
69300,PEAC,"Cutters, Closures, Cautery",SF018,"cautery, monopolar, electrode, needle",item,1.892,1,0,090,,Feb05,
69300,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Feb05,
69300,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Feb05,
69310,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69310,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69310,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69310,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69310,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69310,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69310,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69310,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69310,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69310,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Jan04,21
69310,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4,090,,Jan04,21
69310,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69310,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69310,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69310,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69310,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69310,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69310,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69310,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69310,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69310,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69310,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69310,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69310,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69310,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69310,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69310,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69320,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,Jan04,21
69320,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,10,090,,Jan04,21
69320,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,5,090,,Jan04,21
69320,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69320,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,5,090,,Jan04,21
69320,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,Jan04,21
69320,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,10,090,,Jan04,21
69320,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,5,090,,Jan04,21
69320,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,5,090,,Jan04,21
69320,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,5,090,,Jan04,21
69320,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,5,090,,Jan04,21
69320,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69320,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,25,090,,Jan04,21
69320,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,Jan04,21
69320,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,Jan04,21
69320,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,25,090,,Jan04,21
69320,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69320,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,5,090,,Jan04,21
69320,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69320,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69320,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69320,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,5,090,,Jan04,21
69320,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69320,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,18,090,,Jan04,21
69320,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69320,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,20,090,,Jan04,21
69320,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,5,090,,Jan04,21
69399,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
69400,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
69400,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
69400,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,000,,,
69400,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,1,,000,,,
69400,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
69400,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,2,,000,,,
69400,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.067,,000,,,
69400,PEAC,"Kit, Pack, Tray",SA023,"kit, phenol applicator",kit,15.152,1,0,000,,,
69400,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
69400,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
69400,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,000,,,
69400,PEAC,"Pharmacy, Rx",SH025,"cocaine 4% solution, topical",ml,3.813,4,,000,,,
69401,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,1,,000,,,
69401,PEAC,"Kit, Pack, Tray",SA023,"kit, phenol applicator",kit,15.152,1,0,000,,,
69401,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
69401,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
69401,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,000,,,
69405,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,,
69405,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,010,,,
69405,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,010,,,
69405,PEAC,"Kit, Pack, Tray",SA023,"kit, phenol applicator",kit,15.152,1,0,010,,,
69405,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
69405,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
69405,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
69405,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
69405,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,2,1,010,,,
69420,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,,
69420,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,010,,,
69420,PEAC,"Kit, Pack, Tray",SA023,"kit, phenol applicator",kit,15.152,1,0,010,,,
69420,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
69420,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
69420,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,010,,,
69420,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
69420,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
69420,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,2,1,010,,,
69421,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,010,,,
69421,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,010,,,
69421,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,1,010,,,
69421,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,,2,010,,,
69421,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,,1,010,,,
69424,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
69424,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
69424,PEAC,"Kit, Pack, Tray",SA023,"kit, phenol applicator",kit,15.152,1,0,000,,,
69424,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,000,,,
69424,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
69424,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,000,,,
69424,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
69424,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,1,,000,,,
69433,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,,
69433,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,010,,,
69433,PEAC,"Kit, Pack, Tray",SA023,"kit, phenol applicator",kit,15.152,1,0,010,,,
69433,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
69433,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
69433,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,010,,,
69433,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
69433,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
69433,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,2,1,010,,,
69436,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,1,010,,,
69436,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,2,010,,,
69436,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,,1,010,,,
69436,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,,2,010,,,
69440,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Jan04,21
69440,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Jan04,21
69440,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3,090,,Jan04,21
69440,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69440,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3,090,,Jan04,21
69440,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Jan04,21
69440,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Jan04,21
69440,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Jan04,21
69440,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3,090,,Jan04,21
69440,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,3,090,,Jan04,21
69440,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69440,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,Jan04,21
69440,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Jan04,21
69440,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,Jan04,21
69440,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,Jan04,21
69440,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69440,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,Jan04,21
69440,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69440,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69440,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69440,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3,090,,Jan04,21
69440,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69440,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,Jan04,21
69440,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69440,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,12,090,,Jan04,21
69440,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3,090,,Jan04,21
69450,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,2.5,090,,Jan04,21
69450,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,5,090,,Jan04,21
69450,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,2.5,090,,Jan04,21
69450,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69450,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,2.5,090,,Jan04,21
69450,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,5,090,,Jan04,21
69450,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,5,090,,Jan04,21
69450,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,2.5,090,,Jan04,21
69450,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,2.5,090,,Jan04,21
69450,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,2.5,090,,Jan04,21
69450,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69450,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,12.5,090,,Jan04,21
69450,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,2.5,090,,Jan04,21
69450,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,25,090,,Jan04,21
69450,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,12.5,090,,Jan04,21
69450,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69450,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,2.5,090,,Jan04,21
69450,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69450,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69450,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69450,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,2.5,090,,Jan04,21
69450,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69450,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,8,090,,Jan04,21
69450,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69450,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,10,090,,Jan04,21
69450,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,2.5,090,,Jan04,21
69501,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Jan04,21
69501,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Jan04,21
69501,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3,090,,Jan04,21
69501,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69501,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3,090,,Jan04,21
69501,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Jan04,21
69501,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Jan04,21
69501,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Jan04,21
69501,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3,090,,Jan04,21
69501,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69501,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,Jan04,21
69501,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Jan04,21
69501,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,Jan04,21
69501,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,Jan04,21
69501,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69501,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,Jan04,21
69501,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69501,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69501,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69501,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3,090,,Jan04,21
69501,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69501,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,Jan04,21
69501,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69501,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,12,090,,Jan04,21
69501,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3,090,,Jan04,21
69502,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69502,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69502,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69502,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69502,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69502,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69502,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69502,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69502,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69502,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69502,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69502,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69502,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69502,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69502,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69502,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69502,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69502,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69502,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69502,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69502,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69502,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69502,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69502,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69502,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69505,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69505,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69505,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69505,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69505,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69505,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69505,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69505,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69505,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69505,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Jan04,21
69505,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4,090,,Jan04,21
69505,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69505,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69505,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69505,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69505,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69505,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69505,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69505,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69505,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69505,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69505,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69505,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69505,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69505,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69505,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69505,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69511,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69511,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69511,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69511,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69511,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69511,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69511,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69511,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69511,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69511,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Jan04,21
69511,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4,090,,Jan04,21
69511,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69511,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69511,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69511,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69511,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69511,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69511,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69511,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69511,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69511,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69511,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69511,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69511,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69511,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69511,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69511,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69530,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4.5,090,,Jan04,21
69530,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,9,090,,Jan04,21
69530,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4.5,090,,Jan04,21
69530,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69530,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4.5,090,,Jan04,21
69530,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,9,090,,Jan04,21
69530,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,9,090,,Jan04,21
69530,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4.5,090,,Jan04,21
69530,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4.5,090,,Jan04,21
69530,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4.5,090,,Jan04,21
69530,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4.5,090,,Jan04,21
69530,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69530,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,22.5,090,,Jan04,21
69530,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4.5,090,,Jan04,21
69530,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,45,090,,Jan04,21
69530,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,22.5,090,,Jan04,21
69530,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69530,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4.5,090,,Jan04,21
69530,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69530,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69530,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69530,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4.5,090,,Jan04,21
69530,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69530,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,Jan04,21
69530,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69530,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,18,090,,Jan04,21
69530,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4.5,090,,Jan04,21
69535,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,Jan04,21
69535,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,10,090,,Jan04,21
69535,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,5,090,,Jan04,21
69535,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69535,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,5,090,,Jan04,21
69535,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,Jan04,21
69535,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,10,090,,Jan04,21
69535,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,5,090,,Jan04,21
69535,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,5,090,,Jan04,21
69535,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,5,090,,Jan04,21
69535,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,5,090,,Jan04,21
69535,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69535,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,25,090,,Jan04,21
69535,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,Jan04,21
69535,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,Jan04,21
69535,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,25,090,,Jan04,21
69535,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69535,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,5,090,,Jan04,21
69535,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69535,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69535,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69535,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,5,090,,Jan04,21
69535,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69535,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,18,090,,Jan04,21
69535,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69535,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,20,090,,Jan04,21
69535,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,5,090,,Jan04,21
69540,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,,
69540,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,010,,,
69540,PEAC,"Cutters, Closures, Cautery",SF009,"blade, surgical chisel 81-86 (Beaver)",item,3.301,1,,010,,,
69540,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,2,010,,,
69540,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
69540,PEAC,Lab,SL033,culture swab system (Culturette),item,0.865,2,,010,,,
69540,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,010,,,
69540,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,4,2,010,,,
69540,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,,010,,,
69540,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
69540,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,10,010,,,
69540,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,4,2,010,,,
69540,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,2,010,,,
69540,PEAC,"Pharmacy, Rx",SH053,neomycin-polymyxin-hc otic soln (Cortisporin),ml,2.006,4,2,010,,,
69540,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,2,1,010,,,
69540,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,1,,010,,,
69540,PEAC,"Wound Care, Dressings",SG059,oto-wick,item,0.904,2,1,010,,,
69540,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,010,,,
69550,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3.5,090,,Jan04,21
69550,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,7,090,,Jan04,21
69550,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3.5,090,,Jan04,21
69550,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69550,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3.5,090,,Jan04,21
69550,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,7,090,,Jan04,21
69550,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,7,090,,Jan04,21
69550,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3.5,090,,Jan04,21
69550,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3.5,090,,Jan04,21
69550,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,3.5,090,,Jan04,21
69550,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,3.5,090,,Jan04,21
69550,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69550,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,17.5,090,,Jan04,21
69550,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3.5,090,,Jan04,21
69550,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,35,090,,Jan04,21
69550,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,17.5,090,,Jan04,21
69550,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69550,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3.5,090,,Jan04,21
69550,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69550,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69550,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69550,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3.5,090,,Jan04,21
69550,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69550,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,Jan04,21
69550,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69550,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,14,090,,Jan04,21
69550,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3.5,090,,Jan04,21
69552,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69552,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69552,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69552,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69552,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69552,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69552,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69552,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69552,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69552,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Jan04,21
69552,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4,090,,Jan04,21
69552,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69552,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69552,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69552,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69552,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69552,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69552,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69552,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69552,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69552,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69552,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69552,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69552,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69552,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69552,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69552,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69554,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69554,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69554,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69554,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69554,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69554,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69554,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69554,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69554,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69554,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Jan04,21
69554,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4,090,,Jan04,21
69554,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69554,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69554,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69554,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69554,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69554,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69554,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69554,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69554,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69554,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69554,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69554,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69554,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69554,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69554,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69554,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69601,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4.5,090,,Jan04,21
69601,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,9,090,,Jan04,21
69601,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4.5,090,,Jan04,21
69601,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69601,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4.5,090,,Jan04,21
69601,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,9,090,,Jan04,21
69601,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,9,090,,Jan04,21
69601,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4.5,090,,Jan04,21
69601,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4.5,090,,Jan04,21
69601,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69601,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,22.5,090,,Jan04,21
69601,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4.5,090,,Jan04,21
69601,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,45,090,,Jan04,21
69601,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,22.5,090,,Jan04,21
69601,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69601,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4.5,090,,Jan04,21
69601,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69601,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69601,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69601,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4.5,090,,Jan04,21
69601,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69601,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,Jan04,21
69601,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69601,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,18,090,,Jan04,21
69601,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4.5,090,,Jan04,21
69602,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69602,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69602,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69602,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69602,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69602,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69602,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69602,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69602,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69602,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4,090,,Jan04,21
69602,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69602,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69602,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69602,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69602,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69602,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69602,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69602,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69602,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69602,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69602,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69602,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69602,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69602,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69602,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69602,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69603,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69603,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69603,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69603,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69603,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69603,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69603,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69603,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69603,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69603,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Jan04,21
69603,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4,090,,Jan04,21
69603,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69603,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69603,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69603,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69603,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69603,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69603,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69603,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69603,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69603,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69603,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69603,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69603,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69603,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69603,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69603,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69604,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69604,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69604,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69604,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69604,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69604,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69604,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69604,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69604,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69604,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4,090,,Jan04,21
69604,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69604,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69604,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69604,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69604,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69604,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69604,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69604,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69604,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69604,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69604,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69604,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69604,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69604,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69604,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69604,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69605,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4.5,090,,Jan04,21
69605,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,9,090,,Jan04,21
69605,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4.5,090,,Jan04,21
69605,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69605,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4.5,090,,Jan04,21
69605,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,9,090,,Jan04,21
69605,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,9,090,,Jan04,21
69605,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4.5,090,,Jan04,21
69605,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4.5,090,,Jan04,21
69605,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4.5,090,,Jan04,21
69605,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4.5,090,,Jan04,21
69605,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69605,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,22.5,090,,Jan04,21
69605,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4.5,090,,Jan04,21
69605,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,45,090,,Jan04,21
69605,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,22.5,090,,Jan04,21
69605,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69605,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4.5,090,,Jan04,21
69605,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69605,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69605,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69605,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4.5,090,,Jan04,21
69605,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69605,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,Jan04,21
69605,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69605,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,18,090,,Jan04,21
69605,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4.5,090,,Jan04,21
69610,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,010,,,
69610,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,010,,,
69610,PEAC,"Kit, Pack, Tray",SA023,"kit, phenol applicator",kit,15.152,1,0,010,,,
69610,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,,010,,,
69610,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,010,,,
69610,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,010,,,
69610,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,010,,,
69610,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,010,,,
69610,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,2,1,010,,,
69620,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,2,1,090,,Jan04,21
69620,PEAC,"Accessory, Procedure",SD122,"suction tip, Yankauer",item,1.116,2,1,090,,Jan04,21
69620,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,4,2,090,,Jan04,21
69620,PEAC,"Cutters, Closures, Cautery",SF016,"cautery, monopolar, electrode tip",item,0.419,1,0,090,,Jan04,21
69620,PEAC,"Cutters, Closures, Cautery",SF020,"cautery, monopolar, pencil-handpiece",item,4.638,1,0,090,,Jan04,21
69620,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,0,090,,Jan04,21
69620,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,090,,Jan04,21
69620,PEAC,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,090,,Jan04,21
69620,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,090,,Jan04,21
69620,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Jan04,21
69620,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,4,0,090,,Jan04,21
69620,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,1,090,,Jan04,21
69620,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,1,090,,Jan04,21
69620,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,1,090,,Jan04,21
69620,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,090,,Jan04,21
69620,PEAC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,1,0,090,,Jan04,21
69620,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,2,1,090,,Jan04,21
69620,PEAC,"Kit, Pack, Tray",SA023,"kit, phenol applicator",kit,15.152,1,0,090,,Jan04,21
69620,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,2,1,090,,Jan04,21
69620,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,2,0,090,,Jan04,21
69620,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Jan04,21
69620,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,1,090,,Jan04,21
69620,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,090,,Jan04,21
69620,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,1,090,,Jan04,21
69620,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,20,0,090,,Jan04,21
69620,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,090,,Jan04,21
69620,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,090,,Jan04,21
69620,PEAC,"Pharmacy, Rx",SH081,Floxin 0.3% otic soln,ml,2.354,10,5,090,,Jan04,21
69620,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,2,090,,Jan04,21
69620,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Jan04,21
69620,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,3,1,090,,Jan04,21
69631,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69631,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69631,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69631,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69631,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69631,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69631,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69631,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69631,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69631,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4,090,,Jan04,21
69631,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69631,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69631,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69631,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69631,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69631,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69631,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69631,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69631,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69631,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69631,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69631,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69631,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69631,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69631,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69631,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69632,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4.5,090,,Jan04,21
69632,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,9,090,,Jan04,21
69632,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4.5,090,,Jan04,21
69632,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69632,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4.5,090,,Jan04,21
69632,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,9,090,,Jan04,21
69632,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,9,090,,Jan04,21
69632,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4.5,090,,Jan04,21
69632,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4.5,090,,Jan04,21
69632,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4.5,090,,Jan04,21
69632,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69632,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,22.5,090,,Jan04,21
69632,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4.5,090,,Jan04,21
69632,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,45,090,,Jan04,21
69632,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,22.5,090,,Jan04,21
69632,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69632,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4.5,090,,Jan04,21
69632,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69632,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69632,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69632,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4.5,090,,Jan04,21
69632,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69632,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,Jan04,21
69632,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69632,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,18,090,,Jan04,21
69632,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4.5,090,,Jan04,21
69633,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4.5,090,,Jan04,21
69633,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,9,090,,Jan04,21
69633,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4.5,090,,Jan04,21
69633,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69633,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4.5,090,,Jan04,21
69633,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,9,090,,Jan04,21
69633,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,9,090,,Jan04,21
69633,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4.5,090,,Jan04,21
69633,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4.5,090,,Jan04,21
69633,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4.5,090,,Jan04,21
69633,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69633,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,22.5,090,,Jan04,21
69633,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4.5,090,,Jan04,21
69633,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,45,090,,Jan04,21
69633,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,22.5,090,,Jan04,21
69633,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69633,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4.5,090,,Jan04,21
69633,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69633,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69633,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69633,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4.5,090,,Jan04,21
69633,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69633,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,Jan04,21
69633,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69633,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,18,090,,Jan04,21
69633,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4.5,090,,Jan04,21
69635,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69635,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69635,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69635,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69635,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69635,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69635,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69635,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69635,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69635,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4,090,,Jan04,21
69635,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4,090,,Jan04,21
69635,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69635,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69635,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69635,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69635,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69635,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69635,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69635,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69635,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69635,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69635,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69635,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69635,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69635,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69635,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69635,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69636,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4.5,090,,Jan04,21
69636,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,9,090,,Jan04,21
69636,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4.5,090,,Jan04,21
69636,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69636,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4.5,090,,Jan04,21
69636,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,9,090,,Jan04,21
69636,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,9,090,,Jan04,21
69636,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4.5,090,,Jan04,21
69636,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4.5,090,,Jan04,21
69636,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4.5,090,,Jan04,21
69636,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4.5,090,,Jan04,21
69636,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69636,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,22.5,090,,Jan04,21
69636,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4.5,090,,Jan04,21
69636,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,45,090,,Jan04,21
69636,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,22.5,090,,Jan04,21
69636,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69636,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4.5,090,,Jan04,21
69636,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69636,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69636,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69636,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4.5,090,,Jan04,21
69636,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69636,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,Jan04,21
69636,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69636,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,18,090,,Jan04,21
69636,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4.5,090,,Jan04,21
69637,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4.5,090,,Jan04,21
69637,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,9,090,,Jan04,21
69637,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4.5,090,,Jan04,21
69637,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69637,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4.5,090,,Jan04,21
69637,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,9,090,,Jan04,21
69637,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,9,090,,Jan04,21
69637,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4.5,090,,Jan04,21
69637,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4.5,090,,Jan04,21
69637,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4.5,090,,Jan04,21
69637,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4.5,090,,Jan04,21
69637,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69637,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,22.5,090,,Jan04,21
69637,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4.5,090,,Jan04,21
69637,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,45,090,,Jan04,21
69637,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,22.5,090,,Jan04,21
69637,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69637,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4.5,090,,Jan04,21
69637,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69637,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69637,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69637,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4.5,090,,Jan04,21
69637,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69637,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,Jan04,21
69637,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69637,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,18,090,,Jan04,21
69637,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4.5,090,,Jan04,21
69641,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69641,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69641,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69641,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69641,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69641,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69641,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69641,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69641,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69641,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4,090,,Jan04,21
69641,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69641,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69641,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69641,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69641,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69641,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69641,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69641,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69641,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69641,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69641,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69641,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69641,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69641,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69641,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69641,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69642,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,5,090,,Jan04,21
69642,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,10,090,,Jan04,21
69642,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,5,090,,Jan04,21
69642,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69642,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,5,090,,Jan04,21
69642,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,10,090,,Jan04,21
69642,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,10,090,,Jan04,21
69642,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,5,090,,Jan04,21
69642,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,5,090,,Jan04,21
69642,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,5,090,,Jan04,21
69642,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69642,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,25,090,,Jan04,21
69642,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,5,090,,Jan04,21
69642,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,50,090,,Jan04,21
69642,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,25,090,,Jan04,21
69642,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69642,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,5,090,,Jan04,21
69642,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69642,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69642,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69642,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,5,090,,Jan04,21
69642,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69642,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,18,090,,Jan04,21
69642,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69642,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,20,090,,Jan04,21
69642,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,5,090,,Jan04,21
69643,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4.5,090,,Jan04,21
69643,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,9,090,,Jan04,21
69643,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4.5,090,,Jan04,21
69643,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69643,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4.5,090,,Jan04,21
69643,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,9,090,,Jan04,21
69643,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,9,090,,Jan04,21
69643,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4.5,090,,Jan04,21
69643,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4.5,090,,Jan04,21
69643,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4.5,090,,Jan04,21
69643,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69643,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,22.5,090,,Jan04,21
69643,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4.5,090,,Jan04,21
69643,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,45,090,,Jan04,21
69643,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,22.5,090,,Jan04,21
69643,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69643,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4.5,090,,Jan04,21
69643,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69643,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69643,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69643,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4.5,090,,Jan04,21
69643,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69643,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,Jan04,21
69643,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69643,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,18,090,,Jan04,21
69643,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4.5,090,,Jan04,21
69644,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4.5,090,,Jan04,21
69644,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,9,090,,Jan04,21
69644,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4.5,090,,Jan04,21
69644,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69644,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4.5,090,,Jan04,21
69644,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,9,090,,Jan04,21
69644,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,9,090,,Jan04,21
69644,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4.5,090,,Jan04,21
69644,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4.5,090,,Jan04,21
69644,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4.5,090,,Jan04,21
69644,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4.5,090,,Jan04,21
69644,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69644,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,22.5,090,,Jan04,21
69644,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4.5,090,,Jan04,21
69644,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,45,090,,Jan04,21
69644,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,22.5,090,,Jan04,21
69644,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69644,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4.5,090,,Jan04,21
69644,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69644,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69644,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69644,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4.5,090,,Jan04,21
69644,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69644,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,Jan04,21
69644,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69644,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,18,090,,Jan04,21
69644,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4.5,090,,Jan04,21
69645,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4.5,090,,Jan04,21
69645,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,9,090,,Jan04,21
69645,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4.5,090,,Jan04,21
69645,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69645,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4.5,090,,Jan04,21
69645,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,9,090,,Jan04,21
69645,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,9,090,,Jan04,21
69645,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4.5,090,,Jan04,21
69645,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4.5,090,,Jan04,21
69645,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4.5,090,,Jan04,21
69645,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4.5,090,,Jan04,21
69645,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69645,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,22.5,090,,Jan04,21
69645,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4.5,090,,Jan04,21
69645,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,45,090,,Jan04,21
69645,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,22.5,090,,Jan04,21
69645,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69645,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4.5,090,,Jan04,21
69645,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69645,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69645,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69645,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4.5,090,,Jan04,21
69645,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69645,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,Jan04,21
69645,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69645,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,18,090,,Jan04,21
69645,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4.5,090,,Jan04,21
69646,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4.5,090,,Jan04,21
69646,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,9,090,,Jan04,21
69646,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4.5,090,,Jan04,21
69646,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69646,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4.5,090,,Jan04,21
69646,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,9,090,,Jan04,21
69646,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,9,090,,Jan04,21
69646,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4.5,090,,Jan04,21
69646,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4.5,090,,Jan04,21
69646,PEAC,"Kit, Pack, Tray",SA042,"pack, cleaning and disinfecting, endoscope",pack,15.52,,4.5,090,,Jan04,21
69646,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4.5,090,,Jan04,21
69646,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69646,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,22.5,090,,Jan04,21
69646,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4.5,090,,Jan04,21
69646,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,45,090,,Jan04,21
69646,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,22.5,090,,Jan04,21
69646,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69646,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4.5,090,,Jan04,21
69646,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69646,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69646,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69646,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4.5,090,,Jan04,21
69646,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69646,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,Jan04,21
69646,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69646,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,18,090,,Jan04,21
69646,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4.5,090,,Jan04,21
69650,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Jan04,21
69650,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Jan04,21
69650,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3,090,,Jan04,21
69650,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69650,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3,090,,Jan04,21
69650,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Jan04,21
69650,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Jan04,21
69650,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Jan04,21
69650,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3,090,,Jan04,21
69650,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,3,090,,Jan04,21
69650,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69650,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,Jan04,21
69650,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Jan04,21
69650,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,Jan04,21
69650,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,Jan04,21
69650,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69650,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,Jan04,21
69650,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69650,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69650,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69650,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3,090,,Jan04,21
69650,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69650,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,Jan04,21
69650,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69650,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,12,090,,Jan04,21
69650,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3,090,,Jan04,21
69660,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Jan04,21
69660,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Jan04,21
69660,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3,090,,Jan04,21
69660,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69660,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3,090,,Jan04,21
69660,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Jan04,21
69660,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Jan04,21
69660,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Jan04,21
69660,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3,090,,Jan04,21
69660,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,3,090,,Jan04,21
69660,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69660,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,Jan04,21
69660,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Jan04,21
69660,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,Jan04,21
69660,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,Jan04,21
69660,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69660,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,Jan04,21
69660,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69660,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69660,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69660,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3,090,,Jan04,21
69660,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69660,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,Jan04,21
69660,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69660,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,12,090,,Jan04,21
69660,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3,090,,Jan04,21
69661,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69661,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69661,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69661,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69661,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69661,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69661,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69661,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69661,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69661,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4,090,,Jan04,21
69661,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69661,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69661,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69661,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69661,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69661,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69661,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69661,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69661,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69661,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69661,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69661,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69661,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69661,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69661,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69661,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69662,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3.5,090,,Jan04,21
69662,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,7,090,,Jan04,21
69662,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3.5,090,,Jan04,21
69662,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69662,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3.5,090,,Jan04,21
69662,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,7,090,,Jan04,21
69662,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,7,090,,Jan04,21
69662,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3.5,090,,Jan04,21
69662,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3.5,090,,Jan04,21
69662,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,3.5,090,,Jan04,21
69662,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69662,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,17.5,090,,Jan04,21
69662,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3.5,090,,Jan04,21
69662,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,35,090,,Jan04,21
69662,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,17.5,090,,Jan04,21
69662,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69662,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3.5,090,,Jan04,21
69662,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69662,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69662,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69662,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3.5,090,,Jan04,21
69662,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69662,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,Jan04,21
69662,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69662,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,14,090,,Jan04,21
69662,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3.5,090,,Jan04,21
69666,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Jan04,21
69666,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Jan04,21
69666,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3,090,,Jan04,21
69666,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69666,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3,090,,Jan04,21
69666,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Jan04,21
69666,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Jan04,21
69666,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Jan04,21
69666,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3,090,,Jan04,21
69666,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,3,090,,Jan04,21
69666,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69666,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,Jan04,21
69666,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Jan04,21
69666,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,Jan04,21
69666,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,Jan04,21
69666,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69666,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,Jan04,21
69666,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69666,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69666,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69666,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3,090,,Jan04,21
69666,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69666,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,Jan04,21
69666,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69666,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,12,090,,Jan04,21
69666,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3,090,,Jan04,21
69667,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Jan04,21
69667,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Jan04,21
69667,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3,090,,Jan04,21
69667,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69667,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3,090,,Jan04,21
69667,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Jan04,21
69667,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Jan04,21
69667,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Jan04,21
69667,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3,090,,Jan04,21
69667,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,3,090,,Jan04,21
69667,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69667,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,Jan04,21
69667,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Jan04,21
69667,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,Jan04,21
69667,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,Jan04,21
69667,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69667,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,Jan04,21
69667,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69667,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69667,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69667,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3,090,,Jan04,21
69667,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69667,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,Jan04,21
69667,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69667,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,12,090,,Jan04,21
69667,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3,090,,Jan04,21
69670,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3.5,090,,Jan04,21
69670,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,7,090,,Jan04,21
69670,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3.5,090,,Jan04,21
69670,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69670,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3.5,090,,Jan04,21
69670,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,7,090,,Jan04,21
69670,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,7,090,,Jan04,21
69670,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3.5,090,,Jan04,21
69670,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3.5,090,,Jan04,21
69670,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,3.5,090,,Jan04,21
69670,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69670,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,17.5,090,,Jan04,21
69670,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3.5,090,,Jan04,21
69670,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,35,090,,Jan04,21
69670,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,17.5,090,,Jan04,21
69670,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69670,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3.5,090,,Jan04,21
69670,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69670,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69670,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69670,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3.5,090,,Jan04,21
69670,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69670,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,Jan04,21
69670,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69670,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,14,090,,Jan04,21
69670,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3.5,090,,Jan04,21
69676,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3.5,090,,Jan04,21
69676,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,7,090,,Jan04,21
69676,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3.5,090,,Jan04,21
69676,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69676,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3.5,090,,Jan04,21
69676,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,7,090,,Jan04,21
69676,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,7,090,,Jan04,21
69676,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3.5,090,,Jan04,21
69676,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3.5,090,,Jan04,21
69676,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,3.5,090,,Jan04,21
69676,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69676,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,17.5,090,,Jan04,21
69676,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3.5,090,,Jan04,21
69676,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,35,090,,Jan04,21
69676,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,17.5,090,,Jan04,21
69676,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69676,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3.5,090,,Jan04,21
69676,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69676,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69676,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69676,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3.5,090,,Jan04,21
69676,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69676,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,Jan04,21
69676,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69676,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,14,090,,Jan04,21
69676,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3.5,090,,Jan04,21
69700,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Jan04,21
69700,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Jan04,21
69700,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3,090,,Jan04,21
69700,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69700,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3,090,,Jan04,21
69700,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Jan04,21
69700,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Jan04,21
69700,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Jan04,21
69700,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3,090,,Jan04,21
69700,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69700,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,Jan04,21
69700,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Jan04,21
69700,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,Jan04,21
69700,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,Jan04,21
69700,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69700,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,Jan04,21
69700,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69700,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69700,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69700,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3,090,,Jan04,21
69700,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69700,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,Jan04,21
69700,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69700,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,12,090,,Jan04,21
69700,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3,090,,Jan04,21
69710,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
69711,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69711,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69711,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69711,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69711,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69711,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69711,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69711,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69711,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69711,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69711,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69711,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69711,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69711,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69711,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69711,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69711,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69711,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69711,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69711,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69711,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69711,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69711,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69711,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69711,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69714,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69714,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69714,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69714,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69714,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69714,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69714,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69714,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69714,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69714,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69714,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69714,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69714,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69714,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69714,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69714,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69714,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69714,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69714,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69714,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69714,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69714,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69714,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69714,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69714,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69715,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69715,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69715,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69715,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69715,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69715,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69715,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69715,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69715,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69715,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69715,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69715,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69715,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69715,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69715,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69715,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69715,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69715,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69715,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69715,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69715,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69715,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69715,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69715,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69715,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69717,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69717,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69717,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69717,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69717,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69717,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69717,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69717,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69717,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69717,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69717,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69717,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69717,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69717,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69717,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69717,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69717,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69717,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69717,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69717,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69717,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69717,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69717,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69717,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69717,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69718,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69718,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69718,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69718,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69718,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69718,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69718,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69718,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69718,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69718,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69718,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69718,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69718,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69718,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69718,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69718,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69718,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69718,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69718,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69718,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69718,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69718,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69718,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69718,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69718,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69720,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4.5,090,,Jan04,21
69720,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,9,090,,Jan04,21
69720,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4.5,090,,Jan04,21
69720,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69720,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4.5,090,,Jan04,21
69720,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,9,090,,Jan04,21
69720,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,9,090,,Jan04,21
69720,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4.5,090,,Jan04,21
69720,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4.5,090,,Jan04,21
69720,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4.5,090,,Jan04,21
69720,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69720,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,22.5,090,,Jan04,21
69720,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4.5,090,,Jan04,21
69720,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,45,090,,Jan04,21
69720,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,22.5,090,,Jan04,21
69720,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69720,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4.5,090,,Jan04,21
69720,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69720,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69720,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69720,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4.5,090,,Jan04,21
69720,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69720,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,16,090,,Jan04,21
69720,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69720,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,18,090,,Jan04,21
69720,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4.5,090,,Jan04,21
69725,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69725,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69725,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69725,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69725,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69725,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69725,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69725,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69725,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69725,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4,090,,Jan04,21
69725,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69725,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69725,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69725,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69725,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69725,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69725,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69725,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69725,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69725,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69725,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69725,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69725,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69725,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69725,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69725,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69740,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Jan04,21
69740,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Jan04,21
69740,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3,090,,Jan04,21
69740,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69740,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3,090,,Jan04,21
69740,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Jan04,21
69740,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Jan04,21
69740,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Jan04,21
69740,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3,090,,Jan04,21
69740,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,3,090,,Jan04,21
69740,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69740,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,Jan04,21
69740,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Jan04,21
69740,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,Jan04,21
69740,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,Jan04,21
69740,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69740,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,Jan04,21
69740,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69740,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69740,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69740,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3,090,,Jan04,21
69740,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69740,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,Jan04,21
69740,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69740,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,12,090,,Jan04,21
69740,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3,090,,Jan04,21
69745,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3.5,090,,Jan04,21
69745,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,7,090,,Jan04,21
69745,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3.5,090,,Jan04,21
69745,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69745,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3.5,090,,Jan04,21
69745,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,7,090,,Jan04,21
69745,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,7,090,,Jan04,21
69745,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3.5,090,,Jan04,21
69745,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3.5,090,,Jan04,21
69745,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,3.5,090,,Jan04,21
69745,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69745,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,17.5,090,,Jan04,21
69745,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3.5,090,,Jan04,21
69745,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,35,090,,Jan04,21
69745,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,17.5,090,,Jan04,21
69745,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69745,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3.5,090,,Jan04,21
69745,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69745,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69745,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69745,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3.5,090,,Jan04,21
69745,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69745,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,Jan04,21
69745,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69745,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,14,090,,Jan04,21
69745,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3.5,090,,Jan04,21
69799,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
69801,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,CPT11,35
69801,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,CPT11,35
69801,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,000,,CPT11,35
69801,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,,CPT11,35
69801,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,CPT11,35
69801,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,CPT11,35
69801,RUC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,1,0,000,,CPT11,35
69801,RUC,"Pharmacy, Rx",SH088,"phenol, liquified, USP",ml,0.1354,1,0,000,,CPT11,35
69801,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,1,0,000,,CPT11,35
69801,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,CPT11,35
69801,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,2,0,000,,CPT11,35
69801,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,4,0,000,,CPT11,35
69801,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,CPT11,35
69801,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,CPT11,35
69801,RUC,"Accessory, Procedure",SD214,"tubing, suction, non-latex (2ft) with Frazier tip (1)",item,7.5566,1,0,000,,CPT11,35
69801,RUC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,000,,CPT11,35
69801,RUC,Lab,SL038,"cup-container, sterile, graduated 1000ml",item,1.14,1,0,000,,CPT11,35
69801,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,,CPT11,35
69802,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3.5,090,,Jan04,21
69802,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,7,090,,Jan04,21
69802,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3.5,090,,Jan04,21
69802,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69802,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3.5,090,,Jan04,21
69802,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,7,090,,Jan04,21
69802,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,7,090,,Jan04,21
69802,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3.5,090,,Jan04,21
69802,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3.5,090,,Jan04,21
69802,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,3.5,090,,Jan04,21
69802,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69802,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,17.5,090,,Jan04,21
69802,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3.5,090,,Jan04,21
69802,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,35,090,,Jan04,21
69802,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,17.5,090,,Jan04,21
69802,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69802,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3.5,090,,Jan04,21
69802,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69802,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69802,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69802,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3.5,090,,Jan04,21
69802,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69802,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,Jan04,21
69802,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69802,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,14,090,,Jan04,21
69802,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3.5,090,,Jan04,21
69805,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Jan04,21
69805,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Jan04,21
69805,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3,090,,Jan04,21
69805,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69805,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3,090,,Jan04,21
69805,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Jan04,21
69805,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Jan04,21
69805,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Jan04,21
69805,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3,090,,Jan04,21
69805,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69805,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,Jan04,21
69805,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Jan04,21
69805,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,Jan04,21
69805,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,Jan04,21
69805,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69805,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,Jan04,21
69805,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69805,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69805,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69805,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3,090,,Jan04,21
69805,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69805,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,Jan04,21
69805,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69805,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,12,090,,Jan04,21
69805,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3,090,,Jan04,21
69806,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3.5,090,,Jan04,21
69806,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,7,090,,Jan04,21
69806,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3.5,090,,Jan04,21
69806,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69806,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3.5,090,,Jan04,21
69806,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,7,090,,Jan04,21
69806,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,7,090,,Jan04,21
69806,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3.5,090,,Jan04,21
69806,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3.5,090,,Jan04,21
69806,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69806,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,17.5,090,,Jan04,21
69806,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3.5,090,,Jan04,21
69806,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,35,090,,Jan04,21
69806,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,17.5,090,,Jan04,21
69806,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69806,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3.5,090,,Jan04,21
69806,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69806,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69806,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69806,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3.5,090,,Jan04,21
69806,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69806,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,Jan04,21
69806,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69806,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,14,090,,Jan04,21
69806,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3.5,090,,Jan04,21
69820,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69820,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69820,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69820,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69820,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69820,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69820,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69820,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69820,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69820,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69820,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69820,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69820,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69820,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69820,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69820,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69820,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69820,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69820,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69820,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69820,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69820,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69820,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69820,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69820,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69840,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69840,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69840,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69840,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69840,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69840,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69840,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69840,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69840,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69840,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4,090,,Jan04,21
69840,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69840,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69840,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69840,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69840,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69840,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69840,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69840,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69840,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69840,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69840,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69840,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69840,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69840,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69840,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69840,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69905,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3.5,090,,Jan04,21
69905,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,7,090,,Jan04,21
69905,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3.5,090,,Jan04,21
69905,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69905,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3.5,090,,Jan04,21
69905,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,7,090,,Jan04,21
69905,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,7,090,,Jan04,21
69905,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3.5,090,,Jan04,21
69905,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3.5,090,,Jan04,21
69905,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,3.5,090,,Jan04,21
69905,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69905,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,17.5,090,,Jan04,21
69905,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3.5,090,,Jan04,21
69905,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,35,090,,Jan04,21
69905,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,17.5,090,,Jan04,21
69905,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69905,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3.5,090,,Jan04,21
69905,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69905,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69905,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69905,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3.5,090,,Jan04,21
69905,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69905,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,Jan04,21
69905,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69905,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,14,090,,Jan04,21
69905,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3.5,090,,Jan04,21
69910,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3.5,090,,Jan04,21
69910,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,7,090,,Jan04,21
69910,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3.5,090,,Jan04,21
69910,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69910,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3.5,090,,Jan04,21
69910,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,7,090,,Jan04,21
69910,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,7,090,,Jan04,21
69910,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3.5,090,,Jan04,21
69910,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3.5,090,,Jan04,21
69910,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69910,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,17.5,090,,Jan04,21
69910,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3.5,090,,Jan04,21
69910,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,35,090,,Jan04,21
69910,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,17.5,090,,Jan04,21
69910,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69910,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3.5,090,,Jan04,21
69910,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69910,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69910,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69910,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3.5,090,,Jan04,21
69910,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69910,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,12,090,,Jan04,21
69910,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69910,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,14,090,,Jan04,21
69910,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3.5,090,,Jan04,21
69915,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69915,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69915,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69915,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69915,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69915,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69915,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69915,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69915,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69915,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69915,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69915,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69915,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69915,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69915,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69915,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69915,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69915,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69915,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69915,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69915,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69915,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69915,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69915,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69915,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69930,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Jan04,21
69930,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Jan04,21
69930,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3,090,,Jan04,21
69930,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69930,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3,090,,Jan04,21
69930,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Jan04,21
69930,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Jan04,21
69930,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Jan04,21
69930,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3,090,,Jan04,21
69930,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,3,090,,Jan04,21
69930,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69930,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,Jan04,21
69930,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Jan04,21
69930,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,Jan04,21
69930,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,Jan04,21
69930,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69930,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,Jan04,21
69930,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69930,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69930,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69930,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3,090,,Jan04,21
69930,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69930,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,Jan04,21
69930,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69930,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,12,090,,Jan04,21
69930,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3,090,,Jan04,21
69949,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
69950,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,3,090,,Jan04,21
69950,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,6,090,,Jan04,21
69950,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,3,090,,Jan04,21
69950,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69950,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,3,090,,Jan04,21
69950,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,,Jan04,21
69950,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,6,090,,Jan04,21
69950,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,3,090,,Jan04,21
69950,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,3,090,,Jan04,21
69950,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69950,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,15,090,,Jan04,21
69950,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,3,090,,Jan04,21
69950,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,30,090,,Jan04,21
69950,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,15,090,,Jan04,21
69950,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69950,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,3,090,,Jan04,21
69950,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69950,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69950,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69950,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,3,090,,Jan04,21
69950,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69950,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,10,090,,Jan04,21
69950,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69950,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,12,090,,Jan04,21
69950,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,3,090,,Jan04,21
69955,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69955,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69955,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69955,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69955,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69955,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69955,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69955,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69955,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69955,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4,090,,Jan04,21
69955,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69955,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69955,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69955,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69955,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69955,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,2,090,,Jan04,21
69955,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69955,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,2,090,,Jan04,21
69955,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69955,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69955,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69955,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69955,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69955,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,78,090,,Jan04,21
69955,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69955,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69960,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69960,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69960,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69960,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69960,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69960,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69960,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69960,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69960,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69960,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69960,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69960,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69960,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69960,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69960,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69960,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69960,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69960,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69960,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69960,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69960,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69960,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69960,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69960,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69960,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69970,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,,4,090,,Jan04,21
69970,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,,8,090,,Jan04,21
69970,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,,4,090,,Jan04,21
69970,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,1,090,,Jan04,21
69970,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,,4,090,,Jan04,21
69970,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,8,090,,Jan04,21
69970,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,,8,090,,Jan04,21
69970,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,,4,090,,Jan04,21
69970,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,,4,090,,Jan04,21
69970,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,,4,090,,Jan04,21
69970,PEAC,"Kit, Pack, Tray",SA053,"pack, post-op incision care (suture & staple)",pack,6.11,,1,090,,Jan04,21
69970,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,,20,090,,Jan04,21
69970,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,,4,090,,Jan04,21
69970,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,,40,090,,Jan04,21
69970,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,20,090,,Jan04,21
69970,PEAC,"Pharmacy, NonRx",SJ060,"tincture of benzoin, swab",item,0.32,,1,090,,Jan04,21
69970,PEAC,"Pharmacy, Rx",SH024,Cipro HC otic soln,ml,10.23,,4,090,,Jan04,21
69970,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,,1,090,,Jan04,21
69970,PEAC,"Wound Care, Dressings",SG016,"bandage, Kerlix, sterile 4.5in",item,1.772,,1,090,,Jan04,21
69970,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,,1,090,,Jan04,21
69970,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,,4,090,,Jan04,21
69970,PEAC,"Wound Care, Dressings",SG042,"dressing, ear (Glasscock)",item,12,,1,090,,Jan04,21
69970,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,,14,090,,Jan04,21
69970,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,48,090,,Jan04,21
69970,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,,16,090,,Jan04,21
69970,PEAC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,,4,090,,Jan04,21
69979,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
69990,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
70010,RUC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,0,0,XXX,,CPT11,Letter
70010,RUC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,0,0,XXX,,CPT11,Letter
70010,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,0,0,XXX,,CPT11,Letter
70010,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,0,0,XXX,,CPT11,Letter
70010,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,0,0,XXX,,CPT11,Letter
70015,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,3,0,XXX,,Jan04,7
70015,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,5,0,XXX,,Jan04,7
70015,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,8,0,XXX,,Jan04,7
70015,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
70015,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,8,0,XXX,,Jan04,7
70030,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70030,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,3,0,XXX,,Aug03,7
70030,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
70030,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70030,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
70100,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,3,0,XXX,,Jan04,8
70100,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1.5,0,XXX,,Jan04,8
70100,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,8
70100,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1.5,0,XXX,,Jan04,8
70110,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,8
70110,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Jan04,8
70110,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,8
70110,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,8
70120,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,3,0,XXX,,Jan04,8
70120,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Jan04,8
70120,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,8
70120,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Jan04,8
70130,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,6,0,XXX,,Jan04,8
70130,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,0,XXX,,Jan04,8
70130,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,8
70130,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,0,XXX,,Jan04,8
70134,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70134,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Aug03,7
70134,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Aug03,7
70134,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70134,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Aug03,7
70140,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70140,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Aug03,7
70140,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
70140,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70140,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
70150,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70150,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Aug03,7
70150,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Aug03,7
70150,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70150,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Aug03,7
70160,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70160,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,3,0,XXX,,Aug03,7
70160,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
70160,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70160,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
70170,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,R
70190,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70190,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,3,0,XXX,,Aug03,7
70190,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
70190,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70190,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
70200,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70200,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Aug03,7
70200,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Aug03,7
70200,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70200,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Aug03,7
70210,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70210,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Aug03,7
70210,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
70210,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70210,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
70220,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70220,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,3,0,XXX,,Aug03,7
70220,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
70220,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70220,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
70240,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70240,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Aug03,7
70240,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
70240,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70240,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
70250,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70250,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,3,0,XXX,,Aug03,7
70250,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
70250,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70250,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
70260,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70260,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,4,0,XXX,,Aug03,7
70260,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Aug03,7
70260,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70260,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Aug03,7
70300,PEAC,"Office Supply, Grocery",SK024,"film, dental",item,0.959,1,0,XXX,,Jan04,8
70300,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,0.5,0,XXX,,Jan04,8
70300,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,8
70300,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,0.5,0,XXX,,Jan04,8
70310,PEAC,"Office Supply, Grocery",SK024,"film, dental",item,0.959,12,0,XXX,,Jan04,8
70310,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,0,XXX,,Jan04,8
70310,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,8
70310,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,0,XXX,,Jan04,8
70320,PEAC,"Office Supply, Grocery",SK024,"film, dental",item,0.959,16,0,XXX,,Jan04,8
70320,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,8,0,XXX,,Jan04,8
70320,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,8
70320,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,8,0,XXX,,Jan04,8
70328,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,8
70328,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,8
70328,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,8
70328,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,8
70330,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,8
70330,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Jan04,8
70330,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,8
70330,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,8
70332,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,7
70332,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Jan04,7
70332,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
70332,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,7
70336,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,10,,XXX,,,
70336,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
70336,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
70350,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Jan04,8
70350,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,8
70350,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,8
70350,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,8
70355,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,1,0,XXX,,Jan04,8
70355,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Jan04,8
70355,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Jan04,8
70360,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70360,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Aug03,7
70360,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
70360,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70360,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
70370,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
70370,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,4,0,XXX,,Jan04,7
70370,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Jan04,7
70370,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
70370,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,7
70370,PEAC,"Pharmacy, Rx",SH016,barium suspension (Polibar),ml,0.018,1,0,XXX,,Jan04,7
70371,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
70371,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,0,XXX,,Jan04,7
70371,PEAC,"Pharmacy, Rx",SH016,barium suspension (Polibar),ml,0.018,1,0,XXX,,Jan04,7
70371,PEAC,"Pharmacy, Rx",SH071,Telepaque capsule,item,0.745,2,0,XXX,,Jan04,7
70373,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
70373,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,6,0,XXX,,Jan04,7
70373,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,0,XXX,,Jan04,7
70373,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
70373,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,0,XXX,,Jan04,7
70373,PEAC,"Pharmacy, Rx",SH016,barium suspension (Polibar),ml,0.018,1,0,XXX,,Jan04,7
70373,PEAC,"Pharmacy, Rx",SH071,Telepaque capsule,item,0.745,2,0,XXX,,Jan04,7
70380,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70380,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,3,0,XXX,,Aug03,7
70380,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
70380,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70380,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
70390,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
70390,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,10,0,XXX,,Jan04,7
70390,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,10,0,XXX,,Jan04,7
70390,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
70390,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,10,0,XXX,,Jan04,7
70450,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70450,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
70450,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
70450,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70450,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,3,0,XXX,,Aug03,7
70460,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
70460,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
70460,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70460,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
70460,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
70460,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
70460,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
70460,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
70460,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
70460,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
70460,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
70460,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70460,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,3,0,XXX,,Aug03,7
70460,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
70460,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
70460,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
70460,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
70460,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
70460,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
70470,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
70470,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
70470,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70470,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
70470,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
70470,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
70470,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
70470,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
70470,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
70470,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
70470,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
70470,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70470,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,5,0,XXX,,Aug03,7
70470,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
70470,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
70470,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
70470,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
70470,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
70470,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
70480,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70480,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
70480,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
70480,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70480,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,10,0,XXX,,Aug03,7
70481,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
70481,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
70481,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70481,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
70481,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
70481,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
70481,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
70481,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
70481,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
70481,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
70481,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
70481,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70481,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,10,0,XXX,,Aug03,7
70481,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
70481,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
70481,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
70481,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
70481,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
70481,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
70482,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
70482,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
70482,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70482,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
70482,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
70482,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
70482,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
70482,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
70482,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
70482,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
70482,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
70482,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70482,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,14,0,XXX,,Aug03,7
70482,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
70482,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
70482,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
70482,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
70482,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
70482,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
70486,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70486,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
70486,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
70486,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70486,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
70487,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
70487,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
70487,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70487,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
70487,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
70487,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
70487,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
70487,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
70487,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
70487,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
70487,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
70487,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70487,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
70487,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
70487,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
70487,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
70487,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
70487,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
70487,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
70488,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
70488,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
70488,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70488,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
70488,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
70488,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
70488,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
70488,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
70488,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
70488,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
70488,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
70488,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70488,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,9,0,XXX,,Aug03,7
70488,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
70488,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
70488,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
70488,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
70488,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
70488,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
70490,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70490,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
70490,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
70490,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70490,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
70491,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
70491,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
70491,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70491,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
70491,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
70491,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
70491,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
70491,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
70491,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
70491,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
70491,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
70491,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70491,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
70491,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
70491,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
70491,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
70491,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
70491,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
70491,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
70492,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
70492,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
70492,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70492,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
70492,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
70492,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
70492,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
70492,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
70492,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
70492,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
70492,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
70492,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70492,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,9,0,XXX,,Aug03,7
70492,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
70492,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
70492,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
70492,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
70492,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
70492,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
70496,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
70496,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
70496,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,,
70496,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,,
70496,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,XXX,,,
70496,RUC,"Hypodermic, IV",SC050,"stop cock, 4-way",item,1.621,1,,XXX,,,
70496,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,,XXX,,,
70496,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,6,,XXX,,,
70496,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
70496,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
70496,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,0.34,,XXX,,,
70496,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
70496,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
70498,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
70498,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
70498,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,,
70498,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,,
70498,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,XXX,,,
70498,RUC,"Hypodermic, IV",SC050,"stop cock, 4-way",item,1.621,1,,XXX,,,
70498,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,,XXX,,,
70498,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,6,,XXX,,,
70498,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
70498,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
70498,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,0.34,,XXX,,,
70498,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
70498,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
70540,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,10,,XXX,,,
70540,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
70540,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
70542,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
70542,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
70542,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70542,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
70542,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
70542,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
70542,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
70542,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
70542,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
70542,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
70542,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
70542,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70542,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,10,0,XXX,,Aug03,7
70542,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
70542,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
70542,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
70542,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
70542,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
70542,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
70542,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
70543,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
70543,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
70543,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70543,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
70543,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
70543,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
70543,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
70543,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Aug03,7
70543,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
70543,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
70543,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
70543,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70543,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Aug03,7
70543,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
70543,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
70543,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
70543,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
70543,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
70543,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
70543,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
70544,RUC,"Gown, Drape",SB029,"cap-headcover, patient",item,0.061,1,,XXX,,,
70544,RUC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,,XXX,,,
70544,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,8,,XXX,,,
70544,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
70544,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
70544,RUC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
70545,RUC,"Gown, Drape",SB029,"cap-headcover, patient",item,0.061,1,,XXX,,,
70545,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,,
70545,RUC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,,XXX,,,
70545,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,,
70545,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,,XXX,,,
70545,RUC,"Hypodermic, IV",SC059,"syringe, 25ml (MRI power injector)",item,5.445,1,,XXX,,,
70545,RUC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,,XXX,,,
70545,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,8,,XXX,,,
70545,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
70545,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
70545,RUC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
70545,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
70545,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,,XXX,,,
70545,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
70546,RUC,"Gown, Drape",SB029,"cap-headcover, patient",item,0.061,1,,XXX,,,
70546,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,,
70546,RUC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,,XXX,,,
70546,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,,
70546,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,,XXX,,,
70546,RUC,"Hypodermic, IV",SC059,"syringe, 25ml (MRI power injector)",item,5.445,1,,XXX,,,
70546,RUC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,,XXX,,,
70546,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,8,,XXX,,,
70546,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
70546,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
70546,RUC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
70546,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
70546,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,,XXX,,,
70546,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
70547,RUC,"Gown, Drape",SB029,"cap-headcover, patient",item,0.061,1,,XXX,,,
70547,RUC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,,XXX,,,
70547,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,8,,XXX,,,
70547,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
70547,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
70547,RUC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
70548,RUC,"Gown, Drape",SB029,"cap-headcover, patient",item,0.061,1,,XXX,,,
70548,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,,
70548,RUC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,,XXX,,,
70548,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,,
70548,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,,XXX,,,
70548,RUC,"Hypodermic, IV",SC059,"syringe, 25ml (MRI power injector)",item,5.445,1,,XXX,,,
70548,RUC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,,XXX,,,
70548,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,8,,XXX,,,
70548,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
70548,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
70548,RUC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
70548,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
70548,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,,XXX,,,
70548,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
70549,RUC,"Gown, Drape",SB029,"cap-headcover, patient",item,0.061,1,,XXX,,,
70549,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,,
70549,RUC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,,XXX,,,
70549,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,,
70549,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,2,,XXX,,,
70549,RUC,"Hypodermic, IV",SC059,"syringe, 25ml (MRI power injector)",item,5.445,1,,XXX,,,
70549,RUC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,,XXX,,,
70549,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,8,,XXX,,,
70549,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
70549,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
70549,RUC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
70549,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
70549,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,,XXX,,,
70549,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
70551,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,10,,XXX,,,
70551,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
70551,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
70552,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
70552,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
70552,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70552,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
70552,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
70552,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
70552,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
70552,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
70552,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
70552,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
70552,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
70552,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70552,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,10,0,XXX,,Aug03,7
70552,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
70552,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
70552,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
70552,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
70552,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
70552,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
70552,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
70553,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
70553,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
70553,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
70553,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
70553,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
70553,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
70553,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
70553,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Aug03,7
70553,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
70553,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
70553,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
70553,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
70553,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Aug03,7
70553,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
70553,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
70553,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
70553,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
70553,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
70553,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
70553,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
70554,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,CPT07,
70554,RUC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,CPT07,
70554,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,CPT07,
70554,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,,XXX,,CPT07,
70554,RUC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,,XXX,,CPT07,
70554,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,CPT07,
70555,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT07,
70557,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
70558,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
70559,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
71010,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71010,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,XXX,,Aug03,7
71010,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Aug03,7
71010,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71010,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Aug03,7
71015,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71015,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,XXX,,Aug03,7
71015,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
71015,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71015,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
71020,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71020,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,XXX,,Aug03,7
71020,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
71020,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71020,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
71021,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71021,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,0,XXX,,Aug03,7
71021,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
71021,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71021,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
71022,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71022,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,XXX,,Aug03,7
71022,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Aug03,7
71022,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71022,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Aug03,7
71023,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
71023,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,XXX,,Jan04,7
71023,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,7
71023,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Jan04,7
71023,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
71023,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,7
71030,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71030,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,XXX,,Aug03,7
71030,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Aug03,7
71030,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71030,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Aug03,7
71034,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
71034,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,XXX,,Jan04,7
71034,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,7
71034,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,0,XXX,,Jan04,7
71034,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
71034,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,0,XXX,,Jan04,7
71035,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71035,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,0,XXX,,Aug03,7
71035,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
71035,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71035,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
71040,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
71040,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Jan04,7
71040,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,6,0,XXX,,Jan04,7
71040,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,8,0,XXX,,Jan04,7
71040,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
71040,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,8,0,XXX,,Jan04,7
71040,PEAC,"Pharmacy, Rx",SH016,barium suspension (Polibar),ml,0.018,1,0,XXX,,Jan04,7
71040,PEAC,"Pharmacy, Rx",SH071,Telepaque capsule,item,0.745,2,0,XXX,,Jan04,7
71060,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
71060,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,4,0,XXX,,Jan04,7
71060,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,10,0,XXX,,Jan04,7
71060,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,14,0,XXX,,Jan04,7
71060,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
71060,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,14,0,XXX,,Jan04,7
71060,PEAC,"Pharmacy, Rx",SH016,barium suspension (Polibar),ml,0.018,1,0,XXX,,Jan04,7
71060,PEAC,"Pharmacy, Rx",SH071,Telepaque capsule,item,0.745,2,0,XXX,,Jan04,7
71090,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,E
71100,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71100,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,XXX,,Aug03,7
71100,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
71100,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71100,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
71101,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71101,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,0,XXX,,Aug03,7
71101,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
71101,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71101,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
71110,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71110,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,0,XXX,,Aug03,7
71110,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
71110,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71110,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
71111,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71111,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,5,0,XXX,,Aug03,7
71111,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,5,0,XXX,,Aug03,7
71111,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71111,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,5,0,XXX,,Aug03,7
71120,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71120,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,XXX,,Aug03,7
71120,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
71120,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71120,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
71130,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71130,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,3,0,XXX,,Aug03,7
71130,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
71130,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71130,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
71250,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71250,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
71250,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
71250,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71250,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
71260,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
71260,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
71260,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71260,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
71260,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
71260,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
71260,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
71260,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
71260,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
71260,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
71260,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
71260,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71260,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
71260,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
71260,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
71260,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
71260,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
71260,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,2,0,XXX,,Aug03,7
71260,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
71270,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
71270,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
71270,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71270,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
71270,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
71270,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
71270,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
71270,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
71270,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
71270,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
71270,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
71270,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71270,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,9,0,XXX,,Aug03,7
71270,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
71270,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
71270,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
71270,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
71270,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,2,0,XXX,,Aug03,7
71270,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
71275,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
71275,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
71275,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,,
71275,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,,
71275,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,XXX,,,
71275,RUC,"Hypodermic, IV",SC050,"stop cock, 4-way",item,1.621,1,,XXX,,,
71275,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,,XXX,,,
71275,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,24,,XXX,,,
71275,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
71275,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
71275,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,0.34,,XXX,,,
71275,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
71275,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
71550,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,12,,XXX,,,
71550,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
71550,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
71551,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
71551,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
71551,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71551,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
71551,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
71551,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
71551,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
71551,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
71551,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
71551,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
71551,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
71551,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71551,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Aug03,7
71551,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
71551,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
71551,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
71551,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
71551,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
71551,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
71551,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
71552,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
71552,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
71552,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71552,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
71552,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
71552,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
71552,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
71552,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Aug03,7
71552,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
71552,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
71552,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
71552,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71552,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,14,0,XXX,,Aug03,7
71552,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
71552,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
71552,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
71552,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
71552,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
71552,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
71552,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
71555,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
71555,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
71555,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
71555,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
71555,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
71555,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
71555,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
71555,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
71555,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
71555,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
71555,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
71555,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,5,0,XXX,,Aug03,7
71555,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
71555,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
71555,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
71555,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
71555,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
71555,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
71555,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72010,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72010,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,3,0,XXX,,Aug03,7
72010,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,XXX,,Aug03,7
72010,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,7,0,XXX,,Aug03,7
72010,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72010,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,7,0,XXX,,Aug03,7
72020,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72020,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,XXX,,Aug03,7
72020,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Aug03,7
72020,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72020,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Aug03,7
72040,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72040,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,3,0,XXX,,Aug03,7
72040,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
72040,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72040,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
72050,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72050,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,5,0,XXX,,Aug03,7
72050,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,5,0,XXX,,Aug03,7
72050,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72050,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,5,0,XXX,,Aug03,7
72052,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72052,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,7,0,XXX,,Aug03,7
72052,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,7,0,XXX,,Aug03,7
72052,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72052,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,7,0,XXX,,Aug03,7
72069,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
72069,PEAC,"Office Supply, Grocery",SK035,"film, x-ray 14in x 36in",item,2.445,2,0,XXX,,Jan04,7
72069,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,7
72069,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
72069,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,7
72070,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72070,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,XXX,,Aug03,7
72070,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
72070,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72070,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
72072,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72072,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,1,0,XXX,,Aug03,7
72072,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,XXX,,Aug03,7
72072,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
72072,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72072,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
72074,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72074,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,XXX,,Aug03,7
72074,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Aug03,7
72074,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72074,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Aug03,7
72080,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72080,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,XXX,,Aug03,7
72080,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
72080,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72080,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
72090,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72090,PEAC,"Office Supply, Grocery",SK035,"film, x-ray 14in x 36in",item,2.445,3,0,XXX,,Aug03,7
72090,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
72090,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72090,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
72100,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72100,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,1,0,XXX,,Aug03,7
72100,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,XXX,,Aug03,7
72100,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
72100,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72100,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
72110,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72110,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,1,0,XXX,,Aug03,7
72110,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,XXX,,Aug03,7
72110,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,5,0,XXX,,Aug03,7
72110,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72110,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,5,0,XXX,,Aug03,7
72114,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72114,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,1,0,XXX,,Aug03,7
72114,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,6,0,XXX,,Aug03,7
72114,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,7,0,XXX,,Aug03,7
72114,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72114,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,7,0,XXX,,Aug03,7
72120,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72120,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,XXX,,Aug03,7
72120,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Aug03,7
72120,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72120,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Aug03,7
72125,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72125,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72125,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72125,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72125,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
72126,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72126,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72126,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72126,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72126,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72126,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72126,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72126,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
72126,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72126,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72126,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72126,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72126,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
72126,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72126,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72126,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72126,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72126,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,2,0,XXX,,Aug03,7
72126,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72127,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72127,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72127,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72127,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72127,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72127,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72127,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72127,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
72127,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72127,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72127,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72127,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72127,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,9,0,XXX,,Aug03,7
72127,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72127,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72127,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72127,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72127,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,2,0,XXX,,Aug03,7
72127,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72128,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72128,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72128,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72128,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72128,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
72129,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72129,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72129,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72129,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72129,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72129,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72129,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72129,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
72129,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72129,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72129,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72129,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72129,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
72129,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72129,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72129,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72129,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72129,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,2,0,XXX,,Aug03,7
72129,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72130,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72130,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72130,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72130,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72130,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72130,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72130,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72130,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
72130,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72130,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72130,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72130,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72130,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,9,0,XXX,,Aug03,7
72130,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72130,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72130,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72130,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72130,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,2,0,XXX,,Aug03,7
72130,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72131,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72131,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72131,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72131,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72131,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
72132,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72132,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72132,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72132,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72132,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72132,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72132,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72132,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
72132,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72132,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72132,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72132,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72132,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
72132,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72132,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72132,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72132,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72132,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
72132,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72133,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72133,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72133,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72133,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72133,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72133,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72133,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72133,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
72133,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72133,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72133,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72133,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72133,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,9,0,XXX,,Aug03,7
72133,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72133,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72133,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72133,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72133,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
72133,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72141,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,10,,XXX,,,
72141,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
72141,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
72142,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72142,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72142,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72142,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72142,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72142,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72142,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72142,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
72142,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72142,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72142,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72142,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72142,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,10,0,XXX,,Aug03,7
72142,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
72142,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72142,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72142,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72142,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72142,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
72142,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72146,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,10,,XXX,,,
72146,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
72146,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
72147,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72147,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72147,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72147,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72147,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72147,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72147,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72147,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
72147,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72147,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72147,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72147,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72147,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,10,0,XXX,,Aug03,7
72147,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
72147,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72147,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72147,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72147,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72147,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
72147,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72148,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,10,,XXX,,,
72148,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
72148,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
72149,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72149,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72149,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72149,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72149,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72149,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72149,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72149,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
72149,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72149,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72149,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72149,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72149,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,10,0,XXX,,Aug03,7
72149,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
72149,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72149,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72149,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72149,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72149,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
72149,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72156,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72156,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72156,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72156,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72156,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72156,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72156,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72156,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Aug03,7
72156,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72156,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72156,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72156,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72156,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Aug03,7
72156,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
72156,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72156,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72156,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72156,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72156,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
72156,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72157,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72157,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72157,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72157,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72157,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72157,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72157,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72157,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Aug03,7
72157,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72157,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72157,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72157,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72157,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Aug03,7
72157,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
72157,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72157,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72157,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72157,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72157,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
72157,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72158,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72158,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72158,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72158,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72158,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72158,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72158,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72158,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Aug03,7
72158,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72158,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72158,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72158,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72158,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Aug03,7
72158,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
72158,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72158,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72158,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72158,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72158,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
72158,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72159,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72159,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72159,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72159,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72159,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72159,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72159,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72159,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72159,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72159,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72159,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72159,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,5,0,XXX,,Aug03,7
72159,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
72159,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72159,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72159,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72159,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72159,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
72159,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72170,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72170,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,XXX,,Aug03,7
72170,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Aug03,7
72170,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72170,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Aug03,7
72190,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72190,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,0,XXX,,Aug03,7
72190,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
72190,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72190,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
72191,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
72191,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
72191,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,,
72191,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,,
72191,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,XXX,,,
72191,RUC,"Hypodermic, IV",SC050,"stop cock, 4-way",item,1.621,1,,XXX,,,
72191,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,,XXX,,,
72191,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,12,,XXX,,,
72191,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
72191,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
72191,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,0.34,,XXX,,,
72191,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
72191,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
72192,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72192,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72192,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72192,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72192,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Aug03,7
72193,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72193,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72193,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72193,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72193,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72193,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72193,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72193,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
72193,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72193,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72193,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72193,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72193,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Aug03,7
72193,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72193,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72193,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72193,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72193,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
72193,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72194,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72194,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72194,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72194,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72194,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72194,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72194,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72194,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
72194,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72194,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72194,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72194,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72194,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,9,0,XXX,,Aug03,7
72194,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72194,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72194,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72194,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72194,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
72194,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72195,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,10,,XXX,,,
72195,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
72195,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
72196,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72196,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72196,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72196,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72196,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72196,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72196,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72196,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
72196,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72196,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72196,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72196,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72196,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,10,0,XXX,,Aug03,7
72196,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
72196,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72196,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72196,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72196,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72196,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
72196,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72197,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72197,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72197,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72197,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72197,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72197,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72197,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72197,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Aug03,7
72197,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72197,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72197,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72197,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72197,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Aug03,7
72197,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
72197,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72197,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72197,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72197,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72197,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
72197,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72198,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
72198,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
72198,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72198,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
72198,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
72198,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
72198,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
72198,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
72198,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
72198,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
72198,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72198,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,5,0,XXX,,Aug03,7
72198,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
72198,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
72198,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
72198,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
72198,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
72198,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
72198,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
72200,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72200,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Aug03,7
72200,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
72200,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72200,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
72202,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72202,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,3,0,XXX,,Aug03,7
72202,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
72202,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72202,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
72220,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
72220,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Aug03,7
72220,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
72220,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
72220,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
72240,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,3,0,XXX,,Jan04,7
72240,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,5,0,XXX,,Jan04,7
72240,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,8,0,XXX,,Jan04,7
72240,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
72240,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,8,0,XXX,,Jan04,7
72255,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,XXX,,Jan04,7
72255,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,7
72255,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,0,XXX,,Jan04,7
72255,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
72255,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,0,XXX,,Jan04,7
72265,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,0,XXX,,Jan04,7
72265,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,5,0,XXX,,Jan04,7
72265,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,8,0,XXX,,Jan04,7
72265,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
72265,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,8,0,XXX,,Jan04,7
72270,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,6,0,XXX,,Jan04,7
72270,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,10,0,XXX,,Jan04,7
72270,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,16,0,XXX,,Jan04,7
72270,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
72270,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,16,0,XXX,,Jan04,7
72275,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,1,0,XXX,,Jan04,7
72275,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,Jan04,7
72275,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,7
72275,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
72275,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,7
72285,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,1,0,XXX,,Jan04,7
72285,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,Jan04,7
72285,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,7
72285,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
72285,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,7
72291,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
72292,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
72295,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,1,0,XXX,,Jan04,7
72295,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,Jan04,7
72295,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,7
72295,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
72295,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,7
73000,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73000,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Aug03,7
73000,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
73000,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73000,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
73010,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73010,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Aug03,7
73010,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
73010,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73010,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
73020,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73020,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,1,0,XXX,,Aug03,7
73020,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Aug03,7
73020,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73020,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Aug03,7
73030,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73030,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Aug03,7
73030,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
73030,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73030,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
73040,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,8,0,XXX,,Jan04,7
73040,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,8,0,XXX,,Jan04,7
73040,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
73040,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,8,0,XXX,,Jan04,7
73050,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73050,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,XXX,,Aug03,7
73050,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
73050,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73050,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
73060,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73060,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,XXX,,Aug03,7
73060,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
73060,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73060,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
73070,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73070,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Aug03,7
73070,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
73070,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73070,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
73080,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73080,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Aug03,7
73080,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Aug03,7
73080,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73080,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Aug03,7
73085,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,6,0,XXX,,Jan04,7
73085,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,0,XXX,,Jan04,7
73085,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
73085,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,0,XXX,,Jan04,7
73090,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73090,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,XXX,,Aug03,7
73090,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
73090,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73090,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
73092,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73092,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Aug03,7
73092,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
73092,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73092,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
73100,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73100,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Aug03,7
73100,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
73100,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73100,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
73110,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73110,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Aug03,7
73110,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Aug03,7
73110,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73110,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Aug03,7
73115,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,8,0,XXX,,Jan04,7
73115,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,8,0,XXX,,Jan04,7
73115,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
73115,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,8,0,XXX,,Jan04,7
73120,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73120,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Aug03,7
73120,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
73120,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73120,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
73130,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73130,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,3,0,XXX,,Aug03,7
73130,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
73130,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73130,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
73140,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73140,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,3,0,XXX,,Aug03,7
73140,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
73140,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73140,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
73200,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73200,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
73200,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
73200,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73200,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
73201,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
73201,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
73201,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73201,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
73201,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
73201,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
73201,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
73201,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
73201,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
73201,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
73201,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
73201,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73201,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
73201,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
73201,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
73201,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
73201,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
73201,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
73201,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
73202,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
73202,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
73202,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73202,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
73202,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
73202,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
73202,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
73202,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
73202,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
73202,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
73202,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
73202,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73202,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Aug03,7
73202,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
73202,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
73202,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
73202,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
73202,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
73202,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
73206,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
73206,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
73206,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,,
73206,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,,
73206,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,XXX,,,
73206,RUC,"Hypodermic, IV",SC050,"stop cock, 4-way",item,1.621,1,,XXX,,,
73206,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,,XXX,,,
73206,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,12,,XXX,,,
73206,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
73206,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
73206,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,0.34,,XXX,,,
73206,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
73206,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
73218,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,10,,XXX,,,
73218,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
73218,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
73219,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
73219,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
73219,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73219,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
73219,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
73219,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
73219,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
73219,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
73219,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
73219,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
73219,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
73219,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73219,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,10,0,XXX,,Aug03,7
73219,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
73219,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
73219,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
73219,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
73219,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
73219,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
73219,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
73220,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
73220,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
73220,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73220,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
73220,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
73220,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
73220,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
73220,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Aug03,7
73220,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
73220,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
73220,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
73220,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73220,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Aug03,7
73220,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
73220,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
73220,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
73220,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
73220,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
73220,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
73220,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
73221,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,10,,XXX,,,
73221,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
73221,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
73222,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
73222,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
73222,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73222,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
73222,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
73222,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
73222,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
73222,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
73222,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
73222,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
73222,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
73222,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73222,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,10,0,XXX,,Aug03,7
73222,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
73222,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
73222,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
73222,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
73222,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
73222,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
73222,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
73223,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
73223,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
73223,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73223,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
73223,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
73223,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
73223,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
73223,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Aug03,7
73223,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
73223,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
73223,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
73223,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73223,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Aug03,7
73223,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
73223,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
73223,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
73223,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
73223,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
73223,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
73223,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
73225,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
73225,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
73225,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73225,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
73225,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
73225,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
73225,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
73225,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
73225,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
73225,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
73225,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73225,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,5,0,XXX,,Aug03,7
73225,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
73225,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
73225,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
73225,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
73225,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
73225,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
73225,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
73500,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73500,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,1,0,XXX,,Aug03,7
73500,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Aug03,7
73500,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73500,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Aug03,7
73510,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73510,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,3,0,XXX,,Aug03,7
73510,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
73510,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73510,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
73520,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
73520,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,3,0,XXX,,Jan04,7
73520,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Jan04,7
73520,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
73520,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Jan04,7
73525,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,4,0,XXX,,Mar04,R
73525,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Mar04,R
73525,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Mar04,R
73525,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Mar04,R
73530,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,E
73540,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73540,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Aug03,7
73540,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
73540,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73540,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
73542,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Jan04,7
73542,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,7
73542,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
73542,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,7
73550,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
73550,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Jan04,7
73550,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,7
73550,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
73550,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,7
73560,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73560,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Aug03,7
73560,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
73560,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73560,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
73562,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73562,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,3,0,XXX,,Aug03,7
73562,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
73562,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73562,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
73564,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73564,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,4,0,XXX,,Aug03,7
73564,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Aug03,7
73564,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73564,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Aug03,7
73565,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73565,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Aug03,7
73565,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
73565,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73565,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
73580,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,8,0,XXX,,Jan04,7
73580,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,8,0,XXX,,Jan04,7
73580,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
73580,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,8,0,XXX,,Jan04,7
73590,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73590,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Aug03,7
73590,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
73590,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73590,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
73592,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
73592,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Jan04,7
73592,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,7
73592,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
73592,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,7
73600,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73600,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Aug03,7
73600,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
73600,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73600,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
73610,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73610,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,3,0,XXX,,Aug03,7
73610,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
73610,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73610,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
73615,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,6,0,XXX,,Jan04,7
73615,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,0,XXX,,Jan04,7
73615,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
73615,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,0,XXX,,Jan04,7
73620,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73620,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Aug03,7
73620,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
73620,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73620,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
73630,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73630,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,3,0,XXX,,Aug03,7
73630,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
73630,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73630,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
73650,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73650,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Aug03,7
73650,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
73650,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73650,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
73660,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73660,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,3,0,XXX,,Aug03,7
73660,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
73660,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73660,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
73700,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73700,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
73700,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
73700,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73700,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
73701,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
73701,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
73701,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73701,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
73701,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
73701,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
73701,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
73701,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
73701,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
73701,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
73701,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
73701,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73701,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
73701,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
73701,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
73701,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
73701,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
73701,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
73701,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
73702,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
73702,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
73702,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73702,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
73702,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
73702,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
73702,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
73702,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
73702,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
73702,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
73702,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
73702,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73702,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Aug03,7
73702,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
73702,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
73702,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
73702,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
73702,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
73702,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
73706,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
73706,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
73706,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,,
73706,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,,
73706,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,XXX,,,
73706,RUC,"Hypodermic, IV",SC050,"stop cock, 4-way",item,1.621,1,,XXX,,,
73706,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,,XXX,,,
73706,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,24,,XXX,,,
73706,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
73706,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
73706,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,0.34,,XXX,,,
73706,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
73706,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
73718,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,10,,XXX,,,
73718,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
73718,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
73719,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
73719,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
73719,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73719,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
73719,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
73719,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
73719,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
73719,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
73719,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
73719,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
73719,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
73719,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73719,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,10,0,XXX,,Aug03,7
73719,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
73719,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
73719,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
73719,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
73719,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
73719,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
73719,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
73720,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
73720,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
73720,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73720,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
73720,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
73720,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
73720,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
73720,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Aug03,7
73720,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
73720,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
73720,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
73720,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73720,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Aug03,7
73720,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
73720,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
73720,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
73720,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
73720,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
73720,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
73720,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
73721,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,10,,XXX,,,
73721,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
73721,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
73722,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
73722,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
73722,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73722,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
73722,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
73722,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
73722,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
73722,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
73722,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
73722,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
73722,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
73722,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73722,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,10,0,XXX,,Aug03,7
73722,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
73722,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
73722,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
73722,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
73722,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
73722,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
73722,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
73723,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
73723,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
73723,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73723,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
73723,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
73723,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
73723,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
73723,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Aug03,7
73723,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
73723,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
73723,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
73723,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73723,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Aug03,7
73723,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
73723,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
73723,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
73723,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
73723,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
73723,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
73723,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
73725,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
73725,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
73725,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
73725,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
73725,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
73725,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
73725,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
73725,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
73725,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
73725,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
73725,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
73725,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,5,0,XXX,,Aug03,7
73725,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
73725,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
73725,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
73725,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
73725,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
73725,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
73725,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
74000,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
74000,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,XXX,,Aug03,7
74000,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Aug03,7
74000,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
74000,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Aug03,7
74010,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
74010,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,0,XXX,,Aug03,7
74010,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
74010,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
74010,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
74020,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
74020,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,0,XXX,,Aug03,7
74020,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Aug03,7
74020,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
74020,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Aug03,7
74022,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
74022,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,XXX,,Aug03,7
74022,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Aug03,7
74022,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
74022,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Aug03,7
74150,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
74150,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
74150,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
74150,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
74150,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Aug03,7
74160,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
74160,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
74160,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
74160,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
74160,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
74160,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
74160,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
74160,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
74160,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
74160,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
74160,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
74160,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
74160,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
74160,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
74160,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
74160,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
74160,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
74160,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
74160,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
74170,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
74170,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
74170,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
74170,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
74170,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
74170,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
74170,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
74170,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
74170,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
74170,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
74170,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
74170,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
74170,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,14,0,XXX,,Aug03,7
74170,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
74170,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
74170,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
74170,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
74170,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
74170,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
74175,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
74175,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
74175,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,,
74175,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,,
74175,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,XXX,,,
74175,RUC,"Hypodermic, IV",SC050,"stop cock, 4-way",item,1.621,1,,XXX,,,
74175,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,,XXX,,,
74175,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,12,,XXX,,,
74175,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
74175,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
74175,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,0.34,,XXX,,,
74175,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
74175,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
74176,RUC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,8,,XXX,,CPT11,36
74176,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,CPT11,36
74176,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,CPT11,36
74177,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,CPT11,36
74177,RUC,"Hypodermic, IV",SC002,angiocatheter set,item,11.272,1,,XXX,,CPT11,36
74177,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,CPT11,36
74177,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,XXX,,CPT11,36
74177,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,,XXX,,CPT11,36
74177,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,CPT11,36
74177,RUC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,,XXX,,CPT11,36
74177,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,,XXX,,CPT11,36
74177,RUC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,,XXX,,CPT11,36
74177,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,,XXX,,CPT11,36
74177,RUC,"Hypodermic, IV",SC025,"needle, 14-20g, biopsy",item,8.375,1,,XXX,,CPT11,36
74177,RUC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,10,,XXX,,CPT11,36
74177,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,CPT11,36
74177,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,CPT11,36
74177,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,CPT11,36
74177,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,15,,XXX,,CPT11,36
74177,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,XXX,,CPT11,36
74177,RUC,"Wound Care, Dressings",SG075,"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)",item,1.741,6,,XXX,,CPT11,36
74177,RUC,"Hypodermic, IV",SC059,"syringe, 25ml (MRI power injector)",item,5.445,1,,XXX,,CPT11,36
74178,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,CPT11,36
74178,RUC,"Hypodermic, IV",SC002,angiocatheter set,item,11.272,1,,XXX,,CPT11,36
74178,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,CPT11,36
74178,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,XXX,,CPT11,36
74178,RUC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,,XXX,,CPT11,36
74178,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,CPT11,36
74178,RUC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,,XXX,,CPT11,36
74178,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,,XXX,,CPT11,36
74178,RUC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,,XXX,,CPT11,36
74178,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,,XXX,,CPT11,36
74178,RUC,"Hypodermic, IV",SC025,"needle, 14-20g, biopsy",item,8.375,1,,XXX,,CPT11,36
74178,RUC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,23,,XXX,,CPT11,36
74178,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,CPT11,36
74178,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,CPT11,36
74178,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,CPT11,36
74178,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,15,,XXX,,CPT11,36
74178,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,XXX,,CPT11,36
74178,RUC,"Wound Care, Dressings",SG075,"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)",item,1.741,6,,XXX,,CPT11,36
74178,RUC,"Hypodermic, IV",SC059,"syringe, 25ml (MRI power injector)",item,5.445,1,,XXX,,CPT11,36
74181,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,10,,XXX,,,
74181,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
74181,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
74182,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
74182,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
74182,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
74182,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
74182,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
74182,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
74182,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
74182,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
74182,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
74182,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
74182,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
74182,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
74182,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,10,0,XXX,,Aug03,7
74182,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
74182,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
74182,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
74182,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
74182,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
74182,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
74182,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
74183,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
74183,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
74183,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
74183,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
74183,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
74183,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
74183,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
74183,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Aug03,7
74183,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
74183,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
74183,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
74183,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
74183,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Aug03,7
74183,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
74183,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
74183,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
74183,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
74183,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
74183,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
74183,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
74185,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
74185,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
74185,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
74185,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
74185,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
74185,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
74185,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
74185,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
74185,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
74185,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
74185,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
74185,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,5,0,XXX,,Aug03,7
74185,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
74185,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
74185,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
74185,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
74185,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
74185,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
74185,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
74190,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,R
74210,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74210,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,4,0,XXX,,Jan04,7
74210,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Jan04,7
74210,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74210,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,7
74210,PEAC,"Pharmacy, Rx",SH016,barium suspension (Polibar),ml,0.018,1,0,XXX,,Jan04,7
74220,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74220,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,XXX,,Jan04,7
74220,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Jan04,7
74220,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74220,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,7
74220,PEAC,"Pharmacy, Rx",SH013,barium high density susp (11-12oz uou),item,3.718,1,0,XXX,,Jan04,7
74220,PEAC,"Pharmacy, Rx",SH029,"effervescent granules (Sparkles, EZ Gas) (4gm uou)",item,2.142,1,0,XXX,,Jan04,7
74230,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74230,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,4,0,XXX,,Jan04,7
74230,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Jan04,7
74230,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74230,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,7
74230,PEAC,"Pharmacy, Rx",SH016,barium suspension (Polibar),ml,0.018,1,0,XXX,,Jan04,7
74235,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,R
74240,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74240,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,5,0,XXX,,Jan04,7
74240,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,5,0,XXX,,Jan04,7
74240,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74240,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,5,0,XXX,,Jan04,7
74240,PEAC,"Pharmacy, Rx",SH016,barium suspension (Polibar),ml,0.018,1,0,XXX,,Jan04,7
74241,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74241,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,5,0,XXX,,Jan04,7
74241,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,XXX,,Jan04,7
74241,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,0,XXX,,Jan04,7
74241,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74241,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,0,XXX,,Jan04,7
74241,PEAC,"Pharmacy, Rx",SH016,barium suspension (Polibar),ml,0.018,1,0,XXX,,Jan04,7
74245,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74245,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,6,0,XXX,,Jan04,7
74245,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,5,0,XXX,,Jan04,7
74245,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,11,0,XXX,,Jan04,7
74245,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74245,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,11,0,XXX,,Jan04,7
74245,PEAC,"Pharmacy, Rx",SH016,barium suspension (Polibar),ml,0.018,1,0,XXX,,Jan04,7
74246,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74246,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,7,0,XXX,,Jan04,7
74246,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,7,0,XXX,,Jan04,7
74246,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74246,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,7,0,XXX,,Jan04,7
74246,PEAC,"Pharmacy, Rx",SH013,barium high density susp (11-12oz uou),item,3.718,1,0,XXX,,Jan04,7
74246,PEAC,"Pharmacy, Rx",SH029,"effervescent granules (Sparkles, EZ Gas) (4gm uou)",item,2.142,1,0,XXX,,Jan04,7
74247,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74247,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,7,0,XXX,,Jan04,7
74247,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,XXX,,Jan04,7
74247,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,8,0,XXX,,Jan04,7
74247,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74247,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,8,0,XXX,,Jan04,7
74247,PEAC,"Pharmacy, Rx",SH013,barium high density susp (11-12oz uou),item,3.718,1,0,XXX,,Jan04,7
74247,PEAC,"Pharmacy, Rx",SH029,"effervescent granules (Sparkles, EZ Gas) (4gm uou)",item,2.142,1,0,XXX,,Jan04,7
74249,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74249,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,8,0,XXX,,Jan04,7
74249,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,5,0,XXX,,Jan04,7
74249,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,13,0,XXX,,Jan04,7
74249,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74249,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,13,0,XXX,,Jan04,7
74249,PEAC,"Pharmacy, Rx",SH029,"effervescent granules (Sparkles, EZ Gas) (4gm uou)",item,2.142,1,0,XXX,,Jan04,7
74250,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74250,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,1,0,XXX,,Jan04,7
74250,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,5,0,XXX,,Jan04,7
74250,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,0,XXX,,Jan04,7
74250,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74250,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,0,XXX,,Jan04,7
74250,PEAC,"Pharmacy, Rx",SH013,barium high density susp (11-12oz uou),item,3.718,1,0,XXX,,Jan04,7
74251,PEAC,"Accessory, Procedure",SD023,"catheter, enteroclysis",item,183.01,1,0,XXX,,Jan04,7
74251,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74251,PEAC,"Kit, Pack, Tray",SA004,"kit, barium with insufflator",kit,32.985,1,0,XXX,,Jan04,7
74251,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,4,0,XXX,,Jan04,7
74251,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,5,0,XXX,,Jan04,7
74251,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,9,0,XXX,,Jan04,7
74251,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74251,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,9,0,XXX,,Jan04,7
74251,PEAC,"Pharmacy, NonRx",SJ033,lubricating jelly (Surgilube),oz,0.501,1,0,XXX,,Jan04,7
74260,PEAC,"Accessory, Procedure",SD023,"catheter, enteroclysis",item,183.01,1,0,XXX,,Jan04,7
74260,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74260,PEAC,"Kit, Pack, Tray",SA004,"kit, barium with insufflator",kit,32.985,1,0,XXX,,Jan04,7
74260,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,9,0,XXX,,Jan04,7
74260,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,9,0,XXX,,Jan04,7
74260,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74260,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,9,0,XXX,,Jan04,7
74260,PEAC,"Pharmacy, NonRx",SJ033,lubricating jelly (Surgilube),oz,0.501,1,0,XXX,,Jan04,7
74261,RUC,"Accessory, Procedure",SD228,"gas, CO2, use w-automated insufflation, CT colonography",liter,1.826,4,0,XXX,,CPT10,15
74261,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,CPT10,15
74261,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,CPT10,15
74261,RUC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,0,XXX,,CPT10,15
74261,RUC,"Kit, Pack, Tray",SA102,"kit, tubing, use w-automated insufflation, CT colonography",kit,20.83,1,0,XXX,,CPT10,15
74262,RUC,"Accessory, Procedure",SD228,"gas, CO2, use w-automated insufflation, CT colonography",liter,1.826,4,0,XXX,,CPT10,15
74262,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,CPT10,15
74262,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,CPT10,15
74262,RUC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,0,XXX,,CPT10,15
74262,RUC,"Kit, Pack, Tray",SA102,"kit, tubing, use w-automated insufflation, CT colonography",kit,20.83,1,0,XXX,,CPT10,15
74262,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,CPT10,15
74262,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,CPT10,15
74262,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,0,XXX,,CPT10,15
74262,RUC,"Hypodermic, IV",SC050,"stop cock, 4-way",item,1.621,1,0,XXX,,CPT10,15
74262,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,CPT10,15
74262,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,CPT10,15
74262,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,1,0,XXX,,CPT10,15
74262,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,CPT10,15
74262,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,CPT10,15
74263,RUC,"Accessory, Procedure",SD228,"gas, CO2, use w-automated insufflation, CT colonography",liter,1.826,4,0,XXX,,CPT10,15
74263,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,CPT10,15
74263,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,CPT10,15
74263,RUC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,0,XXX,,CPT10,15
74263,RUC,"Kit, Pack, Tray",SA102,"kit, tubing, use w-automated insufflation, CT colonography",kit,20.83,1,0,XXX,,CPT10,15
74270,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74270,PEAC,"Kit, Pack, Tray",SA073,"kit, barium enema",kit,9.466,1,0,XXX,,Jan04,7
74270,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,4,0,XXX,,Jan04,7
74270,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,6,0,XXX,,Jan04,7
74270,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,10,0,XXX,,Jan04,7
74270,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74270,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,10,0,XXX,,Jan04,7
74270,PEAC,"Pharmacy, NonRx",SJ033,lubricating jelly (Surgilube),oz,0.501,1,0,XXX,,Jan04,7
74280,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74280,PEAC,"Kit, Pack, Tray",SA004,"kit, barium with insufflator",kit,32.985,1,0,XXX,,Jan04,7
74280,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,4,0,XXX,,Jan04,7
74280,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,8,0,XXX,,Jan04,7
74280,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,12,0,XXX,,Jan04,7
74280,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74280,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,12,0,XXX,,Jan04,7
74280,PEAC,"Pharmacy, NonRx",SJ033,lubricating jelly (Surgilube),oz,0.501,1,0,XXX,,Jan04,7
74283,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74283,PEAC,"Kit, Pack, Tray",SA073,"kit, barium enema",kit,9.466,1,0,XXX,,Jan04,7
74283,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,4,0,XXX,,Jan04,7
74283,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Jan04,7
74283,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74283,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,7
74283,PEAC,"Pharmacy, NonRx",SJ033,lubricating jelly (Surgilube),oz,0.501,1,0,XXX,,Jan04,7
74290,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74290,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,3,0,XXX,,Jan04,7
74290,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Jan04,7
74290,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74290,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Jan04,7
74290,PEAC,"Pharmacy, Rx",SH071,Telepaque capsule,item,0.745,1,0,XXX,,Jan04,7
74291,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74291,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,3,0,XXX,,Jan04,7
74291,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,0,XXX,,Jan04,7
74291,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74291,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,3,0,XXX,,Jan04,7
74291,PEAC,"Pharmacy, Rx",SH071,Telepaque capsule,item,0.745,2,0,XXX,,Jan04,7
74300,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
74301,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
74305,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,7
74320,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Jan04,9
74320,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
74320,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
74320,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
74320,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
74320,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,1,0,XXX,,Jan04,9
74327,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
74327,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
74327,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
74327,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
74327,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
74327,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,2,0,XXX,,Jan04,9
74328,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,7
74329,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,7
74330,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,7
74340,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,7
74355,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
74360,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
74363,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
74400,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
74400,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
74400,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
74400,CPEP,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,,,
74400,CPEP,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,XXX,,,
74400,CPEP,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,,,
74400,CPEP,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,XXX,,,
74400,CPEP,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,1,,XXX,,,
74400,CPEP,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,6,,XXX,,,
74400,CPEP,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,XXX,,,
74410,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
74410,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
74410,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
74410,CPEP,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,,,
74410,CPEP,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,XXX,,,
74410,CPEP,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,,,
74410,CPEP,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,XXX,,,
74410,CPEP,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,1,,XXX,,,
74410,CPEP,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,6,,XXX,,,
74410,CPEP,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,XXX,,,
74415,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
74415,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
74415,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
74415,CPEP,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,,,
74415,CPEP,"Hypodermic, IV",SC028,"needle, 18-26g 1.5-3.5in, spinal",item,3.314,1,,XXX,,,
74415,CPEP,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,,,
74415,CPEP,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,XXX,,,
74415,CPEP,"Kit, Pack, Tray",SA066,"tray, myelogram",tray,23.869,1,,XXX,,,
74415,CPEP,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,11,,XXX,,,
74415,CPEP,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,XXX,,,
74415,CPEP,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,XXX,,,
74420,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,R
74425,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,R
74430,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
74430,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,2,,XXX,,,
74430,CPEP,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,8,,XXX,,,
74430,CPEP,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,2,,XXX,,,
74440,PEAC,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,XXX,,Mar04,V
74440,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Mar04,V
74440,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Mar04,V
74440,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Mar04,V
74440,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Mar04,V
74440,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,0,XXX,,Mar04,V
74440,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,R
74440,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,6,0,XXX,,Mar04,V
74445,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,R
74450,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,R
74455,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
74455,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,2,,XXX,,,
74455,CPEP,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,8,,XXX,,,
74455,CPEP,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,2,,XXX,,,
74470,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,7
74475,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Mar04,V
74475,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Mar04,V
74475,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Mar04,V
74475,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Mar04,V
74475,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,1,0,XXX,,Mar04,V
74480,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Mar04,V
74480,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Mar04,V
74480,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Mar04,V
74480,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Mar04,V
74480,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,1,0,XXX,,Mar04,V
74485,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Mar04,V
74485,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Mar04,V
74485,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Mar04,V
74485,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Mar04,V
74485,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,1,0,XXX,,Mar04,V
74710,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
74710,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Jan04,7
74710,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,7
74710,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
74710,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,7
74740,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
74740,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,2,,XXX,,,
74740,CPEP,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,8,,XXX,,,
74740,CPEP,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,2,,XXX,,,
74742,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,R
74775,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,R
75557,RUC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,CPT08,J
75557,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,CPT08,J
75557,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,CPT08,J
75557,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,0,XXX,,CPT08,J
75557,RUC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,0,XXX,,CPT08,J
75557,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,0,XXX,,CPT08,J
75557,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,XXX,,CPT08,J
75557,RUC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,1,0,XXX,,CPT08,J
75557,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,CPT08,J
75559,RUC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,CPT08,J
75559,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,CPT08,J
75559,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,2,0,XXX,,CPT08,J
75559,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,CPT08,J
75559,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,CPT08,J
75559,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,CPT08,J
75559,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,CPT08,J
75559,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,5,0,XXX,,CPT08,J
75559,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,CPT08,J
75559,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,0,XXX,,CPT08,J
75559,RUC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,0,XXX,,CPT08,J
75559,RUC,"Accessory, Procedure",SD112,"sensor, airflow cannula (adult)",item,3,1,0,XXX,,CPT08,J
75559,RUC,"Wound Care, Dressings",SG014,"bandage, elastic, self-adherent wrap 1in (Coban)",item,1.307,1,0,XXX,,CPT08,J
75559,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,CPT08,J
75559,RUC,"Hypodermic, IV",SC027,"needle, 18-19g, filter",item,0.37,2,0,XXX,,CPT08,J
75559,RUC,Lab,SL107,phosphate buffered saline solution,ml,0.041,40,0,XXX,,CPT08,J
75559,RUC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,4,0,XXX,,CPT08,J
75559,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,0,XXX,,CPT08,J
75559,RUC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,1,0,XXX,,CPT08,J
75559,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,4,0,XXX,,CPT08,J
75559,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,CPT08,J
75559,RUC,"Hypodermic, IV",SC013,infusion pump cassette-reservoir,item,12.963,1,0,XXX,,CPT08,J
75561,RUC,"Hypodermic, IV",SC059,"syringe, 25ml (MRI power injector)",item,5.445,1,0,XXX,,CPT08,J
75561,RUC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,CPT08,J
75561,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,CPT08,J
75561,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,2,0,XXX,,CPT08,J
75561,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,CPT08,J
75561,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,CPT08,J
75561,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,CPT08,J
75561,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,CPT08,J
75561,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,CPT08,J
75561,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,0,XXX,,CPT08,J
75561,RUC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,0,XXX,,CPT08,J
75561,RUC,"Hypodermic, IV",SC027,"needle, 18-19g, filter",item,0.37,2,0,XXX,,CPT08,J
75561,RUC,Lab,SL107,phosphate buffered saline solution,ml,0.041,40,0,XXX,,CPT08,J
75561,RUC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,4,0,XXX,,CPT08,J
75561,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,0,XXX,,CPT08,J
75561,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,XXX,,CPT08,J
75561,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,CPT08,J
75561,RUC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,1,0,XXX,,CPT08,J
75563,RUC,"Hypodermic, IV",SC059,"syringe, 25ml (MRI power injector)",item,5.445,1,0,XXX,,,
75563,RUC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,CPT08,J
75563,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,CPT08,J
75563,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,2,0,XXX,,CPT08,J
75563,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,CPT08,J
75563,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,CPT08,J
75563,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,CPT08,J
75563,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,CPT08,J
75563,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,4,0,XXX,,CPT08,J
75563,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,CPT08,J
75563,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,0,XXX,,CPT08,J
75563,RUC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,0,XXX,,CPT08,J
75563,RUC,"Accessory, Procedure",SD112,"sensor, airflow cannula (adult)",item,3,1,0,XXX,,CPT08,J
75563,RUC,"Wound Care, Dressings",SG014,"bandage, elastic, self-adherent wrap 1in (Coban)",item,1.307,1,0,XXX,,CPT08,J
75563,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,CPT08,J
75563,RUC,"Hypodermic, IV",SC027,"needle, 18-19g, filter",item,0.37,4,0,XXX,,CPT08,J
75563,RUC,Lab,SL107,phosphate buffered saline solution,ml,0.041,40,0,XXX,,CPT08,J
75563,RUC,"Wound Care, Dressings",SG082,"cotton balls, sterile",item,0.0215,4,0,XXX,,CPT08,J
75563,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,0,XXX,,CPT08,J
75563,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,4,0,XXX,,CPT08,J
75563,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,2,0,XXX,,CPT08,J
75563,RUC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,1,0,XXX,,CPT08,J
75563,RUC,"Hypodermic, IV",SC013,infusion pump cassette-reservoir,item,12.963,1,0,XXX,,CPT08,J
75565,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,CPT10,16
75571,RUC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,0,XXX,,CPT10,17
75571,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT10,17
75571,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,3,0,XXX,,CPT10,17
75571,RUC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,CPT10,17
75572,RUC,"Accessory, Procedure",SD145,"cannula, anterior chamber, 18-27g",item,2.688,1,0,XXX,,CPT10,17
75572,RUC,"Hypodermic, IV",SC027,"needle, 18-19g, filter",item,0.37,3,0,XXX,,CPT10,17
75572,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,CPT10,17
75572,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,XXX,,CPT10,17
75572,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,3,0,XXX,,CPT10,17
75572,RUC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,CPT10,17
75572,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,CPT10,17
75572,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,CPT10,17
75572,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,CPT10,17
75572,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,CPT10,17
75572,RUC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,0,XXX,,CPT10,17
75572,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,CPT10,17
75572,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT10,17
75573,RUC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,0,XXX,,CPT10,17
75573,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,CPT10,17
75573,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT10,17
75573,RUC,"Accessory, Procedure",SD145,"cannula, anterior chamber, 18-27g",item,2.688,1,0,XXX,,CPT10,17
75573,RUC,"Hypodermic, IV",SC027,"needle, 18-19g, filter",item,0.37,3,0,XXX,,CPT10,17
75573,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,CPT10,17
75573,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,XXX,,CPT10,17
75573,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,3,0,XXX,,CPT10,17
75573,RUC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,CPT10,17
75573,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,CPT10,17
75573,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,CPT10,17
75573,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,CPT10,17
75573,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,CPT10,17
75574,RUC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,0,XXX,,CPT10,17
75574,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,CPT10,17
75574,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT10,17
75574,RUC,"Accessory, Procedure",SD145,"cannula, anterior chamber, 18-27g",item,2.688,1,0,XXX,,CPT10,17
75574,RUC,"Hypodermic, IV",SC027,"needle, 18-19g, filter",item,0.37,3,0,XXX,,CPT10,17
75574,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,CPT10,17
75574,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,XXX,,CPT10,17
75574,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,3,0,XXX,,CPT10,17
75574,RUC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,CPT10,17
75574,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,CPT10,17
75574,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,CPT10,17
75574,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,CPT10,17
75574,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,CPT10,17
75600,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
75600,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75600,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
75600,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
75600,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
75600,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
75600,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
75600,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
75600,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75600,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
75600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
75600,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75600,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
75600,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75600,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
75600,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75600,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Jan04,9
75600,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
75600,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
75600,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
75600,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
75600,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
75605,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75605,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75605,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75605,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75605,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75605,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Jan04,9
75625,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75625,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75625,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75625,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75625,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75625,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Jan04,9
75630,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75630,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75630,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75630,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75630,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75630,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Jan04,9
75635,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
75635,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
75635,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,,
75635,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,,
75635,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,XXX,,,
75635,RUC,"Hypodermic, IV",SC050,"stop cock, 4-way",item,1.621,1,,XXX,,,
75635,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,,XXX,,,
75635,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,36,,XXX,,,
75635,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
75635,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
75635,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,0.34,,XXX,,,
75635,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
75635,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
75650,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75650,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75650,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75650,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75650,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75650,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Jan04,9
75658,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75658,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75658,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75658,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75658,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75658,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75660,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75660,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75660,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75660,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75660,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75660,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75662,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75662,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75662,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75662,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75662,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75662,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,8,0,XXX,,Jan04,9
75665,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75665,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75665,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75665,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75665,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75665,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75671,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75671,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75671,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75671,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75671,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75671,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,8,0,XXX,,Jan04,9
75676,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75676,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75676,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75676,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75676,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75676,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75680,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75680,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75680,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75680,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75680,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75680,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,8,0,XXX,,Jan04,9
75685,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75685,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75685,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75685,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75685,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75685,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75705,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75705,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75705,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75705,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75705,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75705,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75710,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75710,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75710,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75710,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75710,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75710,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Jan04,9
75716,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75716,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75716,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75716,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75716,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75716,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Jan04,9
75722,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75722,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75722,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75722,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75722,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75722,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,3,0,XXX,,Jan04,9
75724,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75724,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75724,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75724,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75724,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75724,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Jan04,9
75726,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75726,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75726,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75726,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75726,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75726,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Jan04,9
75731,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75731,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75731,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75731,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75731,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75731,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Jan04,9
75733,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75733,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75733,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75733,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75733,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75733,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Jan04,9
75736,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75736,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75736,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75736,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75736,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75736,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Jan04,9
75741,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75741,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75741,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75741,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75741,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75741,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75743,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75743,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75743,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75743,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75743,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75743,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,8,0,XXX,,Jan04,9
75746,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75746,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75746,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75746,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75746,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75746,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,8,0,XXX,,Jan04,9
75756,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75756,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75756,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75756,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75756,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75756,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Jan04,9
75774,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,ZZZ,,Jan04,9
75790,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75790,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75790,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75790,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75790,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75790,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75791,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,XXX,,CPT10,29
75791,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT10,29
75791,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,XXX,,CPT10,29
75791,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,4,0,XXX,,CPT10,29
75791,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,,CPT10,29
75791,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,XXX,,CPT10,29
75791,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,XXX,,CPT10,29
75791,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,XXX,,CPT10,29
75791,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,XXX,,CPT10,29
75791,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,XXX,,CPT10,29
75791,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,XXX,,CPT10,29
75791,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,XXX,,CPT10,29
75791,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,CPT10,29
75791,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,XXX,,CPT10,29
75791,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,CPT10,29
75791,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,XXX,,CPT10,29
75791,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,CPT10,29
75791,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,CPT10,29
75791,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,CPT10,29
75791,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,CPT10,29
75791,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,CPT10,29
75801,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
75803,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
75805,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
75807,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
75809,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75809,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75809,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75809,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,1,0,XXX,,Jan04,9
75810,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
75820,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75820,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75820,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75820,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75820,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75820,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75822,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75822,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75822,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75822,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75822,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75822,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,8,0,XXX,,Jan04,9
75825,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75825,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75825,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75825,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75825,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75825,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75827,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75827,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75827,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75827,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75827,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75827,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75831,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75831,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75831,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75831,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75831,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75831,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75833,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75833,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75833,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75833,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75833,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75833,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,8,0,XXX,,Jan04,9
75840,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75840,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75840,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75840,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75840,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75840,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75842,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75842,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75842,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75842,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75842,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75842,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,8,0,XXX,,Jan04,9
75860,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75860,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75860,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75860,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75860,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75860,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75870,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75870,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75870,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75870,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75870,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75870,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75872,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75872,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75872,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75872,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75872,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75872,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75880,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75880,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75880,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75880,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75880,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75880,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75885,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,CPT10,41
75885,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,CPT10,41
75885,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,CPT10,41
75885,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,CPT10,41
75885,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,CPT10,41
75885,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,XXX,,CPT10,41
75887,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,CPT10,41
75887,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,CPT10,41
75887,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,CPT10,41
75887,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,CPT10,41
75887,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,CPT10,41
75887,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,XXX,,CPT10,41
75889,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75889,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75889,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75889,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75889,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75889,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75891,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75891,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75891,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75891,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75891,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75891,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75893,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75893,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75893,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75893,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75893,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75893,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Jan04,9
75894,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
75896,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
75898,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
75900,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
75901,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,3,,XXX,,,
75901,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,,
75901,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
75902,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,3,,XXX,,,
75902,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,,
75902,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
75940,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
75945,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
75946,CMS,NO DETAILS,SX001,ACTIVE,na,,,,ZZZ,,,
75952,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
75953,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
75954,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
75956,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,RUC05,
75957,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,RUC05,
75958,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,RUC05,
75959,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,RUC05,
75960,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,10,0,XXX,,Apr07,S
75960,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,10,0,XXX,,Apr07,S
75960,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,10,0,XXX,,Apr07,S
75961,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75961,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75961,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75961,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75961,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75961,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,2,0,XXX,,Jan04,9
75962,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75962,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75962,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75962,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75962,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75962,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,2,0,XXX,,Jan04,9
75964,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,2,0,ZZZ,,Jan04,9
75966,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75966,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75966,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75966,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75966,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75966,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,2,0,XXX,,Jan04,9
75968,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,2,0,ZZZ,,Jan04,9
75970,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
75978,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,9
75978,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75978,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75978,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75978,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75978,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,2,0,XXX,,Jan04,9
75980,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
75982,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
75984,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Mar04,R
75984,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Mar04,R
75984,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Mar04,R
75984,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,1,0,XXX,,Mar04,R
75989,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Jan04,9
75989,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
75989,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
75989,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
75989,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
75989,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,1,0,XXX,,Jan04,9
76000,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,,XXX,,,
76000,PEAC,"Office Supply, Grocery",SK028,"film, fluoroscopic 14 x 17",item,3.69,1,,XXX,,,
76000,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,,XXX,,,
76001,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,R
76010,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
76010,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Aug03,7
76010,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
76010,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
76010,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
76080,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
76080,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
76080,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
76080,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,1,0,XXX,,Jan04,9
76098,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
76098,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
76098,PEAC,"Gown, Drape",SB043,"towel, professional 13in x 18in",item,0.04,1,0,XXX,,Aug03,7
76098,PEAC,Infection Control,SM009,"cleaner, x-ray cassette-screen",oz,0.891,0.5,0,XXX,,Aug03,7
76098,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,0.5,0,XXX,,Aug03,7
76098,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,0,XXX,,Aug03,7
76098,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
76098,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,2,0,XXX,,Aug03,7
76098,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,1,0,XXX,,Aug03,7
76098,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,1,0,XXX,,Aug03,7
76100,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
76100,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,10,0,XXX,,Jan04,7
76100,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,10,0,XXX,,Jan04,7
76100,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
76100,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,10,0,XXX,,Jan04,7
76101,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
76101,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,16,0,XXX,,Jan04,7
76101,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,16,0,XXX,,Jan04,7
76101,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
76101,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,16,0,XXX,,Jan04,7
76102,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
76102,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,24,0,XXX,,Jan04,7
76102,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,24,0,XXX,,Jan04,7
76102,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
76102,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,24,0,XXX,,Jan04,7
76120,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Feb05,
76120,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Feb05,
76120,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Feb05,
76120,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,XXX,,Feb05,
76125,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
76140,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
76350,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
76376,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,XXX,,RUC05,
76376,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,RUC05,
76376,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,RUC05,
76377,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,8,0,XXX,,RUC05,
76377,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,8,0,XXX,,RUC05,
76377,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,8,0,XXX,,RUC05,
76380,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
76380,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
76380,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
76380,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
76380,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,2,0,XXX,,Aug03,7
76390,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
76390,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
76390,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
76390,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,XXX,,Aug03,7
76390,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,0,XXX,,Aug03,7
76496,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
76497,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
76498,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
76499,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
76506,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
76506,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
76506,PEAC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,,
76506,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
76506,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
76506,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,,
76506,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,,XXX,,,
76506,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76506,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,30,,XXX,,,
76510,RUC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,,
76510,RUC,"Office Supply, Grocery",SK032,"film, type 667 Polaroid (per exposure)",item,1,20,0,XXX,,,
76510,RUC,"Pharmacy, Rx",SH037,Goniosol 2.5% ophth,ml,0.58,10,0,XXX,,,
76511,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,,
76511,PEAC,"Office Supply, Grocery",SK032,"film, type 667 Polaroid (per exposure)",item,1,10,0,XXX,,,
76511,RUC,"Pharmacy, Rx",SH037,Goniosol 2.5% ophth,ml,0.58,5,0,XXX,,,
76512,RUC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,,
76512,PEAC,"Office Supply, Grocery",SK032,"film, type 667 Polaroid (per exposure)",item,1,10,0,XXX,,,
76512,RUC,"Pharmacy, Rx",SH037,Goniosol 2.5% ophth,ml,0.58,5,0,XXX,,,
76513,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,,
76513,PEAC,"Office Supply, Grocery",SK032,"film, type 667 Polaroid (per exposure)",item,1,10,0,XXX,,,
76513,PEAC,"Pharmacy, Rx",SH037,Goniosol 2.5% ophth,ml,0.58,7,0,XXX,,,
76514,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,Apr06,J
76516,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,,
76516,PEAC,"Office Supply, Grocery",SK032,"film, type 667 Polaroid (per exposure)",item,1,10,0,XXX,,,
76516,PEAC,"Pharmacy, Rx",SH037,Goniosol 2.5% ophth,ml,0.58,7,0,XXX,,,
76519,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,,
76519,PEAC,"Office Supply, Grocery",SK032,"film, type 667 Polaroid (per exposure)",item,1,10,0,XXX,,,
76519,PEAC,"Pharmacy, Rx",SH037,Goniosol 2.5% ophth,ml,0.58,7,0,XXX,,,
76529,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,,
76529,PEAC,"Office Supply, Grocery",SK032,"film, type 667 Polaroid (per exposure)",item,1,10,0,XXX,,,
76529,PEAC,"Pharmacy, Rx",SH037,Goniosol 2.5% ophth,ml,0.58,7,0,XXX,,,
76536,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
76536,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
76536,PEAC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,,
76536,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
76536,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
76536,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,,
76536,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,,XXX,,,
76536,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76536,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,,
76604,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
76604,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Aug03,7
76604,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
76604,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
76604,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Aug03,7
76604,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,0.33,0,XXX,,Aug03,7
76604,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,Aug03,7
76604,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
76604,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,1,0,XXX,,Aug03,7
76604,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,XXX,,Aug03,7
76645,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
76645,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Aug03,7
76645,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
76645,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
76645,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Aug03,7
76645,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,0.33,0,XXX,,Aug03,7
76645,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,Aug03,7
76645,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
76645,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,1,0,XXX,,Aug03,7
76645,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,XXX,,Aug03,7
76700,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,,
76700,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
76700,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
76700,PEAC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,30,,XXX,,,
76700,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,3,,XXX,,,
76700,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
76700,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,3,,XXX,,,
76700,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,,
76700,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
76700,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,,XXX,,,
76700,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76700,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,,
76705,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
76705,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Aug03,7
76705,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
76705,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
76705,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Aug03,7
76705,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,0.33,0,XXX,,Aug03,7
76705,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,Aug03,7
76705,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
76705,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,3,0,XXX,,Aug03,7
76705,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,XXX,,Aug03,7
76770,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,,
76770,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
76770,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
76770,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
76770,PEAC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,,
76770,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
76770,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,3,,XXX,,,
76770,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,,
76770,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
76770,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,,XXX,,,
76770,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76770,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,,
76775,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
76775,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Aug03,7
76775,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
76775,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
76775,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Aug03,7
76775,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,0.33,0,XXX,,Aug03,7
76775,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,Aug03,7
76775,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
76775,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,3,0,XXX,,Aug03,7
76775,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,XXX,,Aug03,7
76776,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,10,0,XXX,,CPT07,
76776,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,CPT07,
76776,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,CPT07,
76776,RUC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,1,0,XXX,,CPT07,
76776,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,XXX,,CPT07,
76776,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,0,XXX,,CPT07,
76800,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,7
76800,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,7
76800,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
76800,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Jan04,7
76800,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,7
76800,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,0.33,0,XXX,,Jan04,7
76800,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,Jan04,7
76800,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
76800,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,3,0,XXX,,Jan04,7
76800,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,XXX,,Jan04,7
76801,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
76801,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
76801,RUC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,,
76801,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
76801,RUC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
76801,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,XXX,,,
76801,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,,XXX,,,
76801,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76801,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,,
76802,RUC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,1,,ZZZ,,,
76802,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,ZZZ,,,
76802,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,30,,ZZZ,,,
76805,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
76805,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
76805,RUC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,,
76805,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
76805,RUC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
76805,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,,
76805,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,5,,XXX,,,
76805,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76805,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,,
76810,RUC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,1,,ZZZ,,,
76810,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,ZZZ,,,
76810,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,30,,ZZZ,,,
76811,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
76811,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
76811,RUC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,,
76811,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
76811,RUC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
76811,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,,XXX,,,
76811,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,6,,XXX,,,
76811,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76811,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,,
76812,RUC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,ZZZ,,,
76812,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,ZZZ,,,
76812,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,30,,ZZZ,,,
76813,RUC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,0,XXX,,CPT07,
76813,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,CPT07,
76813,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,XXX,,CPT07,
76813,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,10,0,XXX,,CPT07,
76813,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,CPT07,
76813,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,CPT07,
76813,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,CPT07,
76813,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT07,
76813,RUC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,1,0,ZZZ,,CPT07,
76814,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,30,0,ZZZ,,CPT07,
76815,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
76815,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
76815,RUC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,,
76815,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
76815,RUC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
76815,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,,
76815,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,5,,XXX,,,
76815,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76815,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,,
76816,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
76816,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
76816,RUC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,,
76816,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
76816,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,XXX,,,
76816,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,3,,XXX,,,
76816,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76816,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,,
76817,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
76817,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
76817,RUC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,,
76817,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
76817,RUC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,1,,XXX,,,
76817,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,,
76817,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,,XXX,,,
76817,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76817,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,1,,XXX,,,
76818,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
76818,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
76818,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
76818,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
76818,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
76818,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,XXX,,,
76818,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,6,,XXX,,,
76818,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,30,,XXX,,,
76819,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
76819,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
76819,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
76819,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
76819,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
76819,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,XXX,,,
76819,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,30,,XXX,,,
76820,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,XXX,,,
76821,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,XXX,,,
76821,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,,
76821,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,0.3,0,XXX,,,
76821,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,88171,,
76821,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,,
76821,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,XXX,,,
76821,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,,
76821,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,88171,,
76821,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,,
76821,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,,
76825,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,3,,XXX,,,
76825,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
76825,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.034,,XXX,,,
76825,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,3,,XXX,,,
76825,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
76825,PEAC,"Office Supply, Grocery",SK015,"computer media, optical disk 128mb",item,12,0.2,,XXX,,,
76825,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
76825,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,0.2,,XXX,,,
76825,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,180,,XXX,,,
76826,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,3,,XXX,,,
76826,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
76826,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.034,,XXX,,,
76826,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,3,,XXX,,,
76826,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
76826,PEAC,"Office Supply, Grocery",SK015,"computer media, optical disk 128mb",item,12,0.2,,XXX,,,
76826,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
76826,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,0.2,,XXX,,,
76826,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,180,,XXX,,,
76827,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
76828,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
76830,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
76830,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
76830,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
76830,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
76830,PEAC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,,
76830,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
76830,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
76830,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,,
76830,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,,XXX,,,
76830,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76830,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,1,,XXX,,,
76830,PEAC,"Pharmacy, NonRx",SJ033,lubricating jelly (Surgilube),oz,0.501,1,,XXX,,,
76831,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
76831,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
76831,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
76831,PEAC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,,
76831,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
76831,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
76831,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,,
76831,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,,XXX,,,
76831,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76831,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,1,,XXX,,,
76831,PEAC,"Pharmacy, NonRx",SJ033,lubricating jelly (Surgilube),oz,0.501,1,,XXX,,,
76856,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
76856,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
76856,PEAC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,,
76856,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
76856,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
76856,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,,
76856,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,,XXX,,,
76856,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76856,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,,
76857,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
76857,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
76857,PEAC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,,
76857,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
76857,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
76857,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,,
76857,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,,XXX,,,
76857,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76857,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,,
76870,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
76870,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,,
76870,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
76870,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
76870,PEAC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,,
76870,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
76870,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
76870,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,,
76870,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,,XXX,,,
76870,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76870,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,,
76872,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
76872,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
76872,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
76872,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
76872,PEAC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,,
76872,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
76872,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
76872,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,,
76872,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,,XXX,,,
76872,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76872,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,1,,XXX,,,
76872,PEAC,"Pharmacy, NonRx",SJ033,lubricating jelly (Surgilube),oz,0.501,1,,XXX,,,
76873,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
76873,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
76873,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
76873,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
76873,PEAC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,,
76873,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
76873,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
76873,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,,
76873,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,,XXX,,,
76873,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76873,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,1,,XXX,,,
76873,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,30,,XXX,,,
76881,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,CPT11,37
76881,RUC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,CPT11,37
76881,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,CPT11,37
76881,RUC,"Office Supply, Grocery",SK038,"film, x-ray 8in x 10in (X-omat, Radiomat)",item,1.43,2,,XXX,,CPT11,37
76881,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,CPT11,37
76881,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,CPT11,37
76881,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,CPT11,37
76882,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,40,,XXX,,CPT11,37
76882,RUC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,CPT11,37
76882,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,CPT11,37
76882,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,CPT11,37
76882,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,CPT11,37
76885,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
76885,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
76885,PEAC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,,XXX,,,
76885,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
76885,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
76885,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,,XXX,,,
76885,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,,XXX,,,
76885,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
76885,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,,
76886,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
76886,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Aug03,7
76886,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
76886,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
76886,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Aug03,7
76886,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,0.33,0,XXX,,Aug03,7
76886,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,Aug03,7
76886,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
76886,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,2,0,XXX,,Aug03,7
76886,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,XXX,,Aug03,7
76930,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
76932,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
76936,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,7
76936,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,7
76936,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
76936,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Jan04,7
76936,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,7
76936,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,0.33,0,XXX,,Jan04,7
76936,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,Jan04,7
76936,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
76936,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,3,0,XXX,,Jan04,7
76936,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,XXX,,Jan04,7
76937,RUC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,ZZZ,,,
76937,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,2,,ZZZ,,,
76937,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,3,,ZZZ,,,
76937,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,ZZZ,,,
76937,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,5,,ZZZ,,,
76937,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,ZZZ,,,
76937,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,ZZZ,,,
76937,RUC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,ZZZ,,,
76937,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,ZZZ,,,
76937,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,6,,ZZZ,,,
76937,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,150,,ZZZ,,,
76940,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Feb05,B
76941,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
76942,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,0,XXX,,Feb05,O
76942,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,0,XXX,,Feb05,O
76942,PEAC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,0,XXX,,Feb05,O
76942,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,Feb05,O
76942,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,0,XXX,,Feb05,O
76942,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,0,XXX,,Feb05,O
76942,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Feb05,O
76942,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Feb05,O
76942,PEAC,"Pharmacy, NonRx",SJ033,lubricating jelly (Surgilube),oz,0.501,1,0,XXX,,Feb05,O
76945,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,9
76946,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
76946,PEAC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,0,XXX,,Aug03,7
76946,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,Aug03,7
76946,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,XXX,,Aug03,7
76948,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
76948,PEAC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,0,XXX,,Aug03,7
76948,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,Aug03,7
76948,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,XXX,,Aug03,7
76950,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,XXX,,Mar04,V
76950,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,XXX,,Mar04,V
76950,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,3,0,XXX,,Mar04,V
76950,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Mar04,V
76950,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Mar04,V
76950,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,32,0,XXX,,Mar04,V
76950,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Mar04,V
76950,PEAC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,0,XXX,,Mar04,V
76950,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,0,XXX,,Mar04,V
76950,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,XXX,,Mar04,V
76965,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,XXX,,Mar04,V
76965,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,0,XXX,,Mar04,V
76965,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Mar04,V
76965,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,XXX,,Mar04,V
76965,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,XXX,,Mar04,V
76965,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,0,XXX,,Mar04,V
76970,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
76970,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Aug03,7
76970,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
76970,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,0.33,0,XXX,,Aug03,7
76970,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
76970,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,XXX,,Aug03,7
76975,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Feb05,f
76977,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
76998,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,R
76999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
77001,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,,ZZZ,,,
77001,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,3,,ZZZ,,,
77001,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,ZZZ,,,
77001,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,,ZZZ,,,
77001,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,ZZZ,,,
77001,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,,ZZZ,,,
77001,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,ZZZ,,,
77001,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,ZZZ,,,
77002,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Jan04,9
77002,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
77002,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
77002,PEAC,"Office Supply, Grocery",SK028,"film, fluoroscopic 14 x 17",item,3.69,1,0,XXX,,Jan04,9
77002,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
77002,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,XXX,,Jan04,9
77003,PEAC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,1,0,XXX,,Jan04,5
77003,PEAC,"Office Supply, Grocery",SK028,"film, fluoroscopic 14 x 17",item,3.69,1,0,XXX,,Jan04,5
77003,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Jan04,5
77003,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Jan04,5
77011,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
77011,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Jan04,7
77011,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,7
77011,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
77011,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,3,0,XXX,,Jan04,7
77012,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Jan04,9
77012,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,9
77012,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,9
77012,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,1,0,XXX,,Jan04,9
77013,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
77014,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
77014,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Jan04,7
77014,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Jan04,7
77014,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
77014,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,3,0,XXX,,Jan04,7
77021,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,XXX,,,
77022,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
77031,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,XXX,,Mar04,R
77031,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Mar04,R
77031,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Mar04,R
77031,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Mar04,R
77032,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,8,0,XXX,,Mar04,R
77032,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,8,0,XXX,,Mar04,R
77032,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Mar04,R
77032,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,8,0,XXX,,Mar04,R
77051,RUC,"Office Supply, Grocery",SK090,x-ray digitalization separator sheet,item,1.5,1,,ZZZ,,,
77052,RUC,"Office Supply, Grocery",SK090,x-ray digitalization separator sheet,item,1.5,1,,ZZZ,,,
77053,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Mar04,R
77053,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Mar04,R
77053,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Mar04,R
77053,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Mar04,R
77054,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,8,0,XXX,,Mar04,R
77054,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,8,0,XXX,,Mar04,R
77054,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Mar04,R
77054,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,8,0,XXX,,Mar04,R
77055,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
77055,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
77055,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
77055,PEAC,"Gown, Drape",SB043,"towel, professional 13in x 18in",item,0.04,1,0,XXX,,Aug03,7
77055,PEAC,Infection Control,SM009,"cleaner, x-ray cassette-screen",oz,0.891,0.5,0,XXX,,Aug03,7
77055,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,0.5,0,XXX,,Aug03,7
77055,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,0,XXX,,Aug03,7
77055,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,3,0,XXX,,Aug03,7
77055,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,Aug03,7
77055,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,XXX,,Aug03,7
77055,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
77055,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,3,0,XXX,,Aug03,7
77055,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,3,0,XXX,,Aug03,7
77055,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,2,0,XXX,,Aug03,7
77056,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
77056,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
77056,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
77056,PEAC,"Gown, Drape",SB043,"towel, professional 13in x 18in",item,0.04,1,0,XXX,,Aug03,7
77056,PEAC,Infection Control,SM009,"cleaner, x-ray cassette-screen",oz,0.891,0.5,0,XXX,,Aug03,7
77056,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,0.5,0,XXX,,Aug03,7
77056,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,Aug03,7
77056,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,6,0,XXX,,Aug03,7
77056,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,XXX,,Aug03,7
77056,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
77056,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,6,0,XXX,,Aug03,7
77056,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,6,0,XXX,,Aug03,7
77056,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,4,0,XXX,,Aug03,7
77056,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,Aug03,7
77057,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
77057,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
77057,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
77057,PEAC,"Gown, Drape",SB043,"towel, professional 13in x 18in",item,0.04,1,0,XXX,,Aug03,7
77057,PEAC,Infection Control,SM009,"cleaner, x-ray cassette-screen",oz,0.891,0.5,0,XXX,,Aug03,7
77057,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,0.5,0,XXX,,Aug03,7
77057,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,Aug03,7
77057,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,6,0,XXX,,Aug03,7
77057,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,Aug03,7
77057,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,XXX,,Aug03,7
77057,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
77057,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,4,0,XXX,,Aug03,7
77057,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,4,0,XXX,,Aug03,7
77057,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,4,0,XXX,,Aug03,7
77058,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
77058,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
77058,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
77058,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
77058,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
77058,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
77058,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
77058,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
77058,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
77058,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
77058,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
77058,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
77058,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Aug03,7
77058,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
77058,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
77058,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
77058,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
77058,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
77058,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
77059,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Aug03,7
77059,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Aug03,7
77059,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
77059,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Aug03,7
77059,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Aug03,7
77059,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Aug03,7
77059,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Aug03,7
77059,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Aug03,7
77059,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,Aug03,7
77059,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,XXX,,Aug03,7
77059,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Aug03,7
77059,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
77059,PEAC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,12,0,XXX,,Aug03,7
77059,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Aug03,7
77059,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Aug03,7
77059,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Aug03,7
77059,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Aug03,7
77059,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,Aug03,7
77059,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Aug03,7
77071,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
77071,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Jan04,7
77071,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,7
77071,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
77071,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,7
77072,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
77072,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,Aug03,7
77072,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Aug03,7
77072,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
77072,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Aug03,7
77073,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
77073,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,0,XXX,,Aug03,7
77073,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Aug03,7
77073,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
77073,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Aug03,7
77074,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
77074,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,4,0,XXX,,Jan04,7
77074,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,3,0,XXX,,Jan04,7
77074,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,7,0,XXX,,Jan04,7
77074,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,7
77074,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,7,0,XXX,,Jan04,7
77075,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
77075,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,4,0,XXX,,Aug03,7
77075,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,11,0,XXX,,Aug03,7
77075,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,15,0,XXX,,Aug03,7
77075,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
77075,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,17,0,XXX,,Aug03,7
77076,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,11,0,XXX,,Aug03,7
77076,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Aug03,7
77076,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,15,0,XXX,,Aug03,7
77076,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
77076,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,15,0,XXX,,Aug03,7
77077,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Aug03,7
77077,PEAC,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,2,0,XXX,,Aug03,7
77077,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Aug03,7
77077,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Aug03,7
77077,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Aug03,7
77078,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,7
77078,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,0,XXX,,Jan04,7
77079,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,1,0,XXX,,,
77080,PERC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Feb07,27
77080,PERC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Feb07,27
77080,PERC,"Gown, Drape",SB037,pillow case,item,0.307,1,0,XXX,,Feb07,27
77081,PERC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Feb07,27
77082,PERC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Feb07,27
77083,CMS WALK: BOTH SITES,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,G0062,,
77083,CMS WALK: BOTH SITES,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,G0062,,
77083,CMS WALK: BOTH SITES,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,G0062,,
77083,CMS WALK: BOTH SITES,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,G0062,,
77083,CMS WALK: BOTH SITES,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,G0062,,
77083,CMS WALK: BOTH SITES,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,G0062,,
77083,CMS WALK: BOTH SITES,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,XXX,G0062,,
77083,CMS WALK: BOTH SITES,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,G0062,,
77083,CMS WALK: BOTH SITES,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,XXX,G0062,,
77083,CMS WALK: BOTH SITES,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,XXX,G0062,,
77083,CMS WALK: BOTH SITES,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,,XXX,G0062,,
77083,CMS WALK: BOTH SITES,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,10,,XXX,G0062,,
77083,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,G0062,,
77083,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,,XXX,G0062,,
77083,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,XXX,G0062,,
77084,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,10,,XXX,,,
77084,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
77084,PEAC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
77261,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
77262,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
77263,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
77280,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
77280,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
77280,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,XXX,,,
77280,PEAC,Lab,SL085,label for microscope slides,item,0.026,1,,XXX,,,
77280,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,XXX,,,
77280,PEAC,"Office Supply, Grocery",SK073,skin marking ink (tattoo),ml,0.221,2,,XXX,,,
77280,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77280,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,,XXX,,,
77280,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,11,,XXX,,,
77280,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
77280,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,XXX,,,
77285,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
77285,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
77285,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
77285,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,,XXX,,,
77285,PEAC,Lab,SL085,label for microscope slides,item,0.026,2,,XXX,,,
77285,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,,XXX,,,
77285,PEAC,"Office Supply, Grocery",SK073,skin marking ink (tattoo),ml,0.221,5,,XXX,,,
77285,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77285,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,,XXX,,,
77285,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,22,,XXX,,,
77285,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
77285,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,XXX,,,
77290,PEAC,"Accessory, Procedure",SD013,catheter plug,item,1.435,1,,XXX,,,
77290,PEAC,"Accessory, Procedure",SD017,"catheter, balloon, rectal pressure",item,20.625,1,,XXX,,,
77290,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,,XXX,,,
77290,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
77290,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
77290,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
77290,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,,XXX,,,
77290,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,,XXX,,,
77290,PEAC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,,XXX,,,
77290,PEAC,Lab,SL085,label for microscope slides,item,0.026,2,,XXX,,,
77290,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,,XXX,,,
77290,PEAC,"Office Supply, Grocery",SK073,skin marking ink (tattoo),ml,0.221,5,,XXX,,,
77290,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77290,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,,XXX,,,
77290,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,22,,XXX,,,
77290,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,1,,XXX,,,
77290,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,,
77290,PEAC,"Pharmacy, Rx",SH014,barium paste,oz,1.815,8,,XXX,,,
77290,PEAC,"Pharmacy, Rx",SH060,renographin-60,ml,0.38,50,,XXX,,,
77290,PEAC,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,50,,XXX,,,
77290,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,XXX,,,
77295,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,3,0,XXX,,Jan04,10
77299,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
77300,PEAC,"Office Supply, Grocery",SK002,anatomical drawings (for treatment recording),item,1.75,1,,XXX,,,
77300,PEAC,"Office Supply, Grocery",SK056,"paper, graph-plotter",item,0.631,1,,XXX,,,
77300,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77301,RUC,"Accessory, Procedure",SD006,bite block,item,1.5,1,,XXX,,,
77301,RUC,"Accessory, Procedure",SD096,"markers, radiographic, multi-modality",item,2,4,,XXX,,,
77301,RUC,"Accessory, Procedure",SD120,"styrofoam block, high density (3in-12in-12in)",item,1.857,1,,XXX,,,
77301,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,XXX,,,
77301,RUC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,,XXX,,,
77301,RUC,Lab,SL001,acetone,ml,0.014,6,,XXX,,,
77301,RUC,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,,XXX,,,
77301,RUC,"Office Supply, Grocery",SK015,"computer media, optical disk 128mb",item,12,0.33,,XXX,,,
77301,RUC,"Office Supply, Grocery",SK025,"film, dry, radiographic, 8in x 10in",item,0.98,6,,XXX,,,
77301,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,6,,XXX,,,
77301,RUC,"Office Supply, Grocery",SK038,"film, x-ray 8in x 10in (X-omat, Radiomat)",item,1.43,20,,XXX,,,
77301,RUC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,20,,XXX,,,
77301,RUC,"Office Supply, Grocery",SK083,transparency,item,0.586,6,,XXX,,,
77301,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,20,,XXX,,,
77305,PEAC,"Cutters, Closures, Cautery",SF041,"wire, contouring (radiation treatment)",lb,20,,,XXX,,,
77310,PEAC,"Cutters, Closures, Cautery",SF041,"wire, contouring (radiation treatment)",lb,20,,,XXX,,,
77315,PEAC,"Cutters, Closures, Cautery",SF041,"wire, contouring (radiation treatment)",lb,20,,,XXX,,,
77321,PEAC,"Office Supply, Grocery",SK002,anatomical drawings (for treatment recording),item,1.75,1,,XXX,,,
77321,PEAC,"Office Supply, Grocery",SK056,"paper, graph-plotter",item,0.631,1,,XXX,,,
77321,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77326,PEAC,"Office Supply, Grocery",SK053,"pad, nail polish remover",item,0.044,1,0,XXX,,Jan04,10
77326,PEAC,"Office Supply, Grocery",SK056,"paper, graph-plotter",item,0.631,5,0,XXX,,Jan04,10
77326,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,8,0,XXX,,Jan04,10
77326,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,10
77327,PEAC,"Office Supply, Grocery",SK053,"pad, nail polish remover",item,0.044,1,0,XXX,,Jan04,10
77327,PEAC,"Office Supply, Grocery",SK056,"paper, graph-plotter",item,0.631,5,0,XXX,,Jan04,10
77327,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,8,0,XXX,,Jan04,10
77327,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,10
77328,PEAC,"Office Supply, Grocery",SK053,"pad, nail polish remover",item,0.044,1,0,XXX,,Jan04,10
77328,PEAC,"Office Supply, Grocery",SK056,"paper, graph-plotter",item,0.631,5,0,XXX,,Jan04,10
77328,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,8,0,XXX,,Jan04,10
77328,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,10
77331,PEAC,"Office Supply, Grocery",SK056,"paper, graph-plotter",item,0.631,1,,XXX,,,
77331,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77332,PEAC,"Accessory, Procedure",SD007,bolus material (Superflab),item,55,1,,XXX,,,
77333,PEAC,Lab,SL082,"impression material, dental putty (per bite block)",item,2.138,1,,XXX,,,
77333,PEAC,Lab,SL119,sealant spray,oz,,,0,XXX,,,
77333,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,,XXX,,,
77334,PEAC,"Accessory, Procedure",SD001,"alloy, low temp fusible (Cerrobend, Indalloy)",lb,4.22,15,,XXX,,,
77334,PEAC,"Accessory, Procedure",SD120,"styrofoam block, high density (3in-12in-12in)",item,1.857,1,,XXX,,,
77334,PEAC,"Accessory, Procedure",SD138,"wire, Nic-chrome",foot,0.45,,,XXX,,,
77334,PEAC,"Gown, Drape",SB025,"gloves, work-utility",pair,3.4,,,XXX,,,
77334,PEAC,"Gown, Drape",SB038,safety glasses,item,2.902,1,,XXX,,,
77334,PEAC,Lab,SL094,"mold release agent, silicone spray",oz,0.54,1,,XXX,,,
77334,PEAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
77334,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77334,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,XXX,,,
77334,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,XXX,,,
77336,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,,XXX,,,
77338,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,9,0,XXX,,CPT10,18
77370,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,5,,XXX,,,
77371,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,CPT07,
77371,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,10,,XXX,,CPT07,
77371,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,,XXX,,CPT07,
77371,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,XXX,,CPT07,
77371,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,CPT07,
77371,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,XXX,,CPT10,rv
77371,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,XXX,,CPT10,rv
77371,PEAC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,2,0,XXX,,CPT10,rv
77371,PEAC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,2,0,XXX,,CPT10,rv
77371,PEAC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,0,XXX,,CPT10,rv
77371,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,XXX,,CPT10,rv
77371,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,CPT10,rv
77371,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,4,0,XXX,,CPT10,rv
77371,PEAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,1,0,XXX,,CPT10,rv
77371,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,XXX,,CPT10,rv
77372,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,,XXX,,CPT07,
77372,RUC,"Office Supply, Grocery",SK094,x-ray marking pencil,item,0.938,1,,XXX,,CPT07,
77372,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,2,,XXX,,CPT07,
77372,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,CPT07,
77372,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,XXX,,CPT07,
77372,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,CPT07,
77372,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,CPT07,
77372,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,10,,XXX,,CPT07,
77372,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,,XXX,,CPT07,
77372,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,XXX,,CPT07,
77372,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,,XXX,,CPT07,
77372,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,CPT07,
77372,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,CPT07,
77373,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,CPT07,
77373,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,10,,XXX,,CPT07,
77373,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,,XXX,,CPT07,
77373,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,CPT07,
77373,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,CPT07,
77373,RUC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,10,,XXX,,CPT07,
77399,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
77401,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,2,,XXX,,,
77401,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
77401,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77401,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,10,,XXX,,,
77402,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,2,,XXX,,,
77402,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
77402,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77402,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,10,,XXX,,,
77402,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,,XXX,,,
77403,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,2,,XXX,,,
77403,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
77403,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77403,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,10,,XXX,,,
77403,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,,XXX,,,
77404,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,2,,XXX,,,
77404,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
77404,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77404,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,10,,XXX,,,
77404,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,,XXX,,,
77406,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,2,,XXX,,,
77406,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
77406,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77406,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,10,,XXX,,,
77406,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,,XXX,,,
77407,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,2,,XXX,,,
77407,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
77407,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77407,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,10,,XXX,,,
77407,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,,XXX,,,
77408,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,2,,XXX,,,
77408,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
77408,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,2,,XXX,,,
77408,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,10,,XXX,,,
77408,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,,XXX,,,
77409,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,2,,XXX,,,
77409,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
77409,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77409,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,10,,XXX,,,
77409,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,,XXX,,,
77411,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,2,,XXX,,,
77411,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
77411,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77411,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,10,,XXX,,,
77411,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,,XXX,,,
77412,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,2,,XXX,,,
77412,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
77412,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77412,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,10,,XXX,,,
77412,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,,XXX,,,
77413,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,2,,XXX,,,
77413,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
77413,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77413,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,10,,XXX,,,
77413,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,,XXX,,,
77414,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,2,,XXX,,,
77414,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
77414,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77414,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,10,,XXX,,,
77414,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,,XXX,,,
77416,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,2,,XXX,,,
77416,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
77416,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77416,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,10,,XXX,,,
77416,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,2,,XXX,,,
77417,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,XXX,,,
77417,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,,
77417,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,,XXX,,,
77417,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
77417,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,15,,XXX,,,
77417,PEAC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,2,,XXX,,,
77417,PEAC,"Office Supply, Grocery",SK094,x-ray marking pencil,item,0.938,1,,XXX,,,
77418,RUC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,,XXX,,,
77418,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
77418,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
77418,RUC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,,XXX,,,
77418,RUC,Lab,SL006,"alcohol, ethyl, denatured",ml,0.036,7,,XXX,,,
77418,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,XXX,,,
77418,RUC,"Office Supply, Grocery",SK073,skin marking ink (tattoo),ml,0.221,2,,XXX,,,
77418,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,2,,XXX,,,
77418,RUC,"Pharmacy, NonRx",SJ018,earplugs,pair,0.165,1,,XXX,,,
77418,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,2,,XXX,,,
77418,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,4,,XXX,,,
77418,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,48,,XXX,,,
77421,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,RUC05,
77421,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,XXX,,RUC05,
77422,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,RUC05,
77422,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,RUC05,
77422,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,RUC05,
77422,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,2,0,XXX,,RUC05,
77422,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,RUC05,
77422,RUC,"Office Supply, Grocery",SK107,"fee, usage, cycletron/acceleator, gammaknife, Lincac SRS System",min,3.65,51,0,XXX,,RUC05,
77423,RUC,"Office Supply, Grocery",SK107,"fee, usage, cycletron/acceleator, gammaknife, Lincac SRS System",min,3.65,71,0,XXX,,RUC05,
77423,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,RUC05,
77423,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,RUC05,
77423,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,RUC05,
77423,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,2,0,XXX,,RUC05,
77423,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,RUC05,
77427,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0.5,0,XXX,,CPT11,65
77431,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,10
77432,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
77435,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT07,
77470,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,10
77499,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
77520,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
77522,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
77523,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
77525,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
77600,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,XXX,,Jan04,10
77600,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,XXX,,Jan04,10
77600,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,10
77600,PEAC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,5,0,XXX,,Jan04,10
77600,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,10
77600,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Jan04,10
77600,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,10
77600,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,XXX,,Jan04,10
77600,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,XXX,,Jan04,10
77600,PEAC,"Hypodermic, IV",SC070,"catheter, hyperthermia, closed-end",item,20,2,0,XXX,,Jan04,10
77600,PEAC,"Hypodermic, IV",SC071,"catheter, hyperthermia, open-end",item,20,2,0,XXX,,Jan04,10
77600,PEAC,"Hypodermic, IV",SC078,"needle, flexi, hyperthermia",item,12,1,0,XXX,,Jan04,10
77600,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,2,0,XXX,,Jan04,10
77600,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,10
77600,PEAC,Lab,SL020,bleach,ml,0.001,1137,0,XXX,,Jan04,10
77600,PEAC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,480,0,XXX,,Jan04,10
77600,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,XXX,,Jan04,10
77600,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,XXX,,Jan04,10
77600,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,XXX,,Jan04,10
77600,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,0,XXX,,Jan04,10
77600,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,4,0,XXX,,Jan04,10
77600,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,XXX,,Jan04,10
77600,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,XXX,,Jan04,10
77605,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,XXX,,Jan04,10
77605,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,XXX,,Jan04,10
77605,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,10
77605,PEAC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,5,0,XXX,,Jan04,10
77605,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,10
77605,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Jan04,10
77605,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,4,0,XXX,,Jan04,10
77605,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,XXX,,Jan04,10
77605,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,XXX,,Jan04,10
77605,PEAC,"Hypodermic, IV",SC070,"catheter, hyperthermia, closed-end",item,20,4,0,XXX,,Jan04,10
77605,PEAC,"Hypodermic, IV",SC078,"needle, flexi, hyperthermia",item,12,1,0,XXX,,Jan04,10
77605,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,2,0,XXX,,Jan04,10
77605,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,10
77605,PEAC,Lab,SL020,bleach,ml,0.001,1137,0,XXX,,Jan04,10
77605,PEAC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,480,0,XXX,,Jan04,10
77605,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,XXX,,Jan04,10
77605,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,XXX,,Jan04,10
77605,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,XXX,,Jan04,10
77605,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,10
77605,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,4,0,XXX,,Jan04,10
77605,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,XXX,,Jan04,10
77605,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,XXX,,Jan04,10
77610,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,XXX,,Jan04,10
77610,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,XXX,,Jan04,10
77610,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,10
77610,PEAC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,5,0,XXX,,Jan04,10
77610,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,10
77610,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Jan04,10
77610,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,10
77610,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,XXX,,Jan04,10
77610,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,XXX,,Jan04,10
77610,PEAC,"Hypodermic, IV",SC070,"catheter, hyperthermia, closed-end",item,20,6,0,XXX,,Jan04,10
77610,PEAC,"Hypodermic, IV",SC078,"needle, flexi, hyperthermia",item,12,1,0,XXX,,Jan04,10
77610,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,2,0,XXX,,Jan04,10
77610,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,10
77610,PEAC,Lab,SL020,bleach,ml,0.001,1137,0,XXX,,Jan04,10
77610,PEAC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,480,0,XXX,,Jan04,10
77610,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,XXX,,Jan04,10
77610,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,XXX,,Jan04,10
77610,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,XXX,,Jan04,10
77610,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,4,0,XXX,,Jan04,10
77610,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,4,0,XXX,,Jan04,10
77610,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,XXX,,Jan04,10
77610,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,XXX,,Jan04,10
77615,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,XXX,,Jan04,10
77615,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,XXX,,Jan04,10
77615,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,XXX,,Jan04,10
77615,PEAC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,5,0,XXX,,Jan04,10
77615,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,10
77615,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Jan04,10
77615,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,12,0,XXX,,Jan04,10
77615,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,XXX,,Jan04,10
77615,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,XXX,,Jan04,10
77615,PEAC,"Hypodermic, IV",SC070,"catheter, hyperthermia, closed-end",item,20,16,0,XXX,,Jan04,10
77615,PEAC,"Hypodermic, IV",SC078,"needle, flexi, hyperthermia",item,12,1,0,XXX,,Jan04,10
77615,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,2,0,XXX,,Jan04,10
77615,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,10
77615,PEAC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,480,0,XXX,,Jan04,10
77615,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,XXX,,Jan04,10
77615,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,XXX,,Jan04,10
77615,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,XXX,,Jan04,10
77615,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,4,0,XXX,,Jan04,10
77615,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,XXX,,Jan04,10
77615,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,18,0,XXX,,Jan04,10
77620,PEAC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,XXX,,Jan04,10
77620,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,XXX,,Jan04,10
77620,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,Jan04,10
77620,PEAC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,5,0,XXX,,Jan04,10
77620,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,10
77620,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Jan04,10
77620,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,4,0,XXX,,Jan04,10
77620,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,2,0,XXX,,Jan04,10
77620,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,XXX,,Jan04,10
77620,PEAC,"Hypodermic, IV",SC070,"catheter, hyperthermia, closed-end",item,20,3,0,XXX,,Jan04,10
77620,PEAC,"Hypodermic, IV",SC078,"needle, flexi, hyperthermia",item,12,1,0,XXX,,Jan04,10
77620,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,2,0,XXX,,Jan04,10
77620,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,10
77620,PEAC,Lab,SL020,bleach,ml,0.001,1137,0,XXX,,Jan04,10
77620,PEAC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,480,0,XXX,,Jan04,10
77620,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,XXX,,Jan04,10
77620,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,XXX,,Jan04,10
77620,PEAC,"Pharmacy, Rx",SH049,lidocaine 2% w-epi inj (Xylocaine w-epi),ml,0.081,10,0,XXX,,Jan04,10
77620,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,4,0,XXX,,Jan04,10
77620,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,3,0,XXX,,Jan04,10
77620,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,XXX,,Jan04,10
77750,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Jan04,10
77750,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,090,,Jan04,10
77750,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,090,,Jan04,10
77750,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,090,,Jan04,10
77750,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,090,,Jan04,10
77750,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,090,,Jan04,10
77750,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,090,,Jan04,10
77750,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,090,,Jan04,10
77750,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,090,,Jan04,10
77750,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,090,,Jan04,10
77750,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,090,,Jan04,10
77750,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,090,,Jan04,10
77750,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,090,,Jan04,10
77750,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,3,2,090,,Jan04,10
77750,PEAC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,60,0,090,,Jan04,10
77750,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,090,,Jan04,10
77750,PEAC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,1,0,090,,Jan04,10
77750,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,090,,Jan04,10
77750,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,090,,Jan04,10
77750,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,090,,Jan04,10
77750,PEAC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,0,090,,Jan04,10
77750,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,090,,Jan04,10
77750,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,090,,Jan04,10
77761,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,090,,Jan04,10
77761,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Jan04,10
77761,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Jan04,10
77761,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Jan04,10
77761,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,8,0,090,,Jan04,10
77761,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,0,090,,Jan04,10
77761,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,090,,Jan04,10
77761,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,090,,Jan04,10
77761,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Jan04,10
77761,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,090,,Jan04,10
77761,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Jan04,10
77761,PEAC,"Kit, Pack, Tray",SA045,"pack, drapes, cystoscopy",pack,9.864,1,0,090,,Jan04,10
77761,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Jan04,10
77761,PEAC,"Pharmacy, NonRx",SJ033,lubricating jelly (Surgilube),oz,0.501,4,0,090,,Jan04,10
77761,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,090,,Jan04,10
77761,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Jan04,10
77761,PEAC,"Wound Care, Dressings",SG063,"packing, gauze plain 1in (5 yd uou)",item,4.42,2,0,090,,Jan04,10
77761,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,45,0,090,,Jan04,10
77762,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,090,,Jan04,10
77762,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Jan04,10
77762,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Jan04,10
77762,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Jan04,10
77762,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,8,0,090,,Jan04,10
77762,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,0,090,,Jan04,10
77762,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,090,,Jan04,10
77762,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,090,,Jan04,10
77762,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Jan04,10
77762,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,090,,Jan04,10
77762,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Jan04,10
77762,PEAC,"Kit, Pack, Tray",SA045,"pack, drapes, cystoscopy",pack,9.864,1,0,090,,Jan04,10
77762,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Jan04,10
77762,PEAC,"Pharmacy, NonRx",SJ033,lubricating jelly (Surgilube),oz,0.501,4,0,090,,Jan04,10
77762,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,090,,Jan04,10
77762,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Jan04,10
77762,PEAC,"Wound Care, Dressings",SG063,"packing, gauze plain 1in (5 yd uou)",item,4.42,2,0,090,,Jan04,10
77762,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,45,0,090,,Jan04,10
77763,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,090,,Jan04,10
77763,PEAC,"Cutters, Closures, Cautery",SF039,"suture, silk, 2-0 to 5-0, x, fs, c",item,2.936,1,0,090,,Jan04,10
77763,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Jan04,10
77763,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Jan04,10
77763,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,0,090,,Jan04,10
77763,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,0,090,,Jan04,10
77763,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,090,,Jan04,10
77763,PEAC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,090,,Jan04,10
77763,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Jan04,10
77763,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,090,,Jan04,10
77763,PEAC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,090,,Jan04,10
77763,PEAC,"Kit, Pack, Tray",SA045,"pack, drapes, cystoscopy",pack,9.864,1,0,090,,Jan04,10
77763,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,1,0,090,,Jan04,10
77763,PEAC,"Pharmacy, NonRx",SJ033,lubricating jelly (Surgilube),oz,0.501,4,0,090,,Jan04,10
77763,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,0,090,,Jan04,10
77763,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Jan04,10
77763,PEAC,"Wound Care, Dressings",SG063,"packing, gauze plain 1in (5 yd uou)",item,4.42,2,0,090,,Jan04,10
77763,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,45,0,090,,Jan04,10
77776,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,090,,Jan04,10
77776,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,090,,Jan04,10
77776,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Jan04,10
77776,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Jan04,10
77776,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,090,,Jan04,10
77776,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,090,,Jan04,10
77776,PEAC,"Kit, Pack, Tray",SA045,"pack, drapes, cystoscopy",pack,9.864,1,0,090,,Jan04,10
77776,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,090,,Jan04,10
77776,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,2,0,090,,Jan04,10
77776,PEAC,"Pharmacy, NonRx",SJ033,lubricating jelly (Surgilube),oz,0.501,4,0,090,,Jan04,10
77776,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Jan04,10
77777,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,090,,Jan04,10
77777,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Jan04,10
77777,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,090,,Jan04,10
77777,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,090,,Jan04,10
77777,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Jan04,10
77777,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,090,,Jan04,10
77777,PEAC,"Kit, Pack, Tray",SA045,"pack, drapes, cystoscopy",pack,9.864,1,0,090,,Jan04,10
77777,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,1,090,,Jan04,10
77777,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,2,0,090,,Jan04,10
77777,PEAC,"Pharmacy, NonRx",SJ033,lubricating jelly (Surgilube),oz,0.501,4,0,090,,Jan04,10
77777,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,2,0,090,,Jan04,10
77777,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Jan04,10
77778,PEAC,"Accessory, Procedure",SD024,"catheter, Foley",item,7.82,1,0,090,,Jan04,10
77778,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,090,,Jan04,10
77778,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,2,0,090,,Jan04,10
77778,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,0,090,,Jan04,10
77778,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,090,,Jan04,10
77778,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,4,0,090,,Jan04,10
77778,PEAC,"Kit, Pack, Tray",SA045,"pack, drapes, cystoscopy",pack,9.864,1,0,090,,Jan04,10
77778,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,4,3,090,,Jan04,10
77778,PEAC,"Kit, Pack, Tray",SA088,"tray, surgical skin prep, sterile",tray,6.7647,2,0,090,,Jan04,10
77778,PEAC,"Pharmacy, NonRx",SJ033,lubricating jelly (Surgilube),oz,0.501,4,0,090,,Jan04,10
77778,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,2,0,090,,Jan04,10
77778,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,090,,Jan04,10
77785,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,,XXX,,CPT09,22
77785,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,CPT09,22
77785,RUC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,1,,XXX,,CPT09,22
77785,RUC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,13,,XXX,,CPT09,22
77785,RUC,"Pharmacy, NonRx",SJ059,"tincture of benzoin, liquid",ml,0.077,5,,XXX,,CPT09,22
77785,RUC,"Kit, Pack, Tray",SA027,"kit, scissors and clamp",kit,0.62,1,,XXX,,CPT09,22
77785,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,12,,XXX,,Oct09,
77785,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,5,,XXX,,Oct09,
77785,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,Oct09,
77785,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,XXX,,Oct09,
77785,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,,XXX,,Oct09,
77785,RUC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,,XXX,,Oct09,
77786,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,,XXX,,CPT09,22
77786,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,6,,XXX,,CPT09,22
77786,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,,XXX,,CPT09,22
77786,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,CPT09,22
77786,RUC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,6,,XXX,,CPT09,22
77786,RUC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,13,,XXX,,CPT09,22
77786,RUC,"Pharmacy, NonRx",SJ059,"tincture of benzoin, liquid",ml,0.077,5,,XXX,,CPT09,22
77786,RUC,"Kit, Pack, Tray",SA027,"kit, scissors and clamp",kit,0.62,1,,XXX,,CPT09,22
77786,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,5,,XXX,,CPT09,22
77786,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,5,,XXX,,Oct09,
77786,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,Oct09,
77786,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,XXX,,Oct09,
77786,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,6,,XXX,,Oct09,
77786,RUC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,,XXX,,Oct09,
77786,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,12,,XXX,,Oct09,
77787,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,,XXX,,CPT09,22
77787,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,,XXX,,CPT09,22
77787,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,6,,XXX,,CPT09,22
77787,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,,XXX,,CPT09,22
77787,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,CPT09,22
77787,RUC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,6,,XXX,,CPT09,22
77787,RUC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,13,,XXX,,CPT09,22
77787,RUC,"Pharmacy, NonRx",SJ059,"tincture of benzoin, liquid",ml,0.077,5,,XXX,,CPT09,22
77787,RUC,"Kit, Pack, Tray",SA027,"kit, scissors and clamp",kit,0.62,1,,XXX,,CPT09,22
77787,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,5,,XXX,,Oct09,
77787,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,Oct09,
77787,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,XXX,,Oct09,
77787,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,8,,XXX,,Oct09,
77787,RUC,"Kit, Pack, Tray",SA063,"tray, catheter insertion (w-o catheter)",tray,4.136,1,,XXX,,Oct09,
77787,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,12,,XXX,,Oct09,
77789,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
77789,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,000,,,
77789,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,,
77789,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,,
77789,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
77789,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,,000,,,
77789,PEAC,"Pharmacy, Rx",SH053,neomycin-polymyxin-hc otic soln (Cortisporin),ml,2.006,10,,000,,,
77789,PEAC,"Pharmacy, Rx",SH058,"proparacaine 0.5% ophth (Ophthaine, Alcaine)",ml,0.596,3,,000,,,
77789,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,000,,,
77789,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,,,
77789,PEAC,"Wound Care, Dressings",SG043,"dressing, eye pad (Opticlude)",item,0.328,2,,000,,,
77789,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,000,,,
77789,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
77790,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,10
77799,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
78000,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,XXX,,Mar04,X
78000,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,0,XXX,,Mar04,X
78001,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,XXX,,Mar04,X
78001,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,0,XXX,,Mar04,X
78003,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,XXX,,Mar04,X
78003,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,0,XXX,,Mar04,X
78006,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78006,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78006,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78006,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78006,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78006,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78006,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78006,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78006,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78006,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78006,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78006,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78006,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78006,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78006,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78006,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78006,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78007,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78007,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78007,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78007,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78007,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78007,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78007,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78007,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78007,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78007,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78007,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,25
78007,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78007,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78007,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78007,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78007,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78007,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78007,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78010,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78010,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Jan04,25
78010,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78010,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78010,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78010,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78010,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78010,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78010,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78010,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78010,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78010,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78010,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78010,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78010,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78010,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78010,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78011,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78011,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78011,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78011,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78011,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78011,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78011,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78011,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78011,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78011,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78011,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78011,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78011,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78011,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78011,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78011,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78011,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78015,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78015,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78015,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78015,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78015,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78015,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78015,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78015,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78015,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78015,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78015,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78015,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78015,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78015,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78015,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78015,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78015,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78016,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78016,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Jan04,25
78016,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78016,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78016,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78016,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78016,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78016,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78016,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78016,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78016,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78016,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78016,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78016,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78016,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78016,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78016,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78016,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78018,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Jan04,25
78018,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78018,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78018,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78018,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78018,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78018,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78018,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78018,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78018,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78018,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,25
78018,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78018,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,25
78018,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78018,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78018,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78018,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78018,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78020,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,ZZZ,,Jan04,25
78020,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,ZZZ,,Jan04,25
78020,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,ZZZ,,Jan04,25
78070,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Jan04,25
78070,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78070,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78070,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78070,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78070,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78070,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78070,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78070,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78070,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78070,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,25
78070,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78070,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,25
78070,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78070,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78070,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78070,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78070,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78075,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Jan04,25
78075,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78075,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78075,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78075,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78075,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78075,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78075,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78075,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78075,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,25
78075,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Jan04,25
78075,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,2,0,XXX,,Jan04,25
78075,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,25
78075,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78075,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78075,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78075,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78075,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78099,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
78102,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78102,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78102,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78102,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78102,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78102,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78102,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78102,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78102,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78102,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78102,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78102,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78102,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78102,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78102,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78102,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78102,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78103,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78103,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78103,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78103,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78103,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78103,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78103,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78103,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78103,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78103,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78103,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78103,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78103,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78103,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78103,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78103,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78103,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78104,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78104,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78104,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78104,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78104,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78104,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78104,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78104,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78104,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78104,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78104,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78104,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78104,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78104,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78104,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78104,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78104,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78110,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,XXX,,Mar04,X
78110,PEAC,"Hypodermic, IV",SC006,blood collection tube (Vacutainer),item,0.201,1,0,XXX,,Mar04,X
78110,PEAC,"Hypodermic, IV",SC067,blood collection tube holder,item,0.1625,1,0,XXX,,Mar04,X
78110,PEAC,"Hypodermic, IV",SC068,blood collection tube needle,item,0.142,1,0,XXX,,Mar04,X
78110,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,0,XXX,,Mar04,X
78110,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar04,X
78110,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Mar04,X
78111,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,0,XXX,,Mar04,X
78111,PEAC,"Hypodermic, IV",SC006,blood collection tube (Vacutainer),item,0.201,2,0,XXX,,Mar04,X
78111,PEAC,"Hypodermic, IV",SC067,blood collection tube holder,item,0.1625,2,0,XXX,,Mar04,X
78111,PEAC,"Hypodermic, IV",SC068,blood collection tube needle,item,0.142,2,0,XXX,,Mar04,X
78111,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,0,XXX,,Mar04,X
78111,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,0,XXX,,Mar04,X
78111,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,0,XXX,,Mar04,X
78120,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,XXX,,Mar04,X
78120,PEAC,"Hypodermic, IV",SC006,blood collection tube (Vacutainer),item,0.201,1,0,XXX,,Mar04,X
78120,PEAC,"Hypodermic, IV",SC067,blood collection tube holder,item,0.1625,1,0,XXX,,Mar04,X
78120,PEAC,"Hypodermic, IV",SC068,blood collection tube needle,item,0.142,1,0,XXX,,Mar04,X
78120,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,0,XXX,,Mar04,X
78120,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar04,X
78120,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Mar04,X
78121,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,0,XXX,,Mar04,X
78121,PEAC,"Hypodermic, IV",SC006,blood collection tube (Vacutainer),item,0.201,2,0,XXX,,Mar04,X
78121,PEAC,"Hypodermic, IV",SC067,blood collection tube holder,item,0.1625,2,0,XXX,,Mar04,X
78121,PEAC,"Hypodermic, IV",SC068,blood collection tube needle,item,0.142,2,0,XXX,,Mar04,X
78121,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,0,XXX,,Mar04,X
78121,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,0,XXX,,Mar04,X
78121,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,0,XXX,,Mar04,X
78122,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,0,XXX,,Mar04,X
78122,PEAC,"Hypodermic, IV",SC006,blood collection tube (Vacutainer),item,0.201,2,0,XXX,,Mar04,X
78122,PEAC,"Hypodermic, IV",SC067,blood collection tube holder,item,0.1625,2,0,XXX,,Mar04,X
78122,PEAC,"Hypodermic, IV",SC068,blood collection tube needle,item,0.142,2,0,XXX,,Mar04,X
78122,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,0,XXX,,Mar04,X
78122,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,0,XXX,,Mar04,X
78122,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,0,XXX,,Mar04,X
78130,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,6,0,XXX,,Mar04,X
78130,PEAC,"Hypodermic, IV",SC006,blood collection tube (Vacutainer),item,0.201,4,0,XXX,,Mar04,X
78130,PEAC,"Hypodermic, IV",SC067,blood collection tube holder,item,0.1625,4,0,XXX,,Mar04,X
78130,PEAC,"Hypodermic, IV",SC068,blood collection tube needle,item,0.142,4,0,XXX,,Mar04,X
78130,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,0,XXX,,Mar04,X
78130,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,5,0,XXX,,Mar04,X
78130,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,4,0,XXX,,Mar04,X
78135,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Jan04,25
78135,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78135,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78135,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78135,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78135,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78135,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78135,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78135,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78135,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78135,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,25
78135,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78135,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,25
78135,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78135,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78135,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78135,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78135,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78140,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78140,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78140,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78140,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78140,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78140,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78140,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78140,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78140,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78140,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78140,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,25
78140,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78140,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78140,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78140,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78140,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78140,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78140,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78185,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78185,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78185,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78185,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78185,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78185,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78185,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78185,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78185,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78185,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78185,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78185,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78185,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78185,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78185,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78185,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78185,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78190,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Jan04,25
78190,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78190,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78190,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78190,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78190,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78190,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78190,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78190,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78190,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78190,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,25
78190,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78190,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,25
78190,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78190,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78190,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78190,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78190,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78191,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,6,0,XXX,,Mar04,X
78191,PEAC,"Hypodermic, IV",SC006,blood collection tube (Vacutainer),item,0.201,4,0,XXX,,Mar04,X
78191,PEAC,"Hypodermic, IV",SC067,blood collection tube holder,item,0.1625,4,0,XXX,,Mar04,X
78191,PEAC,"Hypodermic, IV",SC068,blood collection tube needle,item,0.142,4,0,XXX,,Mar04,X
78191,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,0,XXX,,Mar04,X
78191,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,5,0,XXX,,Mar04,X
78191,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,4,0,XXX,,Mar04,X
78195,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Jan04,25
78195,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78195,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78195,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78195,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78195,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78195,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78195,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78195,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78195,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78195,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,25
78195,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78195,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,25
78195,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78195,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78195,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78195,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78195,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78199,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
78201,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78201,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78201,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78201,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78201,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78201,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78201,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78201,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78201,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78201,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78201,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78201,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78201,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78201,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78201,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78201,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78201,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78202,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78202,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78202,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78202,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78202,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78202,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78202,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78202,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78202,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78202,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78202,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78202,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78202,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78202,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78202,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78202,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78202,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78205,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78205,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78205,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78205,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78205,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78205,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78205,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78205,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78205,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78205,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78205,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,25
78205,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78205,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78205,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78205,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78205,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78205,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78205,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78206,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,Jan04,25
78206,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,,XXX,,Jan04,25
78206,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,XXX,,Jan04,25
78206,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,XXX,,Jan04,25
78206,PEAC,"Wound Care, Dressings",SG022,"bandage, tubular, x-large (Surgilast)",yd,1.606,2,,XXX,,Jan04,25
78206,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,,XXX,,Jan04,25
78206,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,Jan04,25
78206,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,Jan04,25
78206,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,XXX,,Jan04,25
78206,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,XXX,,Jan04,25
78206,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,Jan04,25
78206,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,XXX,,Jan04,25
78206,PEAC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,,Jan04,25
78206,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,,XXX,,Jan04,25
78206,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,Jan04,25
78206,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,2,,XXX,,Jan04,25
78206,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,Jan04,25
78206,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,Jan04,25
78206,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,Jan04,25
78206,PEAC,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,,XXX,,Jan04,25
78215,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78215,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78215,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78215,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78215,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78215,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78215,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78215,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78215,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78215,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78215,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78215,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78215,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78215,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78215,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78215,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78215,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78216,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78216,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78216,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78216,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78216,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78216,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78216,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78216,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78216,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78216,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78216,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,25
78216,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78216,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78216,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78216,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78216,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78216,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78216,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78220,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78220,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78220,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78220,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78220,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78220,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78220,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78220,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78220,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78220,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78220,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,25
78220,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78220,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78220,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78220,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78220,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78220,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78220,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78223,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Jan04,25
78223,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78223,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78223,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78223,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78223,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78223,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78223,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78223,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78223,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78223,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,25
78223,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78223,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,25
78223,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78223,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78223,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78223,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78223,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78230,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78230,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78230,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78230,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78230,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78230,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78230,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78230,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78230,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78230,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78230,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78230,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78230,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78230,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78230,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78230,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78230,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78231,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78231,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78231,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78231,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78231,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78231,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78231,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78231,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78231,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78231,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78231,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,25
78231,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78231,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78231,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78231,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78231,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78231,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78231,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78232,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78232,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78232,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78232,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78232,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78232,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78232,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78232,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78232,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78232,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78232,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,25
78232,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78232,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78232,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78232,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78232,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78232,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78232,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78258,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78258,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78258,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78258,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78258,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78258,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78258,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78261,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78261,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78261,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78261,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78261,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78261,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78261,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78261,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78261,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78261,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78261,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78261,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78261,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78261,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78261,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78261,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78261,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78262,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78262,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78262,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78262,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78262,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,Jan04,25
78262,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Jan04,25
78262,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78262,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Jan04,25
78264,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78264,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78264,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78264,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78264,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,Jan04,25
78264,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Jan04,25
78264,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78264,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Jan04,25
78267,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
78268,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
78270,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,XXX,,Mar04,X
78270,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,0,XXX,,Mar04,X
78270,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar04,X
78271,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,0,XXX,,Mar04,X
78271,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,0,XXX,,Mar04,X
78271,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar04,X
78272,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,0,XXX,,Mar04,X
78272,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,0,XXX,,Mar04,X
78272,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar04,X
78278,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Jan04,25
78278,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78278,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78278,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78278,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78278,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78278,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78278,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78278,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78278,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78278,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,25
78278,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78278,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,25
78278,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78278,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78278,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78278,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78278,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78282,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,,
78282,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
78282,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
78282,CPEP,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
78282,CPEP,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,,
78282,CPEP,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,,,
78282,CPEP,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,,
78282,CPEP,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,,,
78282,CPEP,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,2,,XXX,,,
78282,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
78282,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,,XXX,,,
78290,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,3,0,XXX,,Jan04,25
78290,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78290,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78290,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78290,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78290,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78290,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78290,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78290,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78290,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78290,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,6,0,XXX,,Jan04,25
78290,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78290,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,0,XXX,,Jan04,25
78290,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78290,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78290,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78290,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78290,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78291,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78291,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78291,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78291,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78291,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78291,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78291,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78291,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78291,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78291,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78291,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78291,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78291,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78291,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78291,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78291,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78291,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78299,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
78300,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78300,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78300,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78300,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78300,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78300,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78300,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78300,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78300,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78300,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78300,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78300,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78300,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78300,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78300,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78300,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78300,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78305,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78305,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78305,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78305,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78305,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78305,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78305,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78305,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78305,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78305,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78305,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78305,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78305,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78305,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78305,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78305,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78305,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78306,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78306,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78306,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78306,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78306,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78306,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78306,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78306,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78306,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,Jan04,25
78306,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Jan04,25
78306,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78306,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Jan04,25
78306,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Jan04,25
78306,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78306,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78306,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78315,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,3,0,XXX,,Jan04,25
78315,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78315,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78315,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78315,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78315,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78315,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78315,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78315,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78315,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78315,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,6,0,XXX,,Jan04,25
78315,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78315,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,0,XXX,,Jan04,25
78315,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78315,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78315,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78315,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78315,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78320,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78320,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78320,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78320,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78320,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78320,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78320,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78320,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78320,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78320,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78320,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,25
78320,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78320,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78320,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78320,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78320,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78320,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78320,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78350,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,0,XXX,,Feb06,20
78350,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Feb06,20
78350,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,3,0,XXX,,Feb06,20
78351,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,Feb05,V
78399,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
78414,NPRM,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,3,,XXX,,,
78414,NPRM,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,,
78414,NPRM,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
78414,NPRM,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
78414,NPRM,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,XXX,,,
78414,NPRM,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
78414,NPRM,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,,
78414,NPRM,"Hypodermic, IV",SC018,iv infusion set,item,1.112,2,,XXX,,,
78414,NPRM,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,,
78414,NPRM,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,,XXX,,,
78414,NPRM,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,,,
78414,NPRM,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,XXX,,,
78414,NPRM,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,XXX,,,
78414,NPRM,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,XXX,,,
78414,NPRM,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,XXX,,,
78414,NPRM,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,,XXX,,,
78414,NPRM,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,,XXX,,,
78414,NPRM,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,,
78414,NPRM,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
78414,NPRM,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
78414,NPRM,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,,XXX,,,
78414,NPRM,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,,XXX,,,
78414,NPRM,"Wound Care, Dressings",SG022,"bandage, tubular, x-large (Surgilast)",yd,1.606,2,,XXX,,,
78414,NPRM,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,6,,XXX,,,
78414,NPRM,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,XXX,,,
78414,NPRM,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,XXX,,,
78428,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78428,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78428,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78428,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78428,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78428,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78428,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78428,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78428,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78428,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78428,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78428,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78428,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78428,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78428,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78428,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78428,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78445,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78445,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78445,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78445,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78445,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78445,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78445,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78445,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78445,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78445,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78445,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78445,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78445,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78445,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78445,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78445,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78445,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78451,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,CPT10,35
78451,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,CPT10,35
78451,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,CPT10,35
78451,RUC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,CPT10,35
78451,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,CPT10,35
78451,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,CPT10,35
78451,RUC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,CPT10,35
78451,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,CPT10,35
78451,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,CPT10,35
78451,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,CPT10,35
78451,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,CPT10,35
78451,RUC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,CPT10,35
78451,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,CPT10,35
78451,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,CPT10,35
78451,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,CPT10,35
78451,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,CPT10,35
78451,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,CPT10,35
78451,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT10,35
78452,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,XXX,,CPT10,35
78452,RUC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,,XXX,,CPT10,35
78452,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,XXX,,CPT10,35
78452,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,CPT10,35
78452,RUC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,,XXX,,CPT10,35
78452,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,CPT10,35
78452,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,CPT10,35
78452,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,,XXX,,CPT10,35
78452,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,CPT10,35
78452,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,,XXX,,CPT10,35
78452,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,XXX,,CPT10,35
78452,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,4,,XXX,,CPT10,35
78452,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,CPT10,35
78452,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,XXX,,CPT10,35
78452,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,CPT10,35
78452,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,CPT10,35
78452,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,CPT10,35
78452,RUC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,CPT10,35
78453,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,CPT10,35
78453,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,CPT10,35
78453,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,CPT10,35
78453,RUC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,CPT10,35
78453,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,CPT10,35
78453,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,CPT10,35
78453,RUC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,CPT10,35
78453,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,CPT10,35
78453,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,CPT10,35
78453,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,CPT10,35
78453,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,CPT10,35
78453,RUC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,CPT10,35
78453,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,CPT10,35
78453,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,CPT10,35
78453,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,CPT10,35
78453,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,CPT10,35
78453,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,CPT10,35
78453,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT10,35
78454,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,XXX,,CPT10,35
78454,RUC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,,XXX,,CPT10,35
78454,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,XXX,,CPT10,35
78454,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,CPT10,35
78454,RUC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,,XXX,,CPT10,35
78454,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,CPT10,35
78454,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,CPT10,35
78454,RUC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,,XXX,,CPT10,35
78454,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,CPT10,35
78454,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,,XXX,,CPT10,35
78454,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,XXX,,CPT10,35
78454,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,XXX,,CPT10,35
78454,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,CPT10,35
78454,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,XXX,,CPT10,35
78454,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,CPT10,35
78454,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,CPT10,35
78454,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,CPT10,35
78454,RUC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,CPT10,35
78456,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,3,0,XXX,,Jan04,25
78456,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78456,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78456,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78456,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78456,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78456,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78456,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78456,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78456,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78456,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,6,0,XXX,,Jan04,25
78456,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78456,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,0,XXX,,Jan04,25
78456,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78456,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78456,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78456,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78456,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78457,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78457,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78457,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78457,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78457,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78457,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78457,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78457,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78457,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78457,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78457,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78457,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78457,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78457,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78457,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78457,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78457,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78458,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78458,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78458,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78458,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78458,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78458,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78458,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78458,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78458,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78458,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78458,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78458,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78458,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78458,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78458,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78458,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78458,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78459,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
78460,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78460,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78460,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78460,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78460,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78460,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78460,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78460,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78460,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78460,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78460,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78460,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78460,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78460,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78460,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78460,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78460,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78461,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Jan04,25
78461,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Jan04,25
78461,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78461,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78461,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78461,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78461,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78461,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78461,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78461,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78461,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,25
78461,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,0,XXX,,Jan04,25
78461,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78461,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,25
78461,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78461,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78461,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78461,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78461,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78464,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78464,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78464,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78464,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78464,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78464,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78464,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78464,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78464,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78464,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78464,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,25
78464,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78464,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78464,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78464,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78464,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78464,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78464,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78465,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,Jan04,25
78465,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,XXX,,Jan04,25
78465,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,2,,XXX,,Jan04,25
78465,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,14,,XXX,,Jan04,25
78465,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,2,,XXX,,Jan04,25
78465,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,4,,XXX,,Jan04,25
78465,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,Jan04,25
78465,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,XXX,,Jan04,25
78465,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,XXX,,Jan04,25
78465,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,XXX,,Jan04,25
78465,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,,XXX,,Jan04,25
78465,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,,XXX,,Jan04,25
78465,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,4,,XXX,,Jan04,25
78465,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,Jan04,25
78465,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,Jan04,25
78465,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,,XXX,,Jan04,25
78465,PEAC,"Pharmacy, Rx",SH066,sodium chloride 0.9% inj (10ml uou),item,0.427,6,,XXX,,Jan04,25
78465,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,Jan04,25
78465,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,XXX,,Jan04,25
78466,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78466,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78466,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78466,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78466,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78466,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78466,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78466,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78466,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78466,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78466,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78466,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78466,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78466,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78466,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78466,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78466,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78468,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78468,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78468,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78468,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78468,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78468,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78468,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78468,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78468,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78468,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78468,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78468,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78468,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78468,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78468,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78468,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78468,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78469,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78469,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78469,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78469,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78469,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78469,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78469,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78469,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78469,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78469,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78469,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,25
78469,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78469,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78469,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78469,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78469,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78469,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78469,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78472,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,XXX,,Jan04,25
78472,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78472,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78472,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78472,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78472,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78472,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78472,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,1,0,XXX,,Jan04,25
78472,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78472,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,Jan04,25
78472,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Jan04,25
78472,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78472,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Jan04,25
78472,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Jan04,25
78472,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78472,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78472,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78473,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78473,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78473,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78473,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78473,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78473,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78473,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78473,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,1,0,XXX,,Jan04,25
78473,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78473,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,Jan04,25
78473,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,25
78473,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78473,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Jan04,25
78473,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Jan04,25
78473,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78473,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78473,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78473,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78478,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,25
78480,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,25
78481,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,1,0,XXX,,Feb06,20
78481,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,XXX,,Feb06,20
78481,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Feb06,20
78481,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Feb06,20
78481,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Feb06,20
78481,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Feb06,20
78481,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Feb06,20
78481,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Feb06,20
78481,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Feb06,20
78481,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Feb06,20
78481,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,Feb06,20
78481,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Feb06,20
78481,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Feb06,20
78481,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Feb06,20
78481,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Feb06,20
78481,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Feb06,20
78481,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Feb06,20
78483,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Feb06,20
78483,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Feb06,20
78483,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Feb06,20
78483,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Feb06,20
78483,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Feb06,20
78483,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Feb06,20
78483,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Feb06,20
78483,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,Feb06,20
78483,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Feb06,20
78483,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Feb06,20
78483,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Feb06,20
78483,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Feb06,20
78483,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Feb06,20
78483,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Feb06,20
78483,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Feb06,20
78483,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Feb06,20
78483,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Feb06,20
78483,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,XXX,,Jan04,25
78491,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
78492,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
78494,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78494,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78494,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78494,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78494,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78494,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78494,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78494,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78494,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78494,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78494,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,25
78494,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78494,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78494,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78494,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78494,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78494,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78494,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78496,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,Jan04,25
78499,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
78580,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78580,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78580,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78580,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78580,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78580,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78580,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78580,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78580,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78580,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78580,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78580,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78580,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78580,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78580,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78580,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78580,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78584,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78584,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78584,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78584,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78584,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78584,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78584,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78584,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78584,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78584,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78584,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,25
78584,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78584,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78584,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78584,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78584,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78584,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78584,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78585,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Jan04,25
78585,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78585,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78585,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78585,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78585,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78585,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78585,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78585,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78585,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78585,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,25
78585,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78585,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,25
78585,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78585,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78585,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78585,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78585,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78586,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78586,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78586,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78586,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78586,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78586,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78586,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78586,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78586,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78586,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78586,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78586,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78586,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78586,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78586,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78586,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78586,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78587,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78587,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78587,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78587,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78587,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78587,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78587,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78587,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78587,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78587,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78587,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78587,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78587,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78587,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78587,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78587,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78587,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78588,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,3,0,XXX,,Jan04,25
78588,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78588,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78588,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78588,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78588,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78588,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78588,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78588,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78588,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78588,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,6,0,XXX,,Jan04,25
78588,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78588,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,0,XXX,,Jan04,25
78588,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78588,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78588,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78588,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78588,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78591,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78591,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78591,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78591,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78591,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78591,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78591,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78591,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78591,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78591,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78591,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78591,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78591,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78591,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78591,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78591,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78591,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78593,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78593,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78593,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78593,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78593,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78593,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78593,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78593,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78593,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78593,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78593,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78593,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78593,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78593,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78593,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78593,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78593,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78594,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78594,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78594,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78594,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78594,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78594,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78594,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78594,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78594,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,Jan04,25
78594,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Jan04,25
78594,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78594,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Jan04,25
78594,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Jan04,25
78594,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78594,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78594,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78596,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Jan04,25
78596,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78596,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78596,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78596,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78596,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78596,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78596,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78596,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78596,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78596,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,25
78596,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78596,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,25
78596,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78596,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78596,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78596,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78596,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78599,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,Jan04,25
78600,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,0.5,0,XXX,,CPT08,rv
78600,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,Jan04,25
78600,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,Jan04,25
78600,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,Jan04,25
78600,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,Jan04,25
78600,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,Jan04,25
78600,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,,Jan04,25
78600,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,XXX,,Jan04,25
78600,PEAC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,,Jan04,25
78600,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,XXX,,Jan04,25
78600,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,XXX,,Jan04,25
78600,RUC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,,XXX,,CPT08,rv
78600,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,10,,XXX,,Jan04,25
78600,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,Jan04,25
78600,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,,XXX,,Jan04,25
78600,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,XXX,,Jan04,25
78600,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,,XXX,,Jan04,25
78601,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78601,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78601,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78601,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78601,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78601,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78601,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78601,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78601,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78601,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78601,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78601,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Jan04,25
78601,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78601,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78601,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78601,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78601,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78605,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78605,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78605,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78605,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78605,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78605,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78605,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78605,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78605,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,Jan04,25
78605,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Jan04,25
78605,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78605,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,0.5,0,XXX,,Jan04,25
78605,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Jan04,25
78605,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78605,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78605,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78606,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Jan04,25
78606,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78606,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78606,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78606,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78606,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78606,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78606,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78606,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78606,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78606,RUC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,CPT08,rv
78606,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78606,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,CPT08,rv
78606,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78606,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78606,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78606,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78606,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78607,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,Jan04,25
78607,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,Jan04,25
78607,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,Jan04,25
78607,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,Jan04,25
78607,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,Jan04,25
78607,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,2,,XXX,,Jan04,25
78607,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,Jan04,25
78607,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,,XXX,,Jan04,25
78607,PEAC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,,Jan04,25
78607,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,XXX,,Jan04,25
78607,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,XXX,,Jan04,25
78607,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,XXX,,Jan04,25
78607,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,XXX,,Jan04,25
78607,PEAC,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,,XXX,,Jan04,25
78607,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,,XXX,,Jan04,25
78607,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,Jan04,25
78607,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,Jan04,25
78607,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,,XXX,,Jan04,25
78607,PEAC,"Wound Care, Dressings",SG022,"bandage, tubular, x-large (Surgilast)",yd,1.606,2,,XXX,,Jan04,25
78607,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,XXX,,Jan04,25
78608,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,Jan04,25
78609,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,Jan04,25
78610,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78610,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78610,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78610,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78610,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78610,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78610,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78610,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78610,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78610,RUC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,CPT08,rv
78610,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78610,RUC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,0.5,0,XXX,,CPT08,rv
78610,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78610,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78610,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78610,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78610,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78630,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Jan04,25
78630,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78630,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78630,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78630,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78630,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78630,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78630,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78630,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78630,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78630,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,25
78630,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78630,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,25
78630,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78630,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78630,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78630,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78630,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78635,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,3,0,XXX,,Jan04,25
78635,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78635,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78635,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78635,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78635,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78635,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78635,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78635,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78635,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78635,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,6,0,XXX,,Jan04,25
78635,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78635,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,6,0,XXX,,Jan04,25
78635,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78635,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78635,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78635,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78635,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78645,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Jan04,25
78645,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78645,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78645,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78645,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78645,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78645,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78645,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78645,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78645,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78645,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,25
78645,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78645,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,25
78645,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78645,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78645,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78645,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78645,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78647,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,Jan04,25
78647,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,,XXX,,Jan04,25
78647,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,XXX,,Jan04,25
78647,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,XXX,,Jan04,25
78647,PEAC,"Wound Care, Dressings",SG022,"bandage, tubular, x-large (Surgilast)",yd,1.606,2,,XXX,,Jan04,25
78647,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,,XXX,,Jan04,25
78647,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,Jan04,25
78647,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,Jan04,25
78647,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,XXX,,Jan04,25
78647,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,XXX,,Jan04,25
78647,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,Jan04,25
78647,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,XXX,,Jan04,25
78647,PEAC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,,Jan04,25
78647,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,,XXX,,Jan04,25
78647,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,Jan04,25
78647,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,2,,XXX,,Jan04,25
78647,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,Jan04,25
78647,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,Jan04,25
78647,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,Jan04,25
78647,PEAC,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,,XXX,,Jan04,25
78650,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Jan04,25
78650,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78650,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78650,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78650,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78650,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78650,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78650,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78650,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78650,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78650,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,25
78650,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78650,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,25
78650,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78650,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78650,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78650,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78650,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78660,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78660,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78660,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78660,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78660,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78660,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78660,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78660,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78660,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78660,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78660,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78660,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78660,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78660,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78660,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78660,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78660,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78699,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
78700,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78700,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78700,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78700,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78700,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78700,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78700,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78700,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78700,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78700,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78700,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78700,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78700,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78700,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78700,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78700,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78700,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78701,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78701,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78701,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78701,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78701,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78701,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78701,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78701,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78701,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78701,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78701,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78701,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78701,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78701,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78701,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78701,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78701,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78707,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78707,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78707,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78707,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78707,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78707,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78707,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78707,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78707,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,Jan04,25
78707,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Jan04,25
78707,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78707,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Jan04,25
78707,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Jan04,25
78707,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78707,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78707,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78708,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78708,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78708,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78708,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78708,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78708,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78708,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78708,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78708,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78708,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78708,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,25
78708,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78708,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78708,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78708,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78708,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78708,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78708,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78709,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Jan04,25
78709,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,25
78709,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,25
78709,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78709,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78709,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Jan04,25
78709,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78709,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Jan04,25
78709,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,10,0,XXX,,Jan04,25
78709,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,0,XXX,,Jan04,25
78709,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,4,0,XXX,,Jan04,25
78709,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78709,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,4,0,XXX,,Jan04,25
78709,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,25
78709,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78709,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Jan04,25
78709,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78709,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Jan04,25
78710,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78710,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78710,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78710,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78710,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78710,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78710,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78710,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78710,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78710,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78710,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,25
78710,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78710,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78710,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78710,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78710,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78710,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78710,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78725,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,6,0,XXX,,Mar04,X
78725,PEAC,"Hypodermic, IV",SC006,blood collection tube (Vacutainer),item,0.201,3,0,XXX,,Mar04,X
78725,PEAC,"Hypodermic, IV",SC067,blood collection tube holder,item,0.1625,3,0,XXX,,Mar04,X
78725,PEAC,"Hypodermic, IV",SC068,blood collection tube needle,item,0.142,3,0,XXX,,Mar04,X
78725,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,0,XXX,,Mar04,X
78725,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,6,0,XXX,,Mar04,X
78725,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,3,0,XXX,,Mar04,X
78730,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,ZZZ,,Jan04,25
78730,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,ZZZ,,CPT07,
78740,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78740,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,3,0,XXX,,Jan04,25
78740,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78740,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78740,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78740,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78740,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78740,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78740,PERC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,XXX,,Apr06,J
78740,PERC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,XXX,,Apr06,J
78761,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78761,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78761,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78761,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78761,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78761,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78761,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78761,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78761,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78761,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78761,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78761,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78761,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78761,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78761,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78761,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78761,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78799,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
78800,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78800,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78800,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78800,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78800,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78800,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78800,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78800,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78800,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78800,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78800,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78800,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78800,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78800,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78800,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78800,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78800,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78801,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78801,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78801,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78801,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78801,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78801,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78801,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78801,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78801,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,Jan04,25
78801,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Jan04,25
78801,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78801,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Jan04,25
78801,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Jan04,25
78801,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78801,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78801,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78802,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,0,XXX,,Jan04,25
78802,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78802,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Jan04,25
78802,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78802,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78802,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78802,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78802,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78802,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78802,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78802,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,Jan04,25
78802,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Jan04,25
78802,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78802,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Jan04,25
78802,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Jan04,25
78802,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78802,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78802,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78803,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,Jan04,25
78803,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,Jan04,25
78803,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,Jan04,25
78803,PEAC,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,,XXX,,Jan04,25
78803,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,XXX,,Jan04,25
78803,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,2,,XXX,,Jan04,25
78803,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,Jan04,25
78803,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,,XXX,,Jan04,25
78803,PEAC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,,Jan04,25
78803,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,Jan04,25
78803,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,Jan04,25
78803,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,,XXX,,Jan04,25
78803,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,XXX,,Jan04,25
78803,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,Jan04,25
78803,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,Jan04,25
78803,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,,XXX,,Jan04,25
78803,PEAC,"Wound Care, Dressings",SG022,"bandage, tubular, x-large (Surgilast)",yd,1.606,2,,XXX,,Jan04,25
78803,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,XXX,,Jan04,25
78803,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,XXX,,Jan04,25
78803,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,XXX,,Jan04,25
78804,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Jan04,25
78804,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78804,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78804,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78804,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78804,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78804,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78804,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78804,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78804,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78804,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,2,0,XXX,,Jan04,25
78804,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,2,0,XXX,,Jan04,25
78804,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78804,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Jan04,25
78804,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78804,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78804,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78804,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78805,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78805,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78805,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78805,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Jan04,25
78805,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78805,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78805,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78805,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78805,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78805,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,0,XXX,,Jan04,25
78805,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78805,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,2,0,XXX,,Jan04,25
78805,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,25
78805,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Jan04,25
78805,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78805,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78805,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78806,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,25
78806,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Jan04,25
78806,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,Jan04,25
78806,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Jan04,25
78806,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Jan04,25
78806,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Jan04,25
78806,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Jan04,25
78806,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,Jan04,25
78806,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,25
78806,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,1,0,XXX,,Jan04,25
78806,PEAC,"Office Supply, Grocery",SK089,x-ray developer solution,oz,0.096,1,0,XXX,,Jan04,25
78806,PEAC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,Jan04,25
78806,PEAC,"Office Supply, Grocery",SK092,x-ray fixer solution,oz,0.087,1,0,XXX,,Jan04,25
78806,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Jan04,25
78806,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Jan04,25
78806,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Jan04,25
78806,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Jan04,25
78807,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,Jan04,25
78807,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,Jan04,25
78807,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,Jan04,25
78807,PEAC,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,,XXX,,Jan04,25
78807,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,XXX,,Jan04,25
78807,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,2,,XXX,,Jan04,25
78807,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,Jan04,25
78807,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,,XXX,,Jan04,25
78807,PEAC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,,Jan04,25
78807,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,Jan04,25
78807,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,Jan04,25
78807,PEAC,"Office Supply, Grocery",SK037,"film, x-ray 8in x 10in",item,0.461,2,,XXX,,Jan04,25
78807,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,XXX,,Jan04,25
78807,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,Jan04,25
78807,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,Jan04,25
78807,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,,XXX,,Jan04,25
78807,PEAC,"Wound Care, Dressings",SG022,"bandage, tubular, x-large (Surgilast)",yd,1.606,2,,XXX,,Jan04,25
78807,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,XXX,,Jan04,25
78807,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,XXX,,Jan04,25
78807,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,XXX,,Jan04,25
78808,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,4,0,XXX,,CPT09,23
78808,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,CPT09,23
78808,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,CPT09,23
78808,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,CPT09,23
78808,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,CPT09,23
78808,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,CPT09,23
78808,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,CPT09,23
78808,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,CPT09,23
78808,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,CPT09,23
78808,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,CPT09,23
78811,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,,
78811,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,,
78811,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,,
78811,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,,
78811,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,,
78811,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,,
78811,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
78811,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,,
78811,RUC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,1,0,XXX,,,
78811,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,,
78811,RUC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,,
78811,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,,
78811,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,,
78811,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,,
78812,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,,
78812,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,,
78812,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,,
78812,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,,
78812,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,,
78812,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,,
78812,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
78812,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,,
78812,RUC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,3,0,XXX,,,
78812,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,,
78812,RUC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,,
78812,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,,
78812,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,,
78812,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,,
78813,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,,
78813,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,,
78813,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,,
78813,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,,
78813,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,,
78813,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,,
78813,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
78813,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,,
78813,RUC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,5,0,XXX,,,
78813,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,,
78813,RUC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,,
78813,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,,
78813,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,,
78813,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,,
78814,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,,
78814,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,,
78814,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,0,XXX,,,
78814,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,,
78814,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,,
78814,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,,
78814,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,,
78814,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,,
78814,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,,
78814,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
78814,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,,
78814,RUC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,1,0,XXX,,,
78814,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,,
78814,RUC,"Pharmacy, NonRx",SJ069,"test strip, glucose (blood test)",item,0.721,1,0,XXX,,,
78814,RUC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,,
78814,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,,
78814,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,,
78814,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,,
78815,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,,
78815,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,,
78815,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,0,XXX,,,
78815,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,,
78815,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,,
78815,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,,
78815,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,,
78815,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,,
78815,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,,
78815,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
78815,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,,
78815,RUC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,3,0,XXX,,,
78815,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,,
78815,RUC,"Pharmacy, NonRx",SJ069,"test strip, glucose (blood test)",item,0.721,1,0,XXX,,,
78815,RUC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,,
78815,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,,
78815,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,,
78815,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,,
78816,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,,
78816,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,,
78816,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,,
78816,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,,
78816,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,XXX,,,
78816,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,0,XXX,,,
78816,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
78816,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,,,
78816,RUC,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,5,0,XXX,,,
78816,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,,
78816,RUC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,,
78816,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,,
78816,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,,
78816,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,,
78890,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,25
78891,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,25
78999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
79005,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,,
79005,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,6,0,XXX,,,
79005,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
79101,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,,
79101,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,,
79101,RUC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,,
79101,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,,
79101,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,,
79101,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,,
79101,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,6,0,XXX,,,
79101,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
79101,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,,
79101,RUC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,,
79101,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,,
79101,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,,
79101,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,,
79200,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,6,0,XXX,,Feb05,
79200,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Feb05,
79200,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Feb05,
79200,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Feb05,
79200,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,4,0,XXX,,Feb05,
79200,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Feb05,
79200,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,0,XXX,,Feb05,
79200,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Feb05,
79200,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Feb05,
79200,PEAC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,0,XXX,,Feb05,
79200,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Feb05,
79200,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Feb05,
79300,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Feb05,
79300,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Feb05,
79300,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Feb05,
79300,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Feb05,
79300,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Feb05,
79300,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Feb05,
79300,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Feb05,
79300,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Feb05,
79300,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Feb05,
79300,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,6,0,XXX,,Feb05,
79403,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
79403,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,XXX,,,
79403,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,,
79403,RUC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,,XXX,,,
79403,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,XXX,,,
79403,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,XXX,,,
79403,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,,,
79403,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,5,,XXX,,,
79403,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
79403,RUC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,,XXX,,,
79403,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,XXX,,,
79403,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
79403,RUC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,,XXX,,,
79440,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Feb05,
79440,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Feb05,
79440,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Feb05,
79440,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Feb05,
79440,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,Feb05,
79440,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Feb05,
79440,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Feb05,
79440,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,0,XXX,,Feb05,
79440,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Feb05,
79440,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,6,0,XXX,,Feb05,
79445,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
79999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
80048,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80050,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
80051,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80053,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80055,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
80061,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80069,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80074,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
80076,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
80090,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,,,,
80100,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80101,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80102,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80103,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80150,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80152,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80154,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80156,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80157,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80158,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80160,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80162,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80164,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80166,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80168,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80170,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80172,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80173,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80174,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80176,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80178,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80182,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80184,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80185,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80186,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80188,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80190,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80192,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80194,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80196,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80198,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80200,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80201,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80202,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80299,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80400,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80402,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80406,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80408,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80410,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80412,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80414,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80416,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80417,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80418,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80420,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80422,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80424,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80426,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80428,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80430,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80432,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80434,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80435,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80436,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80438,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80439,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80440,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
80500,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
80502,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
81000,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
81001,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
81002,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
81003,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
81005,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
81007,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
81015,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
81020,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
81025,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
81050,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
81099,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82000,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82003,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82009,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82010,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82013,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82016,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82017,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82024,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82030,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82040,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82042,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82043,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82044,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82055,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82075,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82085,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82088,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82101,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82103,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82104,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82105,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82106,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82108,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82120,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82127,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82128,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82131,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82135,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82136,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82139,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82140,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82143,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82145,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82150,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82154,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82157,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82160,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82163,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82164,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82172,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82175,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82180,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82190,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82205,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82232,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82239,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82240,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82247,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82248,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82252,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82261,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82270,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82273,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82274,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82286,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82300,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82306,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82307,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82308,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82310,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82330,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82331,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82340,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82355,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82360,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82365,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82370,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82373,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82374,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82376,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82378,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82379,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82380,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82382,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82383,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82384,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82387,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82390,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82397,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82415,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82435,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82436,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82438,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82441,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82465,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82480,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82482,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82485,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82486,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82487,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82488,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82489,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82491,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82492,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82495,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82507,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82520,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82523,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82525,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82528,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82530,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82533,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82540,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82541,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82542,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82543,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82544,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82550,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82552,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82553,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82554,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82565,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82570,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82575,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82585,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82595,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82600,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82607,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82608,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82615,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82626,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82627,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82633,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82634,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82638,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82646,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82647,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,,,,
82649,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82651,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82652,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82654,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82657,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82658,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82664,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82666,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82668,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82670,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82671,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82672,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82677,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82679,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82690,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82693,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82696,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82705,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82710,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82715,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82725,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82726,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82728,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82731,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82735,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82742,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82746,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82757,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82759,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82760,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82775,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82776,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82784,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82785,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82787,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82800,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82803,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82805,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82810,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82820,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82938,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82941,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82943,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82945,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82946,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82947,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82948,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82950,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82951,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82952,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82953,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82955,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82960,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82962,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82963,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82965,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82975,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82977,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82978,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82979,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82980,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
82985,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83001,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83002,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83003,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83008,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83010,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83012,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83013,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83014,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83015,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83018,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83020,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
83021,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83026,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83030,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83033,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83036,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83037,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83045,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83050,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83051,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83055,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83060,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83065,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83068,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83069,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83070,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83071,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83080,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83088,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83090,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83150,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83491,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83497,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83498,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83499,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83500,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83505,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83516,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83518,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83519,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83520,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83525,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83527,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83528,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83540,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83570,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83582,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83586,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83593,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83605,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83615,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83625,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83632,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83633,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83634,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83655,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83661,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83662,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83663,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83664,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83670,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83690,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83718,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83719,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83721,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83727,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83735,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83775,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83785,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83788,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83789,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83805,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83825,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83835,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83840,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83857,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83858,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83864,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83866,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83872,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83873,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83874,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83880,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83883,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83885,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83887,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83890,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83891,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83892,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83893,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83894,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83896,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83897,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83898,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83901,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83902,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83903,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83904,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83905,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83906,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83912,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
83915,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83916,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83918,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83919,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83921,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83925,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83930,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83935,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83937,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83945,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83950,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83970,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83986,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
83992,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84022,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84030,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84035,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84060,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84061,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84066,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84075,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84078,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84080,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84081,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84085,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84087,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84100,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84105,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84106,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84110,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84119,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84120,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84126,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84127,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84132,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84133,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84134,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84135,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84138,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84140,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84143,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84144,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84146,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84150,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84152,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84153,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84154,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84155,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84160,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84165,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
84166,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
84181,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
84182,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
84202,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84203,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84206,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84207,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84210,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84220,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84228,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84233,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84234,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84235,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84238,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84244,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84252,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84255,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84260,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84270,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84275,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84285,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84295,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84300,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84302,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84305,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84307,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84311,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84315,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84375,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84376,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84377,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84378,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84379,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84392,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84402,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84403,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84425,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84430,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84432,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84436,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84437,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84439,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84442,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84443,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84445,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84446,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84449,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84450,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84460,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84466,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84478,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84479,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84480,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84481,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84482,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84484,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84485,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84488,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84490,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84510,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84512,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84520,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84525,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84540,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84545,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84550,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84560,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84577,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84578,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84580,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84583,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84585,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84586,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84588,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84590,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84591,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84597,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84600,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84620,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84630,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84681,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84702,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84703,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84830,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
84999,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85002,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85004,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85007,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85008,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85009,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85013,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85014,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85018,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85025,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85027,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85032,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85041,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85044,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85045,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85046,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85048,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85049,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85060,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
85097,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
85097,PEAC,"Hypodermic, IV",SC006,blood collection tube (Vacutainer),item,0.201,1,,XXX,,,
85097,PEAC,Infection Control,SM005,biohazard glass disposal box (per disposed slide),item,0.138,1,,XXX,,,
85097,PEAC,Infection Control,SM007,biohazard pipette container,item,1.886,0.1,,XXX,,,
85097,PEAC,Lab,SL030,"cover slip, glass",item,0.079,6,,XXX,,,
85097,PEAC,Lab,SL080,immersion oil,ml,0.079,2,,XXX,,,
85097,PEAC,Lab,SL085,label for microscope slides,item,0.026,6,,XXX,,,
85097,PEAC,Lab,SL087,lens paper,item,0.027,1,,XXX,,,
85097,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,2,,XXX,,,
85097,PEAC,Lab,SL108,pipette,item,0.033,1,,XXX,,,
85097,PEAC,Lab,SL122,"slide, microscope",item,0.055,6,,XXX,,,
85097,PEAC,Lab,SL140,"stain, Wright's Pack (per slide)",ml,0.048,1,,XXX,,,
85097,PEAC,Lab,SL144,thrombin reagent (Thromboquik),ml,2.737,0.5,,XXX,,,
85097,PEAC,"Office Supply, Grocery",SK082,"towel, paper (Bounty) (per sheet)",item,0.007,4,,XXX,,,
85097,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
85097,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,4,,XXX,,,
85130,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85170,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85175,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85210,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85220,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85230,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85240,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85244,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85245,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85246,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85247,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85250,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85260,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85270,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85280,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85290,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85291,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85292,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85293,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85300,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85301,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85302,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85303,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85305,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85306,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85307,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85335,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85337,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85345,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85347,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85348,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85360,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85362,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85366,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85370,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85378,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85379,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85380,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85384,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85385,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85390,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
85396,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
85400,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85410,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85415,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85420,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85421,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85441,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85445,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85460,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85461,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85475,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85520,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85525,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85530,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85536,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85540,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85547,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85549,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85555,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85557,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85576,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
85585,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,,,,
85590,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,,,,
85595,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,,,,
85597,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85610,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85611,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85612,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85613,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85635,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85651,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85652,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85660,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85670,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85675,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85705,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85730,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85732,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85810,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
85999,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86000,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86001,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86003,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86005,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86021,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86022,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86023,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86038,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86039,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86050,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,,,,
86060,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86063,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86077,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
86078,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
86079,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
86140,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86141,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86146,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86147,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86148,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86155,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86156,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86157,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86160,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86161,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86162,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86171,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86185,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86215,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86225,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86226,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86235,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86243,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86255,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
86256,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
86259,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,,,,
86277,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86280,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86294,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86300,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86301,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86304,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86308,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86309,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86310,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86316,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86317,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86318,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86320,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
86325,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
86327,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
86329,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86331,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86332,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86334,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
86335,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
86336,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86337,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86340,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86341,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86343,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86344,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86353,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86359,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86360,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86361,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86376,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86378,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86382,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86384,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86403,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86406,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86430,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86431,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86485,NPRM,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,,
86485,NPRM,"Pharmacy, Rx",SH006,"antigen, mite",ml,4.1,0.1,0,XXX,,,
86485,NPRM,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,,
86485,NPRM,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,,,
86485,NPRM,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,,
86485,NPRM,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,,
86486,CMS,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,86490,CPT08,
86486,CMS,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,86490,CPT08,
86486,CMS,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,86490,CPT08,
86486,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,86490,CPT08,
86486,CMS,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,86490,CPT08,
86486,CMS,"Pharmacy, Rx",SH006,"antigen, mite",ml,4.1,0.1,0,XXX,86490,CPT08,
86490,NPRM,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,,
86490,NPRM,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,,,
86490,NPRM,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,,
86490,NPRM,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,,
86490,NPRM,"Pharmacy, Rx",SH006,"antigen, mite",ml,4.1,0.1,0,XXX,,,
86490,NPRM,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,,
86510,NPRM,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,,
86510,NPRM,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,,,
86510,NPRM,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,,
86510,NPRM,"Pharmacy, Rx",SH006,"antigen, mite",ml,4.1,0.1,0,XXX,,,
86510,NPRM,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,,
86510,NPRM,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,,
86580,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,,
86580,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,,,
86580,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,,
86580,PEAC,"Pharmacy, Rx",SH059,purified protein derivative (0.1ml per test) (PPD-Tubersol),ml,17.337,0.1,0,XXX,,,
86580,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,,
86580,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,,
86590,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86592,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86593,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86602,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86603,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86606,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86609,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86611,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86612,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86615,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86617,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86618,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86619,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86622,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86625,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86628,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86631,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86632,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86635,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86638,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86641,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86644,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86645,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86648,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86651,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86652,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86653,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86654,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86658,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86663,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86664,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86665,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86666,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86668,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86671,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86674,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86677,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86682,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86684,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86687,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86688,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86689,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86692,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86694,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86695,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86696,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86698,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86701,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86702,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86703,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86704,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86705,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86706,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86707,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86708,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86709,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86710,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86713,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86717,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86720,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86723,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86727,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86729,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86732,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86735,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86738,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86741,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86744,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86747,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86750,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86753,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86756,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86757,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86759,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86762,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86765,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86768,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86771,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86774,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86777,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86778,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86781,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86784,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86787,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86790,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86793,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86800,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86803,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86804,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86805,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86806,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86807,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86808,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86812,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86813,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86816,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86817,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86821,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86822,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86849,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86850,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86860,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86870,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86880,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86885,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86886,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86890,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86891,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86900,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86901,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86903,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86904,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86905,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86906,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86910,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
86911,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
86920,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86921,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86922,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86927,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86930,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86931,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86932,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86940,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86941,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86945,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86950,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86965,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86970,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86971,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86972,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86975,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86976,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86977,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86978,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86985,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
86999,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87001,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87003,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87015,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87040,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87045,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87070,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87071,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87073,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87075,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87076,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87081,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87084,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87086,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87088,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87101,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87102,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87103,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87106,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87107,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87109,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87110,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87116,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87118,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87140,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87143,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87147,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87149,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87152,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87158,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87164,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
87166,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87168,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87169,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87172,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87177,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87181,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87184,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87185,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87186,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87187,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87188,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87190,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87197,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87198,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,,,,
87199,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,,,,
87205,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87206,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87207,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
87210,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87220,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87230,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87250,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87252,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87253,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87254,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87255,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87260,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87265,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87267,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87270,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87271,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87272,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87273,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87274,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87275,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87276,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87277,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87278,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87279,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87280,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87281,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87283,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87285,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87290,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87299,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87300,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87301,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87320,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87324,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87327,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87328,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87332,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87335,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87336,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87337,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87338,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87339,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87340,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87341,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87350,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87380,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87385,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87390,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87391,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87400,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87420,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87425,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87427,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87430,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87449,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87450,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87451,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87470,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87471,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87472,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87475,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87476,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87477,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87480,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87481,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87482,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87485,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87486,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87487,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87490,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87491,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87492,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87495,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87496,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87497,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87510,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87511,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87512,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87515,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87516,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87517,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87520,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87521,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87522,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87525,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87526,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87527,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87528,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87529,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87530,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87531,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87532,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87533,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87534,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87535,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87536,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87537,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87538,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87539,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87540,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87541,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87542,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87550,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87551,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87552,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87555,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87556,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87557,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87560,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87561,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87562,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87580,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87581,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87582,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87590,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87591,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87592,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87620,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87621,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87622,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87650,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87651,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87652,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87797,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87798,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87799,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87800,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87801,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87802,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87803,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87804,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87810,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87850,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87880,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87899,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87901,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87902,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87903,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87904,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
87999,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88000,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88005,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88007,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88012,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88014,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88016,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88020,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88025,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88027,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88028,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88029,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88036,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88037,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88040,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88045,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88077,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,,,,
88099,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
88104,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,,,
88104,PEAC,"Gown, Drape",SB030,"lab coat, staff",item,4.522,1,,XXX,,,
88104,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88104,PEAC,Lab,SL026,clearing agent (Histo-clear),ml,0.008,8,,XXX,,,
88104,PEAC,Lab,SL030,"cover slip, glass",item,0.079,4,,XXX,,,
88104,PEAC,Lab,SL064,"filter paper, qualitative, <15.0cm",item,0.125,1,,XXX,,,
88104,PEAC,Lab,SL071,fixative spray,ml,0.047,9.6,,XXX,,,
88104,PEAC,Lab,SL085,label for microscope slides,item,0.026,4,,XXX,,,
88104,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,2,,XXX,,,
88104,PEAC,Lab,SL122,"slide, microscope",item,0.055,4,,XXX,,,
88104,PEAC,Lab,SL138,"stain, PAP toluidine blue O",ml,0.089,1,,XXX,,,
88104,PEAC,Lab,SL139,"stain, quick differential (5ml per slide)",ml,0.064,1,,XXX,,,
88104,PEAC,"Office Supply, Grocery",SK082,"towel, paper (Bounty) (per sheet)",item,0.007,4,,XXX,,,
88104,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
88106,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
88106,PEAC,"Gown, Drape",SB030,"lab coat, staff",item,4.522,1,,XXX,,,
88106,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
88106,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88106,PEAC,Lab,SL026,clearing agent (Histo-clear),ml,0.008,8,,XXX,,,
88106,PEAC,Lab,SL030,"cover slip, glass",item,0.079,2,,XXX,,,
88106,PEAC,Lab,SL041,"cytology, specimen filter (Transcyt)",item,4.15,2,,XXX,,,
88106,PEAC,Lab,SL042,"cytology, transport prefilled container",item,0.612,1,,XXX,,,
88106,PEAC,Lab,SL043,"cytology, vacuum grease",oz,2.83,0.2,,XXX,,,
88106,PEAC,Lab,SL065,"filter paper, qualitative, 18.5cm",item,0.341,2,,XXX,,,
88106,PEAC,Lab,SL085,label for microscope slides,item,0.026,2,,XXX,,,
88106,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,0.4,,XXX,,,
88106,PEAC,Lab,SL109,"pipette, transfer 23ml",item,0.338,1,,XXX,,,
88106,PEAC,Lab,SL121,slide specimen mailer (1-5 microscope slides),item,0.46,1,,XXX,,,
88106,PEAC,Lab,SL122,"slide, microscope",item,0.055,2,,XXX,,,
88106,PEAC,Lab,SL138,"stain, PAP toluidine blue O",ml,0.089,5,,XXX,,,
88106,PEAC,Lab,SL139,"stain, quick differential (5ml per slide)",ml,0.064,5,,XXX,,,
88106,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
88107,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
88107,PEAC,"Gown, Drape",SB030,"lab coat, staff",item,4.522,1,,XXX,,,
88107,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
88107,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88107,PEAC,Lab,SL026,clearing agent (Histo-clear),ml,0.008,16,,XXX,,,
88107,PEAC,Lab,SL030,"cover slip, glass",item,0.079,4,,XXX,,,
88107,PEAC,Lab,SL041,"cytology, specimen filter (Transcyt)",item,4.15,2,,XXX,,,
88107,PEAC,Lab,SL042,"cytology, transport prefilled container",item,0.612,1,,XXX,,,
88107,PEAC,Lab,SL043,"cytology, vacuum grease",oz,2.83,0.2,,XXX,,,
88107,PEAC,Lab,SL065,"filter paper, qualitative, 18.5cm",item,0.341,2,,XXX,,,
88107,PEAC,Lab,SL085,label for microscope slides,item,0.026,4,,XXX,,,
88107,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,0.8,,XXX,,,
88107,PEAC,Lab,SL109,"pipette, transfer 23ml",item,0.338,1,,XXX,,,
88107,PEAC,Lab,SL121,slide specimen mailer (1-5 microscope slides),item,0.46,1,,XXX,,,
88107,PEAC,Lab,SL122,"slide, microscope",item,0.055,4,,XXX,,,
88107,PEAC,Lab,SL138,"stain, PAP toluidine blue O",ml,0.089,1,,XXX,,,
88107,PEAC,Lab,SL139,"stain, quick differential (5ml per slide)",ml,0.064,1,,XXX,,,
88107,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
88108,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
88108,PEAC,"Gown, Drape",SB030,"lab coat, staff",item,4.522,1,,XXX,,,
88108,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88108,PEAC,Lab,SL024,centrifuge tube,item,0.054,1,,XXX,,,
88108,PEAC,Lab,SL026,clearing agent (Histo-clear),ml,0.008,8,,XXX,,,
88108,PEAC,Lab,SL030,"cover slip, glass",item,0.079,2,,XXX,,,
88108,PEAC,Lab,SL039,"cytology, lysing soln (CytoLyt)",ml,0.034,3,,XXX,,,
88108,PEAC,Lab,SL040,"cytology, preservative and vial (Preserv-cyt)",item,0.8,1,,XXX,,,
88108,PEAC,Lab,SL041,"cytology, specimen filter (Transcyt)",item,4.15,2,,XXX,,,
88108,PEAC,Lab,SL042,"cytology, transport prefilled container",item,0.612,1,,XXX,,,
88108,PEAC,Lab,SL065,"filter paper, qualitative, 18.5cm",item,0.341,2,,XXX,,,
88108,PEAC,Lab,SL085,label for microscope slides,item,0.026,2,,XXX,,,
88108,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,0.4,,XXX,,,
88108,PEAC,Lab,SL109,"pipette, transfer 23ml",item,0.338,2,,XXX,,,
88108,PEAC,Lab,SL121,slide specimen mailer (1-5 microscope slides),item,0.46,1,,XXX,,,
88108,PEAC,Lab,SL122,"slide, microscope",item,0.055,2,,XXX,,,
88108,PEAC,Lab,SL138,"stain, PAP toluidine blue O",ml,0.089,5,,XXX,,,
88108,PEAC,Lab,SL139,"stain, quick differential (5ml per slide)",ml,0.064,5,,XXX,,,
88108,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
88112,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
88112,RUC,"Gown, Drape",SB030,"lab coat, staff",item,4.522,1,,XXX,,,
88112,RUC,Infection Control,SM008,biohazard specimen transport bag,item,0.035,1,,XXX,,,
88112,RUC,Infection Control,SM016,"eye shield, splash protection",item,1.471,1,,XXX,,,
88112,RUC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88112,RUC,Lab,SL024,centrifuge tube,item,0.054,1,,XXX,,,
88112,RUC,Lab,SL026,clearing agent (Histo-clear),ml,0.008,8,,XXX,,,
88112,RUC,Lab,SL030,"cover slip, glass",item,0.079,2,,XXX,,,
88112,RUC,Lab,SL039,"cytology, lysing soln (CytoLyt)",ml,0.034,30,,XXX,,,
88112,RUC,Lab,SL040,"cytology, preservative and vial (Preserv-cyt)",item,0.8,1,,XXX,,,
88112,RUC,Lab,SL041,"cytology, specimen filter (Transcyt)",item,4.15,2,,XXX,,,
88112,RUC,Lab,SL042,"cytology, transport prefilled container",item,0.612,1,,XXX,,,
88112,RUC,Lab,SL065,"filter paper, qualitative, 18.5cm",item,0.341,2,,XXX,,,
88112,RUC,Lab,SL085,label for microscope slides,item,0.026,2,,XXX,,,
88112,RUC,Lab,SL095,mounting media (Histomount),ml,0.035,0.4,,XXX,,,
88112,RUC,Lab,SL109,"pipette, transfer 23ml",item,0.338,2,,XXX,,,
88112,RUC,Lab,SL121,slide specimen mailer (1-5 microscope slides),item,0.46,1,,XXX,,,
88112,RUC,Lab,SL122,"slide, microscope",item,0.055,2,,XXX,,,
88112,RUC,Lab,SL138,"stain, PAP toluidine blue O",ml,0.089,1,,XXX,,,
88112,RUC,Lab,SL139,"stain, quick differential (5ml per slide)",ml,0.064,5,,XXX,,,
88120,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,CPT11,15
88120,RUC,Infection Control,SM016,"eye shield, splash protection",item,1.471,1,,XXX,,CPT11,15
88120,RUC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,3,,XXX,,CPT11,15
88120,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,XXX,,CPT11,15
88120,RUC,Infection Control,SM008,biohazard specimen transport bag,item,0.035,1,,XXX,,CPT11,15
88120,RUC,Lab,SL181,"pipette tips, sterile",item,0.0627,2,,XXX,,CPT11,15
88120,RUC,Lab,SL253,Non-Gyn Filter unit,item,4.44,0.3,,XXX,,CPT11,15
88120,RUC,Lab,SL254,0.45 _m pore filtration unit,item,10.138,0.7,,XXX,,CPT11,15
88120,RUC,Lab,SL024,centrifuge tube,item,0.054,3,,XXX,,CPT11,15
88120,RUC,Lab,SL255,12-well slides,item,0.84,1,,XXX,,CPT11,15
88120,RUC,Lab,SL256,ThinPrep  UroCyte filter,item,8.5,1,,XXX,,CPT11,15
88120,RUC,Lab,SL040,"cytology, preservative and vial (Preserv-cyt)",item,0.8,1,,XXX,,CPT11,15
88120,RUC,Lab,SL257,Humidity cards,item,0.3406,0.7,,XXX,,CPT11,15
88120,RUC,Lab,SL030,"cover slip, glass",item,0.079,1,,XXX,,CPT11,15
88120,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,0.3,,XXX,,CPT11,15
88120,RUC,Lab,SL258,Control slides,kit,228,0.3,,XXX,,CPT11,15
88120,RUC,Lab,SL259,Bleach cleaning wipe,item,1.04,0.3,,XXX,,CPT11,15
88120,RUC,Lab,SL070,fixative processing (buffered formalin),ml,0.009,4.2,,XXX,,CPT11,15
88120,RUC,Lab,SL261,FISH pre-treatment kit,kit,549,0.3,,XXX,,CPT11,15
88120,RUC,Lab,SL179,1.0N NaOH,ml,0.489,3.3,,XXX,,CPT11,15
88120,RUC,"Kit, Pack, Tray",SA104,ThinPrep UroCyte Urine Collection Kit,kit,7,1,,XXX,,CPT11,15
88120,RUC,Lab,SL260,"Fresh Fixative (3:1, methanol: acetic acid)",item,0.0876,47.5,,XXX,,CPT11,15
88120,RUC,Lab,SL039,"cytology, lysing soln (CytoLyt)",ml,0.034,30,,XXX,,CPT11,15
88120,RUC,Lab,SL248,"ethanol, 95%",ml,0.0033,1,,XXX,,CPT11,15
88120,RUC,Lab,SL072,formalin,ml,0.009,0.3,,XXX,,CPT11,15
88120,RUC,Lab,SL190,"ethanol, 70%",ml,0.0033,66.7,,XXX,,CPT11,15
88120,RUC,Lab,SL191,"ethanol, 85%",ml,0.0033,33.3,,XXX,,CPT11,15
88120,RUC,Lab,SL189,"ethanol, 100%",ml,0.0033,33.3,,XXX,,CPT11,15
88120,RUC,"Pharmacy, NonRx",SJ070,rubber cement,ml,0.12,1,,XXX,,CPT11,15
88120,RUC,"Kit, Pack, Tray",SA105,UroVysion test kit,item,176.8,1.7,,XXX,,CPT11,15
88120,RUC,Lab,SL080,immersion oil,ml,0.079,0.3,,XXX,,CPT11,15
88120,RUC,Lab,SL244,"water, de-ionized",ml,0.017,3,,XXX,,CPT11,15
88121,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,0.5,,XXX,,CPT11,15
88121,RUC,Infection Control,SM016,"eye shield, splash protection",item,1.471,0.5,,XXX,,CPT11,15
88121,RUC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1.5,,XXX,,CPT11,15
88121,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,0.5,,XXX,,CPT11,15
88121,RUC,Infection Control,SM008,biohazard specimen transport bag,item,0.035,1,,XXX,,CPT11,15
88121,RUC,Lab,SL181,"pipette tips, sterile",item,0.0627,1.84,,XXX,,CPT11,15
88121,RUC,Lab,SL253,Non-Gyn Filter unit,item,4.44,0.2,,XXX,,CPT11,15
88121,RUC,Lab,SL254,0.45 _m pore filtration unit,item,10.138,0.3,,XXX,,CPT11,15
88121,RUC,Lab,SL024,centrifuge tube,item,0.054,3,,XXX,,CPT11,15
88121,RUC,Lab,SL255,12-well slides,item,0.84,1,,XXX,,CPT11,15
88121,RUC,Lab,SL030,"cover slip, glass",item,0.079,1,,XXX,,CPT11,15
88121,RUC,Lab,SL256,ThinPrep  UroCyte filter,item,8.5,1,,XXX,,CPT11,15
88121,RUC,Lab,SL040,"cytology, preservative and vial (Preserv-cyt)",item,0.8,1,,XXX,,CPT11,15
88121,RUC,Lab,SL257,Humidity cards,item,0.3406,0.3,,XXX,,CPT11,15
88121,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,0.2,,XXX,,CPT11,15
88121,RUC,Lab,SL258,Control slides,kit,228,0.2,,XXX,,CPT11,15
88121,RUC,Lab,SL259,Bleach cleaning wipe,item,1.04,0.2,,XXX,,CPT11,15
88121,RUC,Lab,SL070,fixative processing (buffered formalin),ml,0.009,2.1,,XXX,,CPT11,15
88121,RUC,Lab,SL261,FISH pre-treatment kit,kit,549,0.2,,XXX,,CPT11,15
88121,RUC,Lab,SL179,1.0N NaOH,ml,0.489,1.7,,XXX,,CPT11,15
88121,RUC,"Kit, Pack, Tray",SA104,ThinPrep UroCyte Urine Collection Kit,kit,7,1,,XXX,,CPT11,15
88121,RUC,Lab,SL260,"Fresh Fixative (3:1, methanol: acetic acid)",item,0.0876,47.5,,XXX,,CPT11,15
88121,RUC,Lab,SL039,"cytology, lysing soln (CytoLyt)",ml,0.034,30,,XXX,,CPT11,15
88121,RUC,Lab,SL248,"ethanol, 95%",ml,0.0033,1,,XXX,,CPT11,15
88121,RUC,Lab,SL072,formalin,ml,0.009,0.2,,XXX,,CPT11,15
88121,RUC,Lab,SL190,"ethanol, 70%",ml,0.0033,33.3,,XXX,,CPT11,15
88121,RUC,Lab,SL191,"ethanol, 85%",ml,0.0033,16.7,,XXX,,CPT11,15
88121,RUC,Lab,SL189,"ethanol, 100%",ml,0.0033,16.7,,XXX,,CPT11,15
88121,RUC,"Pharmacy, NonRx",SJ070,rubber cement,ml,0.12,1,,XXX,,CPT11,15
88121,RUC,"Kit, Pack, Tray",SA105,UroVysion test kit,item,176.8,1.3,,XXX,,CPT11,15
88121,RUC,Lab,SL080,immersion oil,ml,0.079,0.2,,XXX,,CPT11,15
88121,RUC,Lab,SL244,"water, de-ionized",ml,0.017,1.5,,XXX,,CPT11,15
88125,CPEP,Lab,SL122,"slide, microscope",item,0.055,2,,XXX,,,
88125,CPEP,Lab,SL095,mounting media (Histomount),ml,0.035,1,,XXX,,,
88125,CPEP,Lab,SL085,label for microscope slides,item,0.026,2,,XXX,,,
88125,CPEP,Lab,SL030,"cover slip, glass",item,0.079,2,,XXX,,,
88125,CPEP,Lab,SL026,clearing agent (Histo-clear),ml,0.008,4,,XXX,,,
88125,CPEP,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88125,CPEP,Lab,SL138,"stain, PAP toluidine blue O",ml,0.089,1,,XXX,,,
88125,CPEP,"Office Supply, Grocery",SK082,"towel, paper (Bounty) (per sheet)",item,0.007,4,,XXX,,,
88125,CPEP,Lab,SL109,"pipette, transfer 23ml",item,0.338,1,,XXX,,,
88130,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88140,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88141,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,W
88142,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88143,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88147,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88148,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88150,CMS WALK: BOTH SITES,"Accessory, Procedure",SD040,"cytology, brush",item,0.2,1,,XXX,88151,,
88150,CMS WALK: BOTH SITES,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,88151,,
88150,CMS WALK: BOTH SITES,Lab,SL026,clearing agent (Histo-clear),ml,0.008,4,,XXX,88151,,
88150,CMS WALK: BOTH SITES,Lab,SL030,"cover slip, glass",item,0.079,1,,XXX,88151,,
88150,CMS WALK: BOTH SITES,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,XXX,88151,,
88150,CMS WALK: BOTH SITES,Lab,SL071,fixative spray,ml,0.047,1,,XXX,88151,,
88150,CMS WALK: BOTH SITES,Lab,SL085,label for microscope slides,item,0.026,1,,XXX,88151,,
88150,CMS WALK: BOTH SITES,Lab,SL095,mounting media (Histomount),ml,0.035,0.6,,XXX,88151,,
88150,CMS WALK: BOTH SITES,Lab,SL122,"slide, microscope",item,0.055,1,,XXX,88151,,
88150,CMS WALK: BOTH SITES,Lab,SL137,"stain, PAP EA-50",ml,0.035,3,,XXX,88151,,
88152,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88153,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88154,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88155,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88160,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
88160,PEAC,"Gown, Drape",SB030,"lab coat, staff",item,4.522,1,,XXX,,,
88160,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88160,PEAC,Lab,SL026,clearing agent (Histo-clear),ml,0.008,16,,XXX,,,
88160,PEAC,Lab,SL030,"cover slip, glass",item,0.079,4,,XXX,,,
88160,PEAC,Lab,SL065,"filter paper, qualitative, 18.5cm",item,0.341,2,,XXX,,,
88160,PEAC,Lab,SL071,fixative spray,ml,0.047,0.8,,XXX,,,
88160,PEAC,Lab,SL085,label for microscope slides,item,0.026,4,,XXX,,,
88160,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,0.8,,XXX,,,
88160,PEAC,Lab,SL121,slide specimen mailer (1-5 microscope slides),item,0.46,1,,XXX,,,
88160,PEAC,Lab,SL122,"slide, microscope",item,0.055,4,,XXX,,,
88160,PEAC,Lab,SL138,"stain, PAP toluidine blue O",ml,0.089,1,,XXX,,,
88160,PEAC,Lab,SL139,"stain, quick differential (5ml per slide)",ml,0.064,1,,XXX,,,
88160,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
88161,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
88161,PEAC,"Gown, Drape",SB030,"lab coat, staff",item,4.522,1,,XXX,,,
88161,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88161,PEAC,Lab,SL026,clearing agent (Histo-clear),ml,0.008,16,,XXX,,,
88161,PEAC,Lab,SL030,"cover slip, glass",item,0.079,4,,XXX,,,
88161,PEAC,Lab,SL065,"filter paper, qualitative, 18.5cm",item,0.341,2,,XXX,,,
88161,PEAC,Lab,SL071,fixative spray,ml,0.047,0.8,,XXX,,,
88161,PEAC,Lab,SL085,label for microscope slides,item,0.026,4,,XXX,,,
88161,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,0.8,,XXX,,,
88161,PEAC,Lab,SL121,slide specimen mailer (1-5 microscope slides),item,0.46,1,,XXX,,,
88161,PEAC,Lab,SL122,"slide, microscope",item,0.055,4,,XXX,,,
88161,PEAC,Lab,SL138,"stain, PAP toluidine blue O",ml,0.089,1,,XXX,,,
88161,PEAC,Lab,SL139,"stain, quick differential (5ml per slide)",ml,0.064,1,,XXX,,,
88161,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
88162,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
88162,PEAC,"Gown, Drape",SB030,"lab coat, staff",item,4.522,1,,XXX,,,
88162,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88162,PEAC,Lab,SL026,clearing agent (Histo-clear),ml,0.008,28,,XXX,,,
88162,PEAC,Lab,SL030,"cover slip, glass",item,0.079,7,,XXX,,,
88162,PEAC,Lab,SL065,"filter paper, qualitative, 18.5cm",item,0.341,2,,XXX,,,
88162,PEAC,Lab,SL071,fixative spray,ml,0.047,1,,XXX,,,
88162,PEAC,Lab,SL085,label for microscope slides,item,0.026,7,,XXX,,,
88162,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,1.4,,XXX,,,
88162,PEAC,Lab,SL121,slide specimen mailer (1-5 microscope slides),item,0.46,2,,XXX,,,
88162,PEAC,Lab,SL122,"slide, microscope",item,0.055,7,,XXX,,,
88162,PEAC,Lab,SL138,"stain, PAP toluidine blue O",ml,0.089,2,,XXX,,,
88162,PEAC,Lab,SL139,"stain, quick differential (5ml per slide)",ml,0.064,15,,XXX,,,
88162,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
88164,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88165,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88166,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88167,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88172,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,CPT11,16
88172,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,XXX,,CPT11,16
88172,RUC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,2,0,XXX,,CPT11,16
88172,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,8,0,XXX,,CPT11,16
88172,RUC,Lab,SL020,bleach,ml,0.001,50,0,XXX,,CPT11,16
88173,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
88173,PEAC,"Gown, Drape",SB030,"lab coat, staff",item,4.522,1,,XXX,,,
88173,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88173,PEAC,Lab,SL024,centrifuge tube,item,0.054,1,,XXX,,,
88173,PEAC,Lab,SL026,clearing agent (Histo-clear),ml,0.008,36,,XXX,,,
88173,PEAC,Lab,SL030,"cover slip, glass",item,0.079,9,,XXX,,,
88173,PEAC,Lab,SL039,"cytology, lysing soln (CytoLyt)",ml,0.034,3,,XXX,,,
88173,PEAC,Lab,SL040,"cytology, preservative and vial (Preserv-cyt)",item,0.8,1,,XXX,,,
88173,PEAC,Lab,SL041,"cytology, specimen filter (Transcyt)",item,4.15,1,,XXX,,,
88173,PEAC,Lab,SL042,"cytology, transport prefilled container",item,0.612,1,,XXX,,,
88173,PEAC,Lab,SL065,"filter paper, qualitative, 18.5cm",item,0.341,2,,XXX,,,
88173,PEAC,Lab,SL071,fixative spray,ml,0.047,1.8,,XXX,,,
88173,PEAC,Lab,SL085,label for microscope slides,item,0.026,9,,XXX,,,
88173,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,1.8,,XXX,,,
88173,PEAC,Lab,SL109,"pipette, transfer 23ml",item,0.338,2,,XXX,,,
88173,PEAC,Lab,SL121,slide specimen mailer (1-5 microscope slides),item,0.46,2,,XXX,,,
88173,PEAC,Lab,SL122,"slide, microscope",item,0.055,9,,XXX,,,
88173,PEAC,Lab,SL138,"stain, PAP toluidine blue O",ml,0.089,25,,XXX,,,
88173,PEAC,Lab,SL139,"stain, quick differential (5ml per slide)",ml,0.064,2,,XXX,,,
88173,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
88174,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88175,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88177,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,ZZZ,,CPT11,16
88177,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,8,0,ZZZ,,CPT11,16
88182,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88182,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,,XXX,,,
88182,PEAC,Lab,SL021,calibration beads (each test),item,9.62,,,XXX,,,
88182,PEAC,Lab,SL024,centrifuge tube,item,0.054,2,,XXX,,,
88182,PEAC,Lab,SL026,clearing agent (Histo-clear),ml,0.008,4,,XXX,,,
88182,PEAC,Lab,SL066,"filter, nylon mesh (55mm)",item,0.568,1,,XXX,,,
88182,PEAC,Lab,SL084,Isoton II diluent,ml,0.002,5,,XXX,,,
88182,PEAC,Lab,SL101,Pepsin,gm,34.6,,,XXX,,,
88182,PEAC,Lab,SL110,pipette tip (blue-yellow),item,0.048,10,,XXX,,,
88182,PEAC,Lab,SL115,propidium iodide,ml,5.07,1,,XXX,,,
88182,PEAC,Lab,SL118,R-Nase One,unit,0.079,,,XXX,,,
88182,PEAC,Lab,SL141,"stain, Wright's soln",ml,0.214,0.3,,XXX,,,
88182,PEAC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,5,,XXX,,,
88184,RUC,Lab,SL110,pipette tip (blue-yellow),item,0.048,2,,XXX,,,
88184,RUC,Lab,SL099,paraformaldehyde,gm,0.073,0.5,,XXX,,,
88184,RUC,Lab,SL141,"stain, Wright's soln",ml,0.214,0.3,,XXX,,,
88184,RUC,Lab,SL107,phosphate buffered saline solution,ml,0.041,20,,XXX,,,
88184,RUC,Lab,SL084,Isoton II diluent,ml,0.002,5,,XXX,,,
88184,RUC,Lab,SL024,centrifuge tube,item,0.054,4,,XXX,,,
88184,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,3,,XXX,,,
88184,RUC,Lab,SL021,calibration beads (each test),item,9.62,1,,XXX,,,
88184,RUC,Lab,SL186,"antibody, flow cytometry (each test)",item,8.5,1,,XXX,,,
88184,RUC,Lab,SL089,lysing reagent (FACS),ml,4.485,14,,XXX,,,
88184,RUC,Lab,SL030,"cover slip, glass",item,0.079,1,,XXX,,,
88184,RUC,Lab,SL095,mounting media (Histomount),ml,0.035,0.2,,XXX,,,
88184,RUC,Lab,SL122,"slide, microscope",item,0.055,1,,XXX,,,
88185,RUC,Lab,SL110,pipette tip (blue-yellow),item,0.048,2,,XXX,,,
88185,RUC,Lab,SL099,paraformaldehyde,gm,0.073,0.5,,XXX,,,
88185,RUC,Lab,SL107,phosphate buffered saline solution,ml,0.041,20,,XXX,,,
88185,RUC,Lab,SL084,Isoton II diluent,ml,0.002,5,,XXX,,,
88185,RUC,Lab,SL024,centrifuge tube,item,0.054,4,,XXX,,,
88185,RUC,Lab,SL186,"antibody, flow cytometry (each test)",item,8.5,1,,XXX,,,
88185,RUC,Lab,SL089,lysing reagent (FACS),ml,4.485,14,,XXX,,,
88187,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
88188,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
88189,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
88199,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
88230,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88233,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88235,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88237,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88239,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88240,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88241,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88245,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88248,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88249,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88261,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88262,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88263,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88264,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88267,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88269,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88271,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88272,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88273,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88274,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88275,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88280,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88283,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88285,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88289,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
88291,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
88299,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
88300,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,XXX,,,
88300,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,2,,XXX,,,
88300,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,XXX,,,
88300,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,XXX,,,
88300,PEAC,Infection Control,SM017,formaldehyde spill control,ml,0.005,100,,XXX,,,
88300,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88300,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,XXX,,,
88300,PEAC,Lab,SL068,fixative (for tissue specimen),ml,0.013,100,,XXX,,,
88300,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,2,,XXX,,,
88302,PEAC,"Accessory, Procedure",SD005,biopsy sponge (Histo-Prep),item,0.054,2,,XXX,,,
88302,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88302,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,XXX,,,
88302,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,2,,XXX,,,
88302,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,XXX,,,
88302,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,XXX,,,
88302,PEAC,Infection Control,SM017,formaldehyde spill control,ml,0.005,100,,XXX,,,
88302,PEAC,Infection Control,SM027,"wipes, lens cleaning (per wipe) (Kimwipe)",item,0.013,1,,XXX,,,
88302,PEAC,Lab,SL004,alcohol reagent solvent,ml,0.011,125,,XXX,,,
88302,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88302,PEAC,Lab,SL030,"cover slip, glass",item,0.079,2,,XXX,,,
88302,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,XXX,,,
88302,PEAC,Lab,SL060,embedding mold,item,0.149,1,,XXX,,,
88302,PEAC,Lab,SL061,embedding paraffin,kg,5.363,0.006,,XXX,,,
88302,PEAC,Lab,SL063,eosin y,gm,0.801,0.8,,XXX,,,
88302,PEAC,Lab,SL067,fixative (Bouin's fluid),ml,0.034,1,,XXX,,,
88302,PEAC,Lab,SL068,fixative (for tissue specimen),ml,0.013,100,,XXX,,,
88302,PEAC,Lab,SL070,fixative processing (buffered formalin),ml,0.009,7.8,,XXX,,,
88302,PEAC,Lab,SL078,histology freezing spray (Freeze-It),oz,1.443,0.1,,XXX,,,
88302,PEAC,Lab,SL085,label for microscope slides,item,0.026,2,,XXX,,,
88302,PEAC,Lab,SL093,"mold release agent, liquid",ml,0.062,0.1,,XXX,,,
88302,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,1,,XXX,,,
88302,PEAC,Lab,SL122,"slide, microscope",item,0.055,2,,XXX,,,
88302,PEAC,Lab,SL135,"stain, hematoxylin",ml,0.044,2,,XXX,,,
88302,PEAC,Lab,SL149,waterbath reagent,ml,0.002,15,,XXX,,,
88302,PEAC,Lab,SL151,xylenes solvent,ml,0.012,500,,XXX,,,
88302,PEAC,"Office Supply, Grocery",SK073,skin marking ink (tattoo),ml,0.221,0.1,,XXX,,,
88302,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,2,,XXX,,,
88304,PEAC,"Accessory, Procedure",SD005,biopsy sponge (Histo-Prep),item,0.054,2,,XXX,,,
88304,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88304,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,XXX,,,
88304,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,2,,XXX,,,
88304,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,XXX,,,
88304,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,XXX,,,
88304,PEAC,Infection Control,SM017,formaldehyde spill control,ml,0.005,100,,XXX,,,
88304,PEAC,Infection Control,SM027,"wipes, lens cleaning (per wipe) (Kimwipe)",item,0.013,1,,XXX,,,
88304,PEAC,Lab,SL004,alcohol reagent solvent,ml,0.011,125,,XXX,,,
88304,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88304,PEAC,Lab,SL030,"cover slip, glass",item,0.079,2,,XXX,,,
88304,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,XXX,,,
88304,PEAC,Lab,SL058,embedding cassette,item,0.159,1,,XXX,,,
88304,PEAC,Lab,SL060,embedding mold,item,0.149,2,,XXX,,,
88304,PEAC,Lab,SL061,embedding paraffin,kg,5.363,0.006,,XXX,,,
88304,PEAC,Lab,SL068,fixative (for tissue specimen),ml,0.013,100,,XXX,,,
88304,PEAC,Lab,SL070,fixative processing (buffered formalin),ml,0.009,7.8,,XXX,,,
88304,PEAC,Lab,SL078,histology freezing spray (Freeze-It),oz,1.443,0.1,,XXX,,,
88304,PEAC,Lab,SL085,label for microscope slides,item,0.026,2,,XXX,,,
88304,PEAC,Lab,SL093,"mold release agent, liquid",ml,0.062,0.2,,XXX,,,
88304,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,1,,XXX,,,
88304,PEAC,Lab,SL122,"slide, microscope",item,0.055,2,,XXX,,,
88304,PEAC,Lab,SL134,"stain, frozen section, H&E (1ml per slide)",ml,0.567,2,,XXX,,,
88304,PEAC,Lab,SL149,waterbath reagent,ml,0.002,15,,XXX,,,
88304,PEAC,Lab,SL151,xylenes solvent,ml,0.012,500,,XXX,,,
88304,PEAC,"Office Supply, Grocery",SK073,skin marking ink (tattoo),ml,0.221,0.01,,XXX,,,
88304,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,2,,XXX,,,
88305,PEAC,"Accessory, Procedure",SD005,biopsy sponge (Histo-Prep),item,0.054,4,,XXX,,,
88305,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88305,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,XXX,,,
88305,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,2,,XXX,,,
88305,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,XXX,,,
88305,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,XXX,,,
88305,PEAC,Infection Control,SM017,formaldehyde spill control,ml,0.005,100,,XXX,,,
88305,PEAC,Infection Control,SM027,"wipes, lens cleaning (per wipe) (Kimwipe)",item,0.013,2,,XXX,,,
88305,PEAC,Lab,SL004,alcohol reagent solvent,ml,0.011,250,,XXX,,,
88305,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88305,PEAC,Lab,SL030,"cover slip, glass",item,0.079,6,,XXX,,,
88305,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,XXX,,,
88305,PEAC,Lab,SL058,embedding cassette,item,0.159,2,,XXX,,,
88305,PEAC,Lab,SL060,embedding mold,item,0.149,6,,XXX,,,
88305,PEAC,Lab,SL061,embedding paraffin,kg,5.363,0.012,,XXX,,,
88305,PEAC,Lab,SL068,fixative (for tissue specimen),ml,0.013,100,,XXX,,,
88305,PEAC,Lab,SL070,fixative processing (buffered formalin),ml,0.009,16,,XXX,,,
88305,PEAC,Lab,SL078,histology freezing spray (Freeze-It),oz,1.443,0.2,,XXX,,,
88305,PEAC,Lab,SL085,label for microscope slides,item,0.026,6,,XXX,,,
88305,PEAC,Lab,SL093,"mold release agent, liquid",ml,0.062,0.5,,XXX,,,
88305,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,3,,XXX,,,
88305,PEAC,Lab,SL122,"slide, microscope",item,0.055,6,,XXX,,,
88305,PEAC,Lab,SL134,"stain, frozen section, H&E (1ml per slide)",ml,0.567,6,,XXX,,,
88305,PEAC,Lab,SL149,waterbath reagent,ml,0.002,3,,XXX,,,
88305,PEAC,Lab,SL151,xylenes solvent,ml,0.012,1000,,XXX,,,
88305,PEAC,"Office Supply, Grocery",SK073,skin marking ink (tattoo),ml,0.221,0.01,,XXX,,,
88305,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,2,,XXX,,,
88307,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,2,,XXX,,,
88307,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,,XXX,,,
88307,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,2,,XXX,,,
88307,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,XXX,,,
88307,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,XXX,,,
88307,PEAC,Infection Control,SM017,formaldehyde spill control,ml,0.005,500,,XXX,,,
88307,PEAC,Infection Control,SM027,"wipes, lens cleaning (per wipe) (Kimwipe)",item,0.013,11,,XXX,,,
88307,PEAC,Lab,SL004,alcohol reagent solvent,ml,0.011,1250,,XXX,,,
88307,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88307,PEAC,Lab,SL030,"cover slip, glass",item,0.079,12,,XXX,,,
88307,PEAC,Lab,SL034,"cup, biopsy-specimen 86oz",item,1.643,1,,XXX,,,
88307,PEAC,Lab,SL058,embedding cassette,item,0.159,10,,XXX,,,
88307,PEAC,Lab,SL060,embedding mold,item,0.149,10,,XXX,,,
88307,PEAC,Lab,SL061,embedding paraffin,kg,5.363,0.06,,XXX,,,
88307,PEAC,Lab,SL063,eosin y,gm,0.801,12,,XXX,,,
88307,PEAC,Lab,SL067,fixative (Bouin's fluid),ml,0.034,10,,XXX,,,
88307,PEAC,Lab,SL068,fixative (for tissue specimen),ml,0.013,500,,XXX,,,
88307,PEAC,Lab,SL070,fixative processing (buffered formalin),ml,0.009,78,,XXX,,,
88307,PEAC,Lab,SL078,histology freezing spray (Freeze-It),oz,1.443,0.13,,XXX,,,
88307,PEAC,Lab,SL085,label for microscope slides,item,0.026,12,,XXX,,,
88307,PEAC,Lab,SL093,"mold release agent, liquid",ml,0.062,2.5,,XXX,,,
88307,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,7,,XXX,,,
88307,PEAC,Lab,SL122,"slide, microscope",item,0.055,12,,XXX,,,
88307,PEAC,Lab,SL135,"stain, hematoxylin",ml,0.044,12,,XXX,,,
88307,PEAC,Lab,SL149,waterbath reagent,ml,0.002,15,,XXX,,,
88307,PEAC,Lab,SL151,xylenes solvent,ml,0.012,2000,,XXX,,,
88307,PEAC,"Office Supply, Grocery",SK073,skin marking ink (tattoo),ml,0.221,1,,XXX,,,
88307,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,2,,XXX,,,
88309,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,2,,XXX,,,
88309,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,3,,XXX,,,
88309,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,2,,XXX,,,
88309,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,XXX,,,
88309,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,XXX,,,
88309,PEAC,Infection Control,SM017,formaldehyde spill control,ml,0.005,750,,XXX,,,
88309,PEAC,Infection Control,SM027,"wipes, lens cleaning (per wipe) (Kimwipe)",item,0.013,15,,XXX,,,
88309,PEAC,Lab,SL004,alcohol reagent solvent,ml,0.011,1875,,XXX,,,
88309,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88309,PEAC,Lab,SL030,"cover slip, glass",item,0.079,15,,XXX,,,
88309,PEAC,Lab,SL034,"cup, biopsy-specimen 86oz",item,1.643,1,,XXX,,,
88309,PEAC,Lab,SL058,embedding cassette,item,0.159,15,,XXX,,,
88309,PEAC,Lab,SL060,embedding mold,item,0.149,15,,XXX,,,
88309,PEAC,Lab,SL061,embedding paraffin,kg,5.363,0.09,,XXX,,,
88309,PEAC,Lab,SL063,eosin y,gm,0.801,15,,XXX,,,
88309,PEAC,Lab,SL067,fixative (Bouin's fluid),ml,0.034,15,,XXX,,,
88309,PEAC,Lab,SL068,fixative (for tissue specimen),ml,0.013,750,,XXX,,,
88309,PEAC,Lab,SL070,fixative processing (buffered formalin),ml,0.009,120,,XXX,,,
88309,PEAC,Lab,SL078,histology freezing spray (Freeze-It),oz,1.443,0.2,,XXX,,,
88309,PEAC,Lab,SL085,label for microscope slides,item,0.026,15,,XXX,,,
88309,PEAC,Lab,SL093,"mold release agent, liquid",ml,0.062,5,,XXX,,,
88309,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,10,,XXX,,,
88309,PEAC,Lab,SL122,"slide, microscope",item,0.055,15,,XXX,,,
88309,PEAC,Lab,SL135,"stain, hematoxylin",ml,0.044,15,,XXX,,,
88309,PEAC,Lab,SL149,waterbath reagent,ml,0.002,225,,XXX,,,
88309,PEAC,Lab,SL151,xylenes solvent,ml,0.012,2500,,XXX,,,
88309,PEAC,"Office Supply, Grocery",SK073,skin marking ink (tattoo),ml,0.221,1,,XXX,,,
88309,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,2,,XXX,,,
88311,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,XXX,,,
88311,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,,,
88311,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,XXX,,,
88311,PEAC,Lab,SL045,decalcifier solution,ml,0.017,40,,XXX,,,
88311,PEAC,Lab,SL085,label for microscope slides,item,0.026,1,,XXX,,,
88312,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88312,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,,,
88312,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,,
88312,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,XXX,,,
88312,PEAC,Lab,SL026,clearing agent (Histo-clear),ml,0.008,4,,XXX,,,
88312,PEAC,Lab,SL029,counterstain (neutral red soln),ml,0.656,0.4,,XXX,,,
88312,PEAC,Lab,SL030,"cover slip, glass",item,0.079,2,,XXX,,,
88312,PEAC,Lab,SL085,label for microscope slides,item,0.026,2,,XXX,,,
88312,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,1,,XXX,,,
88312,PEAC,Lab,SL109,"pipette, transfer 23ml",item,0.338,3,,XXX,,,
88312,PEAC,Lab,SL112,positive control slide,item,11.8,1,,XXX,,,
88312,PEAC,Lab,SL122,"slide, microscope",item,0.055,2,,XXX,,,
88312,PEAC,Lab,SL133,"stain kit, PAS (per slide)",item,16.1,2,,XXX,,,
88313,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88313,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,,,
88313,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,,
88313,PEAC,Lab,SL026,clearing agent (Histo-clear),ml,0.008,8,,XXX,,,
88313,PEAC,Lab,SL029,counterstain (neutral red soln),ml,0.656,0.4,,XXX,,,
88313,PEAC,Lab,SL030,"cover slip, glass",item,0.079,2,,XXX,,,
88313,PEAC,Lab,SL085,label for microscope slides,item,0.026,2,,XXX,,,
88313,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,1,,XXX,,,
88313,PEAC,Lab,SL109,"pipette, transfer 23ml",item,0.338,3,,XXX,,,
88313,PEAC,Lab,SL112,positive control slide,item,11.8,1,,XXX,,,
88313,PEAC,Lab,SL122,"slide, microscope",item,0.055,2,,XXX,,,
88313,PEAC,Lab,SL133,"stain kit, PAS (per slide)",item,16.1,2,,XXX,,,
88313,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
88314,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88314,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,,,
88314,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,,
88314,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,XXX,,,
88314,PEAC,Lab,SL029,counterstain (neutral red soln),ml,0.656,0.4,,XXX,,,
88314,PEAC,Lab,SL030,"cover slip, glass",item,0.079,2,,XXX,,,
88314,PEAC,Lab,SL056,dry ice,lb,0.96,1,,XXX,,,
88314,PEAC,Lab,SL078,histology freezing spray (Freeze-It),oz,1.443,0.4,,XXX,,,
88314,PEAC,Lab,SL085,label for microscope slides,item,0.026,2,,XXX,,,
88314,PEAC,Lab,SL091,methylbutane (Isopentane),ml,0.021,300,,XXX,,,
88314,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,1,,XXX,,,
88314,PEAC,Lab,SL109,"pipette, transfer 23ml",item,0.338,3,,XXX,,,
88314,PEAC,Lab,SL112,positive control slide,item,11.8,1,,XXX,,,
88314,PEAC,Lab,SL122,"slide, microscope",item,0.055,2,,XXX,,,
88314,PEAC,Lab,SL132,"stain kit, oil red O (per slide)",item,4.025,2,,XXX,,,
88314,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
88318,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88318,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,,,
88318,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,,
88318,PEAC,Lab,SL028,copper (ref std soln),ml,0.104,2,,XXX,,,
88318,PEAC,Lab,SL029,counterstain (neutral red soln),ml,0.656,0.4,,XXX,,,
88318,PEAC,Lab,SL030,"cover slip, glass",item,0.079,2,,XXX,,,
88318,PEAC,Lab,SL085,label for microscope slides,item,0.026,2,,XXX,,,
88318,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,1,,XXX,,,
88318,PEAC,Lab,SL109,"pipette, transfer 23ml",item,0.338,3,,XXX,,,
88318,PEAC,Lab,SL112,positive control slide,item,11.8,1,,XXX,,,
88318,PEAC,Lab,SL122,"slide, microscope",item,0.055,2,,XXX,,,
88318,PEAC,Lab,SL131,"stain kit, copper (per slide)",item,19.9,2,,XXX,,,
88318,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
88319,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88319,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,,,
88319,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,,
88319,PEAC,Lab,SL029,counterstain (neutral red soln),ml,0.656,0.4,,XXX,,,
88319,PEAC,Lab,SL030,"cover slip, glass",item,0.079,2,,XXX,,,
88319,PEAC,Lab,SL062,enzyme reagent (DAB),ml,0.552,2,,XXX,,,
88319,PEAC,Lab,SL085,label for microscope slides,item,0.026,2,,XXX,,,
88319,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,1,,XXX,,,
88319,PEAC,Lab,SL109,"pipette, transfer 23ml",item,0.338,3,,XXX,,,
88319,PEAC,Lab,SL112,positive control slide,item,11.8,1,,XXX,,,
88319,PEAC,Lab,SL122,"slide, microscope",item,0.055,2,,XXX,,,
88319,PEAC,Lab,SL133,"stain kit, PAS (per slide)",item,16.1,2,,XXX,,,
88319,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
88321,PEAC,Lab,SL085,label for microscope slides,item,0.026,10,,XXX,,,
88323,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88323,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,,,
88323,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,,
88323,PEAC,Infection Control,SM027,"wipes, lens cleaning (per wipe) (Kimwipe)",item,0.013,6,,XXX,,,
88323,PEAC,Lab,SL006,"alcohol, ethyl, denatured",ml,0.036,572,,XXX,,,
88323,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88323,PEAC,Lab,SL030,"cover slip, glass",item,0.079,12,,XXX,,,
88323,PEAC,Lab,SL063,eosin y,gm,0.801,2.4,,XXX,,,
88323,PEAC,Lab,SL078,histology freezing spray (Freeze-It),oz,1.443,0.8,,XXX,,,
88323,PEAC,Lab,SL085,label for microscope slides,item,0.026,20,,XXX,,,
88323,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,3,,XXX,,,
88323,PEAC,Lab,SL122,"slide, microscope",item,0.055,12,,XXX,,,
88323,PEAC,Lab,SL135,"stain, hematoxylin",ml,0.044,4.8,,XXX,,,
88323,PEAC,Lab,SL149,waterbath reagent,ml,0.002,15,,XXX,,,
88323,PEAC,Lab,SL151,xylenes solvent,ml,0.012,500,,XXX,,,
88325,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88325,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,,,
88325,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,,
88325,PEAC,Infection Control,SM027,"wipes, lens cleaning (per wipe) (Kimwipe)",item,0.013,6,,XXX,,,
88325,PEAC,Lab,SL006,"alcohol, ethyl, denatured",ml,0.036,572,,XXX,,,
88325,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88325,PEAC,Lab,SL030,"cover slip, glass",item,0.079,12,,XXX,,,
88325,PEAC,Lab,SL063,eosin y,gm,0.801,2.4,,XXX,,,
88325,PEAC,Lab,SL078,histology freezing spray (Freeze-It),oz,1.443,0.8,,XXX,,,
88325,PEAC,Lab,SL085,label for microscope slides,item,0.026,20,,XXX,,,
88325,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,3,,XXX,,,
88325,PEAC,Lab,SL122,"slide, microscope",item,0.055,12,,XXX,,,
88325,PEAC,Lab,SL135,"stain, hematoxylin",ml,0.044,4.8,,XXX,,,
88325,PEAC,Lab,SL149,waterbath reagent,ml,0.002,15,,XXX,,,
88325,PEAC,Lab,SL151,xylenes solvent,ml,0.012,500,,XXX,,,
88329,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,XXX,,,
88329,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,2,,XXX,,,
88329,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,,
88329,PEAC,"Gown, Drape",SB030,"lab coat, staff",item,4.522,1,,XXX,,,
88329,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,XXX,,,
88329,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88329,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,2,,XXX,,,
88331,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88331,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,XXX,,,
88331,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,2,,XXX,,,
88331,PEAC,"Gown, Drape",SB030,"lab coat, staff",item,4.522,1,,XXX,,,
88331,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,XXX,,,
88331,PEAC,Infection Control,SM027,"wipes, lens cleaning (per wipe) (Kimwipe)",item,0.013,1,,XXX,,,
88331,PEAC,Lab,SL020,bleach,ml,0.001,50,,XXX,,,
88331,PEAC,Lab,SL030,"cover slip, glass",item,0.079,2,,XXX,,,
88331,PEAC,Lab,SL058,embedding cassette,item,0.159,1,,XXX,,,
88331,PEAC,Lab,SL078,histology freezing spray (Freeze-It),oz,1.443,0.1,,XXX,,,
88331,PEAC,Lab,SL085,label for microscope slides,item,0.026,2,,XXX,,,
88331,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,0.2,,XXX,,,
88331,PEAC,Lab,SL097,OCT Tissue-Tek,ml,0.06,2,,XXX,,,
88331,PEAC,Lab,SL122,"slide, microscope",item,0.055,2,,XXX,,,
88331,PEAC,Lab,SL134,"stain, frozen section, H&E (1ml per slide)",ml,0.567,1,,XXX,,,
88331,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,2,,XXX,,,
88332,PEAC,Infection Control,SM027,"wipes, lens cleaning (per wipe) (Kimwipe)",item,0.013,1,,XXX,,,
88332,PEAC,Lab,SL030,"cover slip, glass",item,0.079,2,,XXX,,,
88332,PEAC,Lab,SL058,embedding cassette,item,0.159,1,,XXX,,,
88332,PEAC,Lab,SL078,histology freezing spray (Freeze-It),oz,1.443,0.1,,XXX,,,
88332,PEAC,Lab,SL085,label for microscope slides,item,0.026,2,,XXX,,,
88332,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,0.2,,XXX,,,
88332,PEAC,Lab,SL097,OCT Tissue-Tek,ml,0.06,2,,XXX,,,
88332,PEAC,Lab,SL122,"slide, microscope",item,0.055,2,,XXX,,,
88332,PEAC,Lab,SL134,"stain, frozen section, H&E (1ml per slide)",ml,0.567,1,,XXX,,,
88333,RUC,Lab,SL095,mounting media (Histomount),ml,0.035,0.2,0,XXX,,RUC05,
88333,RUC,Lab,SL030,"cover slip, glass",item,0.079,10,0,XXX,,RUC05,
88333,RUC,Lab,SL122,"slide, microscope",item,0.055,10,0,XXX,,RUC05,
88333,RUC,Lab,SL231,"kit, stain, H&E",kit,98.02,0.1,0,XXX,RUC05,RUC05,
88333,RUC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,2,0,XXX,88170,RUC05,
88333,RUC,"Gown, Drape",SB030,"lab coat, staff",item,4.522,1,0,XXX,,RUC05,
88333,RUC,Lab,SL085,label for microscope slides,item,0.026,1,0,XXX,,RUC05,
88333,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,XXX,,RUC05,
88333,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,XXX,,RUC05,
88333,RUC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,2,0,XXX,,RUC05,
88333,RUC,Lab,SL020,bleach,ml,0.001,50,0,XXX,88170,RUC05,
88333,RUC,Infection Control,SM027,"wipes, lens cleaning (per wipe) (Kimwipe)",item,0.013,1,0,XXX,,RUC05,
88334,RUC,Lab,SL095,mounting media (Histomount),ml,0.035,0.2,0,XXX,,RUC05,
88334,RUC,Lab,SL030,"cover slip, glass",item,0.079,10,0,XXX,,RUC05,
88334,RUC,Lab,SL122,"slide, microscope",item,0.055,10,0,XXX,,RUC05,
88334,RUC,Lab,SL231,"kit, stain, H&E",kit,98.02,0.1,0,XXX,RUC05,RUC05,
88334,RUC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,2,0,XXX,88170,RUC05,
88334,RUC,Lab,SL085,label for microscope slides,item,0.026,1,0,XXX,,RUC05,
88334,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,XXX,,RUC05,
88334,RUC,Lab,SL020,bleach,ml,0.001,50,0,XXX,88170,RUC05,
88334,RUC,Infection Control,SM027,"wipes, lens cleaning (per wipe) (Kimwipe)",item,0.013,1,0,XXX,,RUC05,
88342,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88342,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,,,
88342,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,,
88342,PEAC,Lab,SL002,AEC buffer,ml,0.653,2,,XXX,,,
88342,PEAC,Lab,SL003,AEC chromogen,ml,18.667,0.12,,XXX,,,
88342,PEAC,Lab,SL011,antibody HMB-45,ml,26.6,0.12,,XXX,,,
88342,PEAC,Lab,SL017,background block,ml,0.245,5,,XXX,,,
88342,PEAC,Lab,SL019,"biotinylated link (mouse, rabbit)",ml,1.995,0.4,,XXX,,,
88342,PEAC,Lab,SL026,clearing agent (Histo-clear),ml,0.008,16,,XXX,,,
88342,PEAC,Lab,SL030,"cover slip, glass",item,0.079,4,,XXX,,,
88342,PEAC,Lab,SL077,hematoxylin reagent,ml,0.32,8,,XXX,,,
88342,PEAC,Lab,SL085,label for microscope slides,item,0.026,4,,XXX,,,
88342,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,2,,XXX,,,
88342,PEAC,Lab,SL102,peroxide block,ml,0.049,50,,XXX,,,
88342,PEAC,Lab,SL106,phosphate buffered saline packet (Zeus),item,2.09,1,,XXX,,,
88342,PEAC,Lab,SL112,positive control slide,item,11.8,1,,XXX,,,
88342,PEAC,Lab,SL122,"slide, microscope",item,0.055,4,,XXX,,,
88342,PEAC,Lab,SL142,streptavidin label,ml,3.98,0.4,,XXX,,,
88342,PEAC,Lab,SL145,tissue revival soln,ml,0.039,50,,XXX,,,
88346,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88346,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,3,,XXX,,,
88346,PEAC,"Gown, Drape",SB030,"lab coat, staff",item,4.522,1,,XXX,,,
88346,PEAC,Lab,SL001,acetone,ml,0.014,9.9,,XXX,,,
88346,PEAC,Lab,SL009,antibody C3,ml,52.05,0.11,,XXX,,,
88346,PEAC,Lab,SL012,antibody IgA FITC,ml,71.4,0.11,,XXX,,,
88346,PEAC,Lab,SL013,antibody IgG FITC,ml,62.2,0.11,,XXX,,,
88346,PEAC,Lab,SL015,antibody IgM FITC,ml,62.2,0.11,,XXX,,,
88346,PEAC,Lab,SL030,"cover slip, glass",item,0.079,3,,XXX,,,
88346,PEAC,Lab,SL069,fixative (Michel's),ml,0.151,25,,XXX,,,
88346,PEAC,Lab,SL078,histology freezing spray (Freeze-It),oz,1.443,0.33,,XXX,,,
88346,PEAC,Lab,SL085,label for microscope slides,item,0.026,3,,XXX,,,
88346,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,1,,XXX,,,
88346,PEAC,Lab,SL096,negative control (anti-albumin),ml,41.75,0.1,,XXX,,,
88346,PEAC,Lab,SL097,OCT Tissue-Tek,ml,0.06,1,,XXX,,,
88346,PEAC,Lab,SL106,phosphate buffered saline packet (Zeus),item,2.09,1,,XXX,,,
88346,PEAC,Lab,SL117,protein blocking agent,ml,0.894,1,,XXX,,,
88346,PEAC,Lab,SL122,"slide, microscope",item,0.055,3,,XXX,,,
88346,PEAC,Lab,SL134,"stain, frozen section, H&E (1ml per slide)",ml,0.567,1,,XXX,,,
88346,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
88347,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88347,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,4,,XXX,,,
88347,PEAC,"Gown, Drape",SB030,"lab coat, staff",item,4.522,1,,XXX,,,
88347,PEAC,Lab,SL013,antibody IgG FITC,ml,62.2,0.22,,XXX,,,
88347,PEAC,Lab,SL014,antibody IgG1 FITC anti-human (each test),item,2.3,1,,XXX,,,
88347,PEAC,Lab,SL030,"cover slip, glass",item,0.079,3,,XXX,,,
88347,PEAC,Lab,SL085,label for microscope slides,item,0.026,3,,XXX,,,
88347,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,1,,XXX,,,
88347,PEAC,Lab,SL096,negative control (anti-albumin),ml,41.75,0.1,,XXX,,,
88347,PEAC,Lab,SL117,protein blocking agent,ml,0.894,1,,XXX,,,
88347,PEAC,Lab,SL122,"slide, microscope",item,0.055,3,,XXX,,,
88347,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
88348,PEAC,"Accessory, Procedure",SD082,"gas, liquid nitrogen",ml,0.003,2000,0,XXX,,Mar03,19
88348,PEAC,"Accessory, Procedure",SD086,grids,item,0.11,4,0,XXX,,Mar03,19
88348,PEAC,"Cutters, Closures, Cautery",SF005,"blade, single edge",item,0.261,2,0,XXX,,Mar03,19
88348,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,6,0,XXX,,Mar03,19
88348,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,0,XXX,,Mar03,19
88348,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,2,0,XXX,,Mar03,19
88348,PEAC,"Hypodermic, IV",SC095,syringe filter,item,2.04,4,0,XXX,,Mar03,19
88348,PEAC,Infection Control,SM027,"wipes, lens cleaning (per wipe) (Kimwipe)",item,0.013,6,0,XXX,,Mar03,19
88348,PEAC,Lab,SL018,"beaker, 250 ml",item,0.854,3,0,XXX,,Mar03,19
88348,PEAC,Lab,SL025,chloroform,ml,0.027,0.1,0,XXX,,Mar03,19
88348,PEAC,Lab,SL030,"cover slip, glass",item,0.079,8,0,XXX,,Mar03,19
88348,PEAC,Lab,SL044,DDSA,gm,0.042,3,0,XXX,,Mar03,19
88348,PEAC,Lab,SL050,DMP 30,gm,0.236,0.4,0,XXX,,Mar03,19
88348,PEAC,Lab,SL057,embedding capsules,item,0.045,8,0,XXX,,Mar03,19
88348,PEAC,Lab,SL059,embedding epoxy (NMA),ml,0.036,7,0,XXX,,Mar03,19
88348,PEAC,Lab,SL064,"filter paper, qualitative, <15.0cm",item,0.125,2,0,XXX,,Mar03,19
88348,PEAC,Lab,SL074,glass strip (each),item,3.167,0.25,0,XXX,,Mar03,19
88348,PEAC,Lab,SL075,glutaraldehyde 25%,ml,0.148,5,0,XXX,,Mar03,19
88348,PEAC,Lab,SL079,"hydrochloric acid 0.1%, std soln",ml,0.017,0.03,0,XXX,,Mar03,19
88348,PEAC,Lab,SL085,label for microscope slides,item,0.026,11,0,XXX,,Mar03,19
88348,PEAC,Lab,SL087,lens paper,item,0.027,1,0,XXX,,Mar03,19
88348,PEAC,Lab,SL088,lint-free cloth,item,0.183,1,0,XXX,,Mar03,19
88348,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,2,0,XXX,,Mar03,19
88348,PEAC,Lab,SL098,osmium tetroxide,gm,35,0.06,0,XXX,,Mar03,19
88348,PEAC,Lab,SL103,petri dish,item,0.132,1,0,XXX,,Mar03,19
88348,PEAC,Lab,SL108,pipette,item,0.033,2,0,XXX,,Mar03,19
88348,PEAC,Lab,SL111,Poly Bed 812,gm,0.061,10,0,XXX,,Mar03,19
88348,PEAC,Lab,SL116,propylene oxide,ml,0.031,30,0,XXX,,Mar03,19
88348,PEAC,Lab,SL122,"slide, microscope",item,0.055,8,0,XXX,,Mar03,19
88348,PEAC,Lab,SL125,sodium cacodylate,gm,0.48,0.5,0,XXX,,Mar03,19
88348,PEAC,Lab,SL127,sodium citrate,gm,0.018,0.1,0,XXX,,Mar03,19
88348,PEAC,Lab,SL128,sodium hydroxide,gm,0.064,1,0,XXX,,Mar03,19
88348,PEAC,Lab,SL147,uranyl acetate,gm,3.16,0.2,0,XXX,,Mar03,19
88348,PEAC,Lab,SL154,alcohol ethyl 100%,ml,0.028,20,0,XXX,,Mar03,19
88348,PEAC,Lab,SL155,"applicator, wood, 6.5in",item,0.0079,3,0,XXX,,Mar03,19
88348,PEAC,Lab,SL158,diamond knife cleaning rod,item,1,0.5,0,XXX,,Mar03,19
88348,PEAC,Lab,SL159,"gas, nitrogen",cu ft,2.708,1,0,XXX,,Mar03,19
88348,PEAC,Lab,SL160,glass knife boat,item,0.2,2,0,XXX,,Mar03,19
88348,PEAC,Lab,SL161,grid storage box (holds 50 grids),item,3.75,0.08,0,XXX,,Mar03,19
88348,PEAC,Lab,SL162,lead citrate,gm,0.51,0.01,0,XXX,,Mar03,19
88348,PEAC,Lab,SL164,osmometer sample tip and cleaner,item,0.534,3,0,XXX,,Mar03,19
88348,PEAC,Lab,SL165,"osmometer std, 50 mOsm-kg, 2ml amp",ml,17,0.05,0,XXX,,Mar03,19
88348,PEAC,Lab,SL166,"osmometer std, 850 mOsm-kg, 2ml amp",ml,17,0.05,0,XXX,,Mar03,19
88348,PEAC,Lab,SL167,"paper, weighing (glassine)",item,0.021,1,0,XXX,,Mar03,19
88348,PEAC,Lab,SL168,pipette bulb,item,0.2708,4,0,XXX,,Mar03,19
88348,PEAC,Lab,SL169,"pipette, 9inch",item,0.0537,4,0,XXX,,Mar03,19
88348,PEAC,Lab,SL170,sodium acetate,gm,0.064,0.1,0,XXX,,Mar03,19
88348,PEAC,Lab,SL171,sodium barbital,gm,0.3151,0.1,0,XXX,,Mar03,19
88348,PEAC,Lab,SL172,specimen block storage box,item,0.625,1,0,XXX,,Mar03,19
88348,PEAC,Lab,SL173,"sucrose, reagent",gm,0.037,0.6,0,XXX,,Mar03,19
88348,PEAC,Lab,SL174,Toluidine Blue O (for microscopy),gm,0.58,0.1,0,XXX,,Mar03,19
88348,PEAC,Lab,SL175,underpad 2ft x 2ft (lab bench),item,0.37715,1,0,XXX,,Mar03,19
88348,PEAC,Lab,SL176,"vial, specimen-sample, 4ml",item,0.55,1,0,XXX,,Mar03,19
88348,PEAC,Lab,SL177,wax sheet,item,0.2848,1,0,XXX,,Mar03,19
88348,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,18,0,XXX,,Mar03,19
88348,PEAC,"Office Supply, Grocery",SK065,photographic stop bath,oz,0.01,0.16,0,XXX,,Mar03,19
88348,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6.6,0,XXX,,Mar03,19
88348,PEAC,"Office Supply, Grocery",SK097,canned air (Dust-Off),oz,1.0208,0.006,0,XXX,,Mar03,19
88348,PEAC,"Office Supply, Grocery",SK099,Photo-Flo soln,ml,0.0214,1,0,XXX,,Mar03,19
88348,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,2,0,XXX,,Mar03,19
88349,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Mar03,19
88349,PEAC,Lab,SL018,"beaker, 250 ml",item,0.854,1,0,XXX,,Mar03,19
88349,PEAC,Lab,SL020,bleach,ml,0.001,1,0,XXX,,Mar03,19
88349,PEAC,Lab,SL023,carbon rod,item,3,0.05,0,XXX,,Mar03,19
88349,PEAC,Lab,SL064,"filter paper, qualitative, <15.0cm",item,0.125,1,0,XXX,,Mar03,19
88349,PEAC,Lab,SL087,lens paper,item,0.027,1,0,XXX,,Mar03,19
88349,PEAC,Lab,SL088,lint-free cloth,item,0.183,1,0,XXX,,Mar03,19
88349,PEAC,Lab,SL153,"adhesive, conductive (silver, liquid)",gm,3,0.1,0,XXX,,Mar03,19
88349,PEAC,Lab,SL155,"applicator, wood, 6.5in",item,0.0079,1,0,XXX,,Mar03,19
88349,PEAC,Lab,SL159,"gas, nitrogen",cu ft,2.708,0.72,0,XXX,,Mar03,19
88349,PEAC,Lab,SL163,"mount, carbon spectro-pure (for SEM)",item,0.5,1,0,XXX,,Mar03,19
88349,PEAC,Lab,SL168,pipette bulb,item,0.2708,1,0,XXX,,Mar03,19
88349,PEAC,Lab,SL169,"pipette, 9inch",item,0.0537,1,0,XXX,,Mar03,19
88349,PEAC,Lab,SL175,underpad 2ft x 2ft (lab bench),item,0.37715,1,0,XXX,,Mar03,19
88349,PEAC,Lab,SL176,"vial, specimen-sample, 4ml",item,0.55,1,0,XXX,,Mar03,19
88349,PEAC,"Office Supply, Grocery",SK072,sandpaper (per sheet),item,0.398,0.25,0,XXX,,Mar03,19
88349,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,1.6,0,XXX,,Mar03,19
88349,PEAC,"Wound Care, Dressings",SG081,"applicator, cotton-tipped, sterile, 6in",item,0.0562,1,0,XXX,,Mar03,19
88355,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,XXX,,Feb05,
88355,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,XXX,,Feb05,
88355,PEAC,"Accessory, Procedure",SD005,biopsy sponge (Histo-Prep),item,0.054,2,0,XXX,,Feb05,
88355,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,2,0,XXX,,Feb05,
88355,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,2,0,XXX,,Feb05,
88355,PEAC,"Office Supply, Grocery",SK073,skin marking ink (tattoo),ml,0.221,0.01,0,XXX,,Feb05,
88355,PEAC,Lab,SL004,alcohol reagent solvent,ml,0.011,250,0,XXX,,Feb05,
88355,PEAC,Lab,SL020,bleach,ml,0.001,50,0,XXX,,Feb05,
88355,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,0,XXX,,Feb05,
88355,PEAC,Lab,SL091,methylbutane (Isopentane),ml,0.021,300,0,XXX,,Feb05,
88355,PEAC,Lab,SL093,"mold release agent, liquid",ml,0.062,0.5,0,XXX,,Feb05,
88355,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,3,0,XXX,,Feb05,
88355,PEAC,Lab,SL097,OCT Tissue-Tek,ml,0.06,2,0,XXX,,Feb05,
88355,PEAC,Lab,SL134,"stain, frozen section, H&E (1ml per slide)",ml,0.567,6,0,XXX,,Feb05,
88355,PEAC,Lab,SL149,waterbath reagent,ml,0.002,3,0,XXX,,Feb05,
88355,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,0,XXX,,Feb05,
88355,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,3,0,XXX,,Feb05,
88355,PEAC,Lab,SL026,clearing agent (Histo-clear),ml,0.008,12,0,XXX,,Feb05,
88355,PEAC,Lab,SL030,"cover slip, glass",item,0.079,3,0,XXX,,Feb05,
88355,PEAC,Lab,SL031,"cover slip, liquid (M-1)",ml,0.039,0.1,0,XXX,,Feb05,
88355,PEAC,Lab,SL085,label for microscope slides,item,0.026,2,0,XXX,,Feb05,
88355,PEAC,Lab,SL090,"methanol, absolute, 99.8% min.",ml,0.025,1.5,0,XXX,,Feb05,
88355,PEAC,Lab,SL108,pipette,item,0.033,1,0,XXX,,Feb05,
88355,PEAC,Lab,SL122,"slide, microscope",item,0.055,2,0,XXX,,Feb05,
88355,PEAC,Lab,SL135,"stain, hematoxylin",ml,0.044,5.4,0,XXX,,Feb05,
88355,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,6,0,XXX,,Feb05,
88355,PEAC,Lab,SL060,embedding mold,item,0.149,1,0,XXX,,Feb05,
88355,PEAC,Lab,SL061,embedding paraffin,kg,5.363,0.012,0,XXX,,Feb05,
88355,PEAC,Lab,SL068,fixative (for tissue specimen),ml,0.013,50,0,XXX,,Feb05,
88355,PEAC,Lab,SL070,fixative processing (buffered formalin),ml,0.009,16,0,XXX,,Feb05,
88355,PEAC,Lab,SL078,histology freezing spray (Freeze-It),oz,1.443,0.2,0,XXX,,Feb05,
88355,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,2,0,XXX,,Feb05,
88355,PEAC,Lab,SL005,"alcohol, acid",ml,0.004,5.4,0,XXX,,Feb05,
88355,PEAC,Lab,SL058,embedding cassette,item,0.159,1,0,XXX,,Feb05,
88355,PEAC,Lab,SL151,xylenes solvent,ml,0.012,1000,0,XXX,,Feb05,
88355,PEAC,Infection Control,SM017,formaldehyde spill control,ml,0.005,100,0,XXX,,Feb05,
88355,PEAC,Infection Control,SM027,"wipes, lens cleaning (per wipe) (Kimwipe)",item,0.013,2,0,XXX,,Feb05,
88355,PEAC,"Office Supply, Grocery",SK103,"cork sheet, 1cm x 1 cm",item,0.02,4,0,XXX,,Feb05,
88355,PEAC,"Office Supply, Grocery",SK104,"foil, aluminum, 10 cm x 10 cm",item,0.02,1,0,XXX,,Feb05,
88355,PEAC,Lab,SL188,"EM fixative, karnovsky's",ml,0.086,15,0,XXX,,Feb05,
88355,PEAC,Lab,SL199,"lithium carbonate, saturated",ml,0.01,5.4,0,XXX,,Feb05,
88355,PEAC,Lab,SL201,"stain, eosin",ml,0.0436,5.4,0,XXX,,Feb05,
88355,PEAC,Lab,SL203,"vial, 10 ml, plastic (-70 degree storage)",item,1.016,1,0,XXX,,Feb05,
88355,PEAC,Lab,SL204,"vial, kimble sample, non sterile, glass, 20 ml",item,0.708,1,0,XXX,,Feb05,
88355,PEAC,Lab,SL198,"label, vial",item,0.0027,2,0,XXX,,Feb05,
88356,PEAC,Lab,SL188,"EM fixative, karnovsky's",ml,0.086,15,0,XXX,,Feb05,
88356,PEAC,Lab,SL199,"lithium carbonate, saturated",ml,0.01,5.4,0,XXX,,Feb05,
88356,PEAC,Lab,SL201,"stain, eosin",ml,0.0436,5.4,0,XXX,,Feb05,
88356,PEAC,Lab,SL204,"vial, kimble sample, non sterile, glass, 20 ml",item,0.708,1,0,XXX,,Feb05,
88356,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,8,0,XXX,,Feb05,
88356,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,XXX,,Feb05,
88356,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,XXX,,Feb05,
88356,PEAC,"Accessory, Procedure",SD005,biopsy sponge (Histo-Prep),item,0.054,2,0,XXX,Feb05,Feb05,
88356,PEAC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,0,XXX,Feb05,Feb05,
88356,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,XXX,Feb05,Feb05,
88356,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,2,0,XXX,,Feb05,
88356,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,5,0,XXX,,Feb05,
88356,PEAC,"Office Supply, Grocery",SK073,skin marking ink (tattoo),ml,0.221,0.01,0,XXX,,Feb05,
88356,PEAC,Lab,SL004,alcohol reagent solvent,ml,0.011,250,0,XXX,,Feb05,
88356,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,0,XXX,88170,Feb05,
88356,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,2,0,XXX,Feb05,Feb05,
88356,PEAC,"Hypodermic, IV",SC095,syringe filter,item,2.04,4,0,XXX,Feb05,Feb05,
88356,PEAC,"Accessory, Procedure",SD086,grids,item,0.11,4,0,XXX,Feb05,Feb05,
88356,PEAC,"Cutters, Closures, Cautery",SF005,"blade, single edge",item,0.261,2,0,XXX,Feb05,Feb05,
88356,PEAC,Lab,SL005,"alcohol, acid",ml,0.004,5.4,0,XXX,,Feb05,
88356,PEAC,Lab,SL020,bleach,ml,0.001,50,0,XXX,,Feb05,
88356,PEAC,Lab,SL026,clearing agent (Histo-clear),ml,0.008,12,0,XXX,,Feb05,
88356,PEAC,Lab,SL030,"cover slip, glass",item,0.079,11,0,XXX,,Feb05,
88356,PEAC,Lab,SL031,"cover slip, liquid (M-1)",ml,0.039,0.1,0,XXX,,Feb05,
88356,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,0,XXX,,Feb05,
88356,PEAC,Lab,SL058,embedding cassette,item,0.159,1,0,XXX,,Feb05,
88356,PEAC,Lab,SL060,embedding mold,item,0.149,1,0,XXX,,Feb05,
88356,PEAC,Lab,SL061,embedding paraffin,kg,5.363,0.012,0,XXX,,Feb05,
88356,PEAC,Lab,SL068,fixative (for tissue specimen),ml,0.013,50,0,XXX,,Feb05,
88356,PEAC,Lab,SL070,fixative processing (buffered formalin),ml,0.009,16,0,XXX,,Feb05,
88356,PEAC,Lab,SL078,histology freezing spray (Freeze-It),oz,1.443,0.2,0,XXX,,Feb05,
88356,PEAC,Lab,SL085,label for microscope slides,item,0.026,14,0,XXX,,Feb05,
88356,PEAC,Lab,SL090,"methanol, absolute, 99.8% min.",ml,0.025,1.5,0,XXX,,Feb05,
88356,PEAC,Lab,SL093,"mold release agent, liquid",ml,0.062,0.5,0,XXX,,Feb05,
88356,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,5,0,XXX,,Feb05,
88356,PEAC,Lab,SL108,pipette,item,0.033,1,3,XXX,,Feb05,
88356,PEAC,Lab,SL122,"slide, microscope",item,0.055,14,0,XXX,,Feb05,
88356,PEAC,Lab,SL134,"stain, frozen section, H&E (1ml per slide)",ml,0.567,6,0,XXX,,Feb05,
88356,PEAC,Lab,SL135,"stain, hematoxylin",ml,0.044,5.4,0,XXX,,Feb05,
88356,PEAC,Lab,SL149,waterbath reagent,ml,0.002,3,0,XXX,,Feb05,
88356,PEAC,Lab,SL151,xylenes solvent,ml,0.012,1000,0,XXX,,Feb05,
88356,PEAC,Infection Control,SM017,formaldehyde spill control,ml,0.005,100,0,XXX,,Feb05,
88356,PEAC,Infection Control,SM027,"wipes, lens cleaning (per wipe) (Kimwipe)",item,0.013,8,0,XXX,,Feb05,
88356,PEAC,Lab,SL018,"beaker, 250 ml",item,0.854,3,0,XXX,,Feb05,
88356,PEAC,Lab,SL025,chloroform,ml,0.027,0.1,0,XXX,,Feb05,
88356,PEAC,Lab,SL044,DDSA,gm,0.042,3,0,XXX,,Feb05,
88356,PEAC,Lab,SL050,DMP 30,gm,0.236,0.4,0,XXX,,Feb05,
88356,PEAC,Lab,SL057,embedding capsules,item,0.045,8,0,XXX,,Feb05,
88356,PEAC,Lab,SL059,embedding epoxy (NMA),ml,0.036,7,0,XXX,,Feb05,
88356,PEAC,Lab,SL064,"filter paper, qualitative, <15.0cm",item,0.125,2,0,XXX,,Feb05,
88356,PEAC,Lab,SL074,glass strip (each),item,3.167,0.25,0,XXX,,Feb05,
88356,PEAC,Lab,SL075,glutaraldehyde 25%,ml,0.148,5,0,XXX,,Feb05,
88356,PEAC,Lab,SL079,"hydrochloric acid 0.1%, std soln",ml,0.017,0.03,0,XXX,,Feb05,
88356,PEAC,Lab,SL087,lens paper,item,0.027,1,0,XXX,,Feb05,
88356,PEAC,Lab,SL088,lint-free cloth,item,0.183,1,0,XXX,,Feb05,
88356,PEAC,Lab,SL098,osmium tetroxide,gm,35,0.06,0,XXX,,Feb05,
88356,PEAC,Lab,SL103,petri dish,item,0.132,1,0,XXX,,Feb05,
88356,PEAC,Lab,SL111,Poly Bed 812,gm,0.061,10,0,XXX,,Feb05,
88356,PEAC,Lab,SL116,propylene oxide,ml,0.031,30,0,XXX,,Feb05,
88356,PEAC,Lab,SL160,glass knife boat,item,0.2,2,0,XXX,,Feb05,
88356,PEAC,Lab,SL161,grid storage box (holds 50 grids),item,3.75,0.08,0,XXX,,Feb05,
88356,PEAC,Lab,SL167,"paper, weighing (glassine)",item,0.021,1,0,XXX,,Feb05,
88356,PEAC,Lab,SL168,pipette bulb,item,0.2708,4,0,XXX,,Feb05,
88356,PEAC,Lab,SL169,"pipette, 9inch",item,0.0537,4,0,XXX,,Feb05,
88356,PEAC,Lab,SL172,specimen block storage box,item,0.625,1,0,XXX,,Feb05,
88356,PEAC,Lab,SL173,"sucrose, reagent",gm,0.037,0.6,0,XXX,,Feb05,
88356,PEAC,Lab,SL174,Toluidine Blue O (for microscopy),gm,0.58,0.1,0,XXX,,Feb05,
88356,PEAC,Lab,SL175,underpad 2ft x 2ft (lab bench),item,0.37715,1,0,XXX,,Feb05,
88356,PEAC,Lab,SL176,"vial, specimen-sample, 4ml",item,0.55,1,0,XXX,,Feb05,
88356,PEAC,Lab,SL177,wax sheet,item,0.2848,1,0,XXX,,Feb05,
88358,RUC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88358,RUC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,,,
88358,RUC,Infection Control,SM016,"eye shield, splash protection",item,1.471,1,,XXX,,,
88358,RUC,Lab,SL005,"alcohol, acid",ml,0.004,0.2,,XXX,,,
88358,RUC,Lab,SL030,"cover slip, glass",item,0.079,3,,XXX,,,
88358,RUC,Lab,SL051,DNA 0.05N HCl rinse reagent,ml,0.004,0.2,,XXX,,,
88358,RUC,Lab,SL052,DNA 0.1N HCl staining soln,ml,0.004,0.2,,XXX,,,
88358,RUC,Lab,SL053,DNA 5N HCl,ml,0.004,0.2,,XXX,,,
88358,RUC,Lab,SL054,DNA calibration slides,item,1.25,1,,XXX,,,
88358,RUC,Lab,SL055,DNA stain kit (per test),item,150,0.1,,XXX,,,
88358,RUC,Lab,SL085,label for microscope slides,item,0.026,3,,XXX,,,
88358,RUC,Lab,SL112,positive control slide,item,11.8,1,,XXX,,,
88358,RUC,Lab,SL122,"slide, microscope",item,0.055,2,,XXX,,,
88358,RUC,Lab,SL135,"stain, hematoxylin",ml,0.044,5,,XXX,,,
88360,RUC,Lab,SL085,label for microscope slides,item,0.026,7,,XXX,,,
88360,RUC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88360,RUC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,,,
88360,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,,
88360,RUC,Infection Control,SM016,"eye shield, splash protection",item,1.471,1,,XXX,,,
88360,RUC,Lab,SL002,AEC buffer,ml,0.653,2,,XXX,,,
88360,RUC,Lab,SL010,antibody FITC monoclonal conjugate (each test),item,3.544,1,,XXX,,,
88360,RUC,Lab,SL019,"biotinylated link (mouse, rabbit)",ml,1.995,0.4,,XXX,,,
88360,RUC,Lab,SL077,hematoxylin reagent,ml,0.32,8,,XXX,,,
88360,RUC,Lab,SL003,AEC chromogen,ml,18.667,0.12,,XXX,,,
88360,RUC,Lab,SL095,mounting media (Histomount),ml,0.035,2,,XXX,,,
88360,RUC,Lab,SL102,peroxide block,ml,0.049,50,,XXX,,,
88360,RUC,Lab,SL106,phosphate buffered saline packet (Zeus),item,2.09,1,,XXX,,,
88360,RUC,Lab,SL112,positive control slide,item,11.8,2,,XXX,,,
88360,RUC,Lab,SL122,"slide, microscope",item,0.055,6,,XXX,,,
88360,RUC,Lab,SL135,"stain, hematoxylin",ml,0.044,8,,XXX,,,
88360,RUC,Lab,SL142,streptavidin label,ml,3.98,0.4,,XXX,,,
88360,RUC,Lab,SL145,tissue revival soln,ml,0.039,50,,XXX,,,
88360,RUC,Lab,SL030,"cover slip, glass",item,0.079,7,,XXX,,,
88360,RUC,Lab,SL017,background block,ml,0.245,5,,XXX,,,
88361,RUC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,1,,XXX,,,
88361,RUC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,,,
88361,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,,
88361,RUC,Infection Control,SM016,"eye shield, splash protection",item,1.471,1,,XXX,,,
88361,RUC,Lab,SL002,AEC buffer,ml,0.653,2,,XXX,,,
88361,RUC,Lab,SL003,AEC chromogen,ml,18.667,0.12,,XXX,,,
88361,RUC,Lab,SL010,antibody FITC monoclonal conjugate (each test),item,3.544,1,,XXX,,,
88361,RUC,Lab,SL017,background block,ml,0.245,5,,XXX,,,
88361,RUC,Lab,SL019,"biotinylated link (mouse, rabbit)",ml,1.995,0.4,,XXX,,,
88361,RUC,Lab,SL030,"cover slip, glass",item,0.079,7,,XXX,,,
88361,RUC,Lab,SL077,hematoxylin reagent,ml,0.32,8,,XXX,,,
88361,RUC,Lab,SL085,label for microscope slides,item,0.026,7,,XXX,,,
88361,RUC,Lab,SL095,mounting media (Histomount),ml,0.035,2,,XXX,,,
88361,RUC,Lab,SL102,peroxide block,ml,0.049,50,,XXX,,,
88361,RUC,Lab,SL106,phosphate buffered saline packet (Zeus),item,2.09,1,,XXX,,,
88361,RUC,Lab,SL112,positive control slide,item,11.8,2,,XXX,,,
88361,RUC,Lab,SL122,"slide, microscope",item,0.055,6,,XXX,,,
88361,RUC,Lab,SL135,"stain, hematoxylin",ml,0.044,8,,XXX,,,
88361,RUC,Lab,SL142,streptavidin label,ml,3.98,0.4,,XXX,,,
88361,RUC,Lab,SL145,tissue revival soln,ml,0.039,50,,XXX,,,
88362,PEAC,"Cutters, Closures, Cautery",SF005,"blade, single edge",item,0.261,4,,XXX,,,
88362,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,8,,XXX,,,
88362,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,,,
88362,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,XXX,,,
88362,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,XXX,,,
88362,PEAC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,2,,XXX,,,
88362,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,2,,XXX,,,
88362,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,2,,XXX,,,
88362,PEAC,Infection Control,SM027,"wipes, lens cleaning (per wipe) (Kimwipe)",item,0.013,8,,XXX,,,
88362,PEAC,Lab,SL001,acetone,ml,0.014,5,,XXX,,,
88362,PEAC,Lab,SL006,"alcohol, ethyl, denatured",ml,0.036,120,,XXX,,,
88362,PEAC,Lab,SL018,"beaker, 250 ml",item,0.854,6,,XXX,,,
88362,PEAC,Lab,SL027,color coded cap and vial (for antigen),item,0.564,2,,XXX,,,
88362,PEAC,Lab,SL044,DDSA,gm,0.042,12,,XXX,,,
88362,PEAC,Lab,SL050,DMP 30,gm,0.236,1,,XXX,,,
88362,PEAC,Lab,SL059,embedding epoxy (NMA),ml,0.036,,,XXX,,,
88362,PEAC,Lab,SL061,embedding paraffin,kg,5.363,0.01,,XXX,,,
88362,PEAC,Lab,SL075,glutaraldehyde 25%,ml,0.148,0.5,,XXX,,,
88362,PEAC,Lab,SL085,label for microscope slides,item,0.026,2,,XXX,,,
88362,PEAC,Lab,SL088,lint-free cloth,item,0.183,1,,XXX,,,
88362,PEAC,Lab,SL098,osmium tetroxide,gm,35,0.01,,XXX,,,
88362,PEAC,Lab,SL099,paraformaldehyde,gm,0.073,0.005,,XXX,,,
88362,PEAC,Lab,SL103,petri dish,item,0.132,2,,XXX,,,
88362,PEAC,Lab,SL104,"phosphate buffer, dibasic",gm,0.048,0.3,,XXX,,,
88362,PEAC,Lab,SL105,"phosphate buffer, monobasic",gm,0.038,0.3,,XXX,,,
88362,PEAC,Lab,SL108,pipette,item,0.033,6,,XXX,,,
88362,PEAC,Lab,SL111,Poly Bed 812,gm,0.061,30,,XXX,,,
88362,PEAC,Lab,SL116,propylene oxide,ml,0.031,3,,XXX,,,
88362,PEAC,Lab,SL122,"slide, microscope",item,0.055,2,,XXX,,,
88362,PEAC,Lab,SL125,sodium cacodylate,gm,0.48,0.016,,XXX,,,
88362,PEAC,Lab,SL127,sodium citrate,gm,0.018,0.25,,XXX,,,
88362,PEAC,Lab,SL128,sodium hydroxide,gm,0.064,5,,XXX,,,
88362,PEAC,Lab,SL130,spatula (pathology),item,0.716,2,,XXX,,,
88362,PEAC,Lab,SL147,uranyl acetate,gm,3.16,1,,XXX,,,
88363,RUC,"Office Supply, Grocery",SK112,Federal Express cost (average across all zones),item,29.56,1,,010,,CPT11,17
88365,RUC,Lab,SL122,"slide, microscope",item,0.055,1,0,XXX,,,
88365,RUC,Infection Control,SM016,"eye shield, splash protection",item,1.471,0.25,0,XXX,,,
88365,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,0.25,0,XXX,,,
88365,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,0.25,0,XXX,,,
88365,RUC,Lab,SL194,Hemo-De,ml,0.0083,37.5,0,XXX,,,
88365,RUC,Lab,SL189,"ethanol, 100%",ml,0.0033,37.5,0,XXX,,,
88365,RUC,Lab,SL195,"kit, FISH paraffin pretreatment",kit,20.85,1,0,XXX,,,
88365,RUC,Lab,SL178,0.2N HCL,ml,0.013,12.5,0,XXX,,,
88365,RUC,Lab,SL070,fixative processing (buffered formalin),ml,0.009,0.5,0,XXX,,,
88365,RUC,Lab,SL180,phosphate buffered saline (PBS),ml,0.025,12.5,0,XXX,,,
88365,RUC,Lab,SL192,formamide,ml,0.22,12.5,0,XXX,,,
88365,RUC,Lab,SL190,"ethanol, 70%",ml,0.0033,12.5,0,XXX,,,
88365,RUC,Lab,SL191,"ethanol, 85%",ml,0.0033,12.5,0,XXX,,,
88365,RUC,Lab,SL181,"pipette tips, sterile",item,0.0627,1,0,XXX,,,
88365,RUC,"Pharmacy, NonRx",SJ070,rubber cement,ml,0.12,0.4,0,XXX,,,
88365,RUC,Lab,SL182,mounting media (DAPI II counterstain),ml,67,0.015,0,XXX,,,
88365,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,0.25,0,XXX,,,
88365,RUC,Lab,SL179,1.0N NaOH,ml,0.489,0.25,0,XXX,,,
88365,RUC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,0.25,0,XXX,,,
88365,RUC,Lab,SL085,label for microscope slides,item,0.026,0.75,0,XXX,,,
88365,RUC,Lab,SL030,"cover slip, glass",item,0.079,1,0,XXX,,,
88365,RUC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,0.25,0,XXX,,,
88365,RUC,"Accessory, Procedure",SD178,"kit, bcr/abl DNA Probe",kit,42.65,1.5,0,XXX,,,
88365,RUC,Lab,SL183,"slide, organosilane coated",item,0.3733,0.25,0,XXX,,,
88365,RUC,Lab,SL080,immersion oil,ml,0.079,0.1,0,XXX,,,
88365,RUC,Infection Control,SM016,"eye shield, splash protection",item,1.471,1,0,XXX,,RUC05,
88367,RUC,Lab,SL184,"slide, negative control, Her-2",item,29.4,0.25,0,XXX,,,
88367,RUC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,0.125,0,XXX,,,
88367,RUC,Lab,SL085,label for microscope slides,item,0.026,0.75,0,XXX,,,
88367,RUC,Lab,SL030,"cover slip, glass",item,0.079,0.75,0,XXX,,,
88367,RUC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,0.125,0,XXX,,,
88367,RUC,Lab,SL183,"slide, organosilane coated",item,0.3733,0.125,0,XXX,,,
88367,RUC,Infection Control,SM016,"eye shield, splash protection",item,1.471,0.125,0,XXX,,,
88367,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,0.125,0,XXX,,,
88367,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,0.125,0,XXX,,,
88367,RUC,Lab,SL194,Hemo-De,ml,0.0083,18.8,0,XXX,,,
88367,RUC,Lab,SL189,"ethanol, 100%",ml,0.0033,18.75,0,XXX,,,
88367,RUC,Lab,SL195,"kit, FISH paraffin pretreatment",kit,20.85,0.75,0,XXX,,,
88367,RUC,Lab,SL178,0.2N HCL,ml,0.013,6.25,0,XXX,,,
88367,RUC,Lab,SL070,fixative processing (buffered formalin),ml,0.009,0.25,0,XXX,,,
88367,RUC,Lab,SL180,phosphate buffered saline (PBS),ml,0.025,6.25,0,XXX,,,
88367,RUC,Lab,SL185,"slide, positive control, Her-2",item,29.4,0.25,0,XXX,,,
88367,RUC,Lab,SL192,formamide,ml,0.22,6.25,0,XXX,,,
88367,RUC,Lab,SL190,"ethanol, 70%",ml,0.0033,6.25,0,XXX,,,
88367,RUC,Lab,SL191,"ethanol, 85%",ml,0.0033,6.25,0,XXX,,,
88367,RUC,Lab,SL181,"pipette tips, sterile",item,0.0627,0.75,0,XXX,,,
88367,RUC,"Pharmacy, NonRx",SJ070,rubber cement,ml,0.12,0.3,0,XXX,,,
88367,RUC,Lab,SL182,mounting media (DAPI II counterstain),ml,67,0.0075,0,XXX,,,
88367,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,0.125,0,XXX,,,
88367,RUC,Lab,SL179,1.0N NaOH,ml,0.489,0.125,0,XXX,,,
88367,RUC,Lab,SL080,immersion oil,ml,0.079,0.05,0,XXX,,,
88367,RUC,Lab,SL196,"kit, HER-2/neu DNA Probe",kit,105,1.5,0,XXX,,,
88368,RUC,Lab,SL191,"ethanol, 85%",ml,0.0033,12.5,0,XXX,,,
88368,RUC,Lab,SL180,phosphate buffered saline (PBS),ml,0.025,12.5,0,XXX,,,
88368,RUC,Lab,SL190,"ethanol, 70%",ml,0.0033,12.5,0,XXX,,,
88368,RUC,Lab,SL179,1.0N NaOH,ml,0.489,0.25,0,XXX,,,
88368,RUC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,0.25,0,XXX,,,
88368,RUC,Lab,SL182,mounting media (DAPI II counterstain),ml,67,0.015,0,XXX,,,
88368,RUC,"Pharmacy, NonRx",SJ070,rubber cement,ml,0.12,0.4,0,XXX,,,
88368,RUC,Lab,SL181,"pipette tips, sterile",item,0.0627,1,0,XXX,,,
88368,RUC,Lab,SL189,"ethanol, 100%",ml,0.0033,37.5,0,XXX,,,
88368,RUC,Lab,SL192,formamide,ml,0.22,12.5,0,XXX,,,
88368,RUC,Lab,SL080,immersion oil,ml,0.079,0.1,0,XXX,,,
88368,RUC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,0.25,0,XXX,,,
88368,RUC,Lab,SL194,Hemo-De,ml,0.0083,37.5,0,XXX,,,
88368,RUC,Lab,SL070,fixative processing (buffered formalin),ml,0.009,0.5,0,XXX,,,
88368,RUC,Lab,SL178,0.2N HCL,ml,0.013,12.5,0,XXX,,,
88368,RUC,Infection Control,SM016,"eye shield, splash protection",item,1.471,0.25,0,XXX,,,
88368,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,0.25,0,XXX,,,
88368,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,0.25,0,XXX,,,
88368,RUC,Lab,SL085,label for microscope slides,item,0.026,0.75,0,XXX,,,
88368,RUC,Lab,SL030,"cover slip, glass",item,0.079,1,0,XXX,,,
88368,RUC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,0.25,0,XXX,,,
88368,RUC,Lab,SL183,"slide, organosilane coated",item,0.3733,0.25,0,XXX,,,
88368,RUC,Lab,SL195,"kit, FISH paraffin pretreatment",kit,20.85,1,0,XXX,,,
88368,RUC,Lab,SL185,"slide, positive control, Her-2",item,29.4,0.25,0,XXX,,,
88368,RUC,Lab,SL184,"slide, negative control, Her-2",item,29.4,0.25,0,XXX,,,
88368,RUC,Lab,SL196,"kit, HER-2/neu DNA Probe",kit,105,1.5,0,XXX,,,
88371,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
88372,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
88380,RUC,Lab,SL030,"cover slip, glass",item,0.079,2,0,XXX,,CPT08,rv
88380,RUC,Lab,SL122,"slide, microscope",item,0.055,2,0,XXX,,CPT08,rv
88380,RUC,Lab,SL134,"stain, frozen section, H&E (1ml per slide)",ml,0.567,2,0,XXX,,CPT08,rv
88380,RUC,Lab,SL151,xylenes solvent,ml,0.012,100,0,XXX,,CPT08,rv
88380,RUC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,2,0,XXX,,CPT08,rv
88380,RUC,Lab,SL240,"tube, centrifuge, micro, 1.5 ml, DNase free snap lock",item,0.072,6,0,XXX,,CPT08,rv
88380,RUC,Lab,SL190,"ethanol, 70%",ml,0.0033,100,0,XXX,,CPT08,rv
88380,RUC,Lab,SL189,"ethanol, 100%",ml,0.0033,100,0,XXX,,CPT08,rv
88380,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,0,XXX,,CPT08,rv
88380,RUC,Lab,SL248,"ethanol, 95%",ml,0.0033,100,0,XXX,,CPT08,rv
88380,RUC,Lab,SL252,"slide, microscope, sterile",item,1,6,0,XXX,,CPT08,rv
88380,RUC,Lab,SL247,"caps, Capsure Macro LCM",ml,4.54,2,0,XXX,,CPT08,rv
88380,RUC,Lab,SL250,methylene blue stain,ml,0.178,6,0,XXX,,CPT08,rv
88380,RUC,Lab,SL249,"glycerol, 3%",ml,0.001,100,0,XXX,,CPT08,rv
88381,RUC,Lab,SL030,"cover slip, glass",item,0.079,2,0,XXX,,CPT08,M
88381,RUC,Lab,SL122,"slide, microscope",item,0.055,2,0,XXX,,CPT08,M
88381,RUC,Lab,SL134,"stain, frozen section, H&E (1ml per slide)",ml,0.567,2,0,XXX,,CPT08,M
88381,RUC,Lab,SL151,xylenes solvent,ml,0.012,100,0,XXX,,CPT08,M
88381,RUC,"Cutters, Closures, Cautery",SF004,"blade, microtome",item,1.723,2,0,XXX,,CPT08,M
88381,RUC,Lab,SL240,"tube, centrifuge, micro, 1.5 ml, DNase free snap lock",item,0.072,6,0,XXX,,CPT08,M
88381,RUC,Lab,SL190,"ethanol, 70%",ml,0.0033,100,0,XXX,,CPT08,M
88381,RUC,Lab,SL189,"ethanol, 100%",ml,0.0033,100,0,XXX,,CPT08,M
88381,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,0,XXX,,CPT08,M
88381,RUC,Lab,SL248,"ethanol, 95%",ml,0.0033,100,0,XXX,,CPT08,M
88381,RUC,"Office Supply, Grocery",SK097,canned air (Dust-Off),oz,1.0208,1,0,XXX,,CPT08,M
88381,RUC,"Cutters, Closures, Cautery",SF053,"blade, sharp pointed surgical",item,0.73,6,0,XXX,,CPT08,M
88381,RUC,Lab,SL246,"buffer, lysis",ml,0.46,50,0,XXX,,CPT08,M
88381,RUC,Lab,SL251,Rnase-free water,ml,0.85,50,0,XXX,,CPT08,M
88381,RUC,Lab,SL249,"glycerol, 3%",ml,0.001,100,0,XXX,,CPT08,M
88381,RUC,Lab,SL252,"slide, microscope, sterile",item,1,6,0,XXX,,CPT08,M
88384,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,RUC05,
88385,RUC,Lab,SL095,mounting media (Histomount),ml,0.035,0.2,0,XXX,,RUC05,
88385,RUC,Lab,SL122,"slide, microscope",item,0.055,1,0,XXX,,RUC05,
88385,RUC,Lab,SL140,"stain, Wright's Pack (per slide)",ml,0.048,0.3,0,XXX,,RUC05,
88385,RUC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,3,0,XXX,,RUC05,
88385,RUC,Lab,SL241,"tube, conical, 15ml",item,0.346,1,0,XXX,,RUC05,
88385,RUC,Lab,Sl221,"flask, filter, 0.2 micron",item,14.396,0.5,0,XXX,,RUC05,
88385,RUC,Lab,SL226,"gel, mini, 1% Agarose (in 1X TAE buffer)",item,5.5,1,0,XXX,,RUC05,
88385,RUC,Lab,SL216,"DNA ladder, 1-Kb",item,77,1,0,XXX,,RUC05,
88385,RUC,Lab,SL215,"Cyanine 5 dCTP, 1mM",ul,11.44,2.5,0,XXX,,RUC05,
88385,RUC,Lab,SL227,"gel, mini, 2% Agarose (in 1X TAE buffer)",item,20,1,0,XXX,,RUC05,
88385,RUC,Lab,SL235,"pipette tips, wide orifice, 250ul",item,0.06,1,0,XXX,,RUC05,
88385,RUC,Lab,SL210,"buffer, gel-loading, 6X (bromophenol+xylenne+cyanol)",ml,6,0.5,0,XXX,,RUC05,
88385,RUC,Lab,SL220,"ethanol, 200%",ul,0.046,700,0,XXX,,RUC05,
88385,RUC,Lab,SL233,"pipette tips, aerosol resistant",item,0.086,4,0,XXX,,RUC05,
88385,RUC,Lab,SL206,"aerosol barrier tips, beveled",item,0.047,1,0,XXX,,RUC05,
88385,RUC,Lab,SL207,"air, filtered, compressed",item,8.79,0.016,0,XXX,,RUC05,
88385,RUC,Lab,SL214,"cover slip, covalent binding",item,5.75,1,0,XXX,,RUC05,
88385,RUC,Lab,SL244,"water, de-ionized",ml,0.017,400,0,XXX,,RUC05,
88385,RUC,Lab,SL240,"tube, centrifuge, micro, 1.5 ml, DNase free snap lock",item,0.072,6,0,XXX,,RUC05,
88385,RUC,Lab,SL234,"pipette tips, sterile, DNase free",item,0.055,15,0,XXX,,RUC05,
88385,RUC,Lab,SL238,"slide, glass, (plain blank slide)",item,0.284,12,0,XXX,,RUC05,
88385,RUC,Lab,SL242,"tube, hematology, 10ml",item,0.285,1,0,XXX,,RUC05,
88385,RUC,Lab,SL219,"dye, flourescent, Hoechst 33258",ug/ml,0.65,1.2,0,XXX,,RUC05,
88385,RUC,Lab,SL213,"column, microspin, S-200 HR",item,3.14,2,0,XXX,,RUC05,
88385,RUC,"Kit, Pack, Tray",SA092,"kit, gene, MLL fusion",kit,1395,0.25,0,XXX,,RUC05,
88385,RUC,Lab,SL239,"stain, nucleic acid gel (10X3 in DMSO (Ethidium bromide)",ul,0.198,26,0,XXX,,RUC05,
88385,RUC,"Kit, Pack, Tray",SA093,"kit, priming, random",kit,463,0.16,0,XXX,,RUC05,
88385,RUC,Lab,SL243,Tween 20,ul,0.152,10,0,XXX,,RUC05,
88385,RUC,Lab,SL218,"DNA, Versagene, blood kit",item,4.141,0.1,0,XXX,,RUC05,
88385,RUC,Lab,SL225,"gas, nitogen, ultra-high purity (compressed), grade 5.0",item,189.87,0.03,0,XXX,,RUC05,
88385,RUC,Lab,SL192,formamide,ml,0.22,40,0,XXX,,RUC05,
88385,RUC,Lab,SL217,"DNA ladder, 50-bp",item,102,0.16,0,XXX,,RUC05,
88386,RUC,Lab,SL095,mounting media (Histomount),ml,0.035,0.2,0,XXX,,RUC05,
88386,RUC,Lab,SL122,"slide, microscope",item,0.055,1,0,XXX,,RUC05,
88386,RUC,Lab,SL140,"stain, Wright's Pack (per slide)",ml,0.048,0.3,0,XXX,,RUC05,
88386,RUC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,3,0,XXX,,RUC05,
88386,RUC,Infection Control,SM016,"eye shield, splash protection",item,1.471,1,0,XXX,,RUC05,
88386,RUC,Lab,SL241,"tube, conical, 15ml",item,0.346,1,0,XXX,,RUC05,
88386,RUC,Lab,SL221,"flask, filter, 0.2 micron",item,14.396,0.5,0,XXX,,RUC05,
88386,RUC,Lab,SL226,"gel, mini, 1% Agarose (in 1X TAE buffer)",item,5.5,1,0,XXX,,RUC05,
88386,RUC,Lab,SL216,"DNA ladder, 1-Kb",item,77,1,0,XXX,,RUC05,
88386,RUC,Lab,SL215,"Cyanine 5 dCTP, 1mM",ul,11.44,2.5,0,XXX,,RUC05,
88386,RUC,Lab,SL227,"gel, mini, 2% Agarose (in 1X TAE buffer)",item,20,1,0,XXX,,RUC05,
88386,RUC,Lab,SL235,"pipette tips, wide orifice, 250ul",item,0.06,1,0,XXX,,RUC05,
88386,RUC,Lab,SL210,"buffer, gel-loading, 6X (bromophenol+xylenne+cyanol)",ml,6,0.5,0,XXX,,RUC05,
88386,RUC,Lab,Sl220,"ethanol, 200%",ul,0.046,700,0,XXX,,RUC05,
88386,RUC,Lab,SL233,"pipette tips, aerosol resistant",item,0.086,4,0,XXX,,RUC05,
88386,RUC,Lab,SL206,"aerosol barrier tips, beveled",item,0.047,1,0,XXX,,RUC05,
88386,RUC,Lab,SL207,"air, filtered, compressed",item,8.79,0.016,0,XXX,,RUC05,
88386,RUC,Lab,SL214,"cover slip, covalent binding",item,5.75,1,0,XXX,,RUC05,
88386,RUC,Lab,SL244,"water, de-ionized",ml,0.017,400,0,XXX,,RUC05,
88386,RUC,Lab,SL240,"tube, centrifuge, micro, 1.5 ml, DNase free snap lock",item,0.072,6,0,XXX,,RUC05,
88386,RUC,Lab,SL234,"pipette tips, sterile, DNase free",item,0.055,15,0,XXX,,RUC05,
88386,RUC,Lab,SL238,"slide, glass, (plain blank slide)",item,0.284,12,0,XXX,,RUC05,
88386,RUC,Lab,SL242,"tube, hematology, 10ml",item,0.285,1,0,XXX,,RUC05,
88386,RUC,Lab,SL219,"dye, flourescent, Hoechst 33258",ug/ml,0.65,1.2,0,XXX,,RUC05,
88386,RUC,Lab,SL213,"column, microspin, S-200 HR",item,3.14,2,0,XXX,,RUC05,
88386,RUC,Lab,SL239,"stain, nucleic acid gel (10X3 in DMSO (Ethidium bromide)",ul,0.198,26,0,XXX,,RUC05,
88386,RUC,"Kit, Pack, Tray",SA093,"kit, priming, random",kit,463,0.16,0,XXX,,RUC05,
88386,RUC,Lab,SL243,Tween 20,ul,0.152,10,0,XXX,,RUC05,
88386,RUC,Lab,SL218,"DNA, Versagene, blood kit",item,4.141,0.1,0,XXX,,RUC05,
88386,RUC,Lab,SL225,"gas, nitogen, ultra-high purity (compressed), grade 5.0",item,189.87,0.03,0,XXX,,RUC05,
88386,RUC,Lab,SL192,formamide,ml,0.22,40,0,XXX,,RUC05,
88386,RUC,Lab,SL209,"array kit, GenoSensor",item,2121,0.16,0,XXX,,RUC05,
88386,RUC,Lab,SL217,"DNA ladder, 50-bp",item,102,0.16,0,XXX,,RUC05,
88387,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,XXX,,CPT10,19
88387,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,XXX,,CPT10,19
88387,RUC,"Cutters, Closures, Cautery",SF047,"scalpel, safety, surgical, with blade (#10-20)",item,2.143,1,0,XXX,,CPT10,19
88387,RUC,Lab,SL103,petri dish,item,0.132,1,0,XXX,,CPT10,19
88387,RUC,Lab,SL245,"weighing dishes, pour boats",item,0.216,1,0,XXX,,CPT10,19
88387,RUC,Lab,SL167,"paper, weighing (glassine)",item,0.021,1,0,XXX,,CPT10,19
88387,Ruc,Lab,,"container, storage, plastic, 11 oz",item,,,0,XXX,,CPT10,19
88387,RUC,Lab,SL020,bleach,ml,0.001,50,0,XXX,,CPT10,19
88387,RUC,"Accessory, Procedure",SD226,"forceps, sterile, blunt tip, polystyrene",item,0.645,1,0,XXX,,CPT10,19
88388,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,XXX,,CPT10,19
88388,RUC,"Cutters, Closures, Cautery",SF047,"scalpel, safety, surgical, with blade (#10-20)",item,2.143,1,0,XXX,,CPT10,19
88388,RUC,Lab,SL103,petri dish,item,0.132,1,0,XXX,,CPT10,19
88388,RUC,Lab,SL245,"weighing dishes, pour boats",item,0.216,1,0,XXX,,CPT10,19
88388,RUC,Lab,SL167,"paper, weighing (glassine)",item,0.021,1,0,XXX,,CPT10,19
88388,Ruc,Lab,,"container, storage, plastic, 11 oz",item,,,0,XXX,,CPT10,19
88388,RUC,Lab,SL020,bleach,ml,0.001,50,0,XXX,,CPT10,19
88388,RUC,"Accessory, Procedure",SD226,"forceps, sterile, blunt tip, polystyrene",item,0.645,1,0,XXX,,CPT10,19
88399,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
88400,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89049,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,RUC05,
89049,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,XXX,,RUC05,
89049,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,1,0,XXX,,RUC05,
89049,RUC,"Gown, Drape",SB030,"lab coat, staff",item,4.522,1,0,XXX,,RUC05,
89049,RUC,"Cutters, Closures, Cautery",SF050,"suture, plain, gut, 2-0 to 6-0",item,4.2615,4,0,XXX,,RUC05,
89049,RUC,Lab,SL110,pipette tip (blue-yellow),item,0.048,24,0,XXX,,RUC05,
89049,RUC,Lab,SL143,test tube,item,0.273,8,0,XXX,,RUC05,
89049,RUC,"Office Supply, Grocery",SK060,"paper, recording, roll (per foot)",foot,0.087,30,0,XXX,,RUC05,
89049,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,8,0,XXX,,RUC05,
89049,RUC,Infection Control,SM027,"wipes, lens cleaning (per wipe) (Kimwipe)",item,0.013,50,0,XXX,,RUC05,
89049,RUC,Lab,SL222,"gas, halothane",ml,0.104,24,0,XXX,,RUC05,
89049,RUC,Lab,SL212,"CHCT buffer (NaCl, NaHCO3, KCl, KH2PO4, MgSO4,CaCl12-2H20)",liter,1.24,1,0,XXX,,RUC05,
89049,RUC,Lab,SL211,caffeine,gm,0.214,2,0,XXX,,RUC05,
89049,RUC,Lab,SL232,KOH,gm,0.084,2,0,XXX,,RUC05,
89049,RUC,Lab,SL229,"HCl, 1% hydrochloric acid",cc,0.159,1,0,XXX,,RUC05,
89049,RUC,Lab,SL245,"weighing dishes, pour boats",item,0.216,4,0,XXX,,RUC05,
89049,RUC,Lab,SL223,"gas, mixture, tank G, 5% CO2 and 95% O2",item,20,0.333,0,XXX,,RUC05,
89049,RUC,Lab,SL224,"gas, mixture, tank H",item,20,0.333,0,XXX,,RUC05,
89049,RUC,Lab,SL104,"phosphate buffer, dibasic",gm,0.048,0.6,0,XXX,,RUC05,
89049,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,8,0,XXX,,RUC05,
89049,RUC,Infection Control,SM024,"soap, liquid, antibacterial",oz,0.203,,0,XXX,,RUC05,
89051,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89055,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89060,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
89160,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89190,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89220,NPRM,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,XXX,,,
89220,NPRM,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,4,0,XXX,,,
89230,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
89250,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89251,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89253,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89254,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89255,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89257,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89258,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89260,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89261,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89264,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89300,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89310,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89320,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89321,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89325,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89329,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89330,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
89355,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90281,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
90283,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
90287,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
90288,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
90291,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
90296,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90371,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90375,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90376,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90378,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90379,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
90384,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
90385,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90386,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
90389,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
90393,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90396,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90399,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
90460,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,0.5,0,XXX,,CPT11,18
90460,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,,CPT11,18
90460,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,CPT11,18
90460,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,CPT11,18
90460,RUC,"Office Supply, Grocery",SK012,CDC information sheet,item,0.005,1,0,XXX,,CPT11,18
90470,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,,,
90470,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
90470,PEAC,"Office Supply, Grocery",SK012,CDC information sheet,item,0.005,1,,XXX,,,
90470,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
90470,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
90470,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,010,,,
90471,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
90471,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,,,
90471,PEAC,"Office Supply, Grocery",SK012,CDC information sheet,item,0.005,1,,XXX,,,
90471,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
90471,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
90472,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,ZZZ,,,
90472,PEAC,"Office Supply, Grocery",SK012,CDC information sheet,item,0.005,1,,ZZZ,,,
90472,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,ZZZ,,,
90472,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,ZZZ,,,
90473,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,90471,CPT11,
90473,CMS,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,90471,CPT11,
90473,CMS,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,90471,CPT11,
90473,CMS,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,90471,CPT11,
90473,CMS,"Office Supply, Grocery",SK012,CDC information sheet,item,0.005,1,,XXX,90471,CPT11,
90474,CMS,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,ZZZ,90472,CPT11,
90474,CMS,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,ZZZ,90472,CPT11,
90474,CMS,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,ZZZ,90472,CPT11,
90474,CMS,"Office Supply, Grocery",SK012,CDC information sheet,item,0.005,1,,ZZZ,90472,CPT11,
90476,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90477,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90581,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90585,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90586,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90632,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90633,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90634,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90636,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90645,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90647,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90648,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90657,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90658,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90660,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90665,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90675,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90676,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90680,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90690,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90691,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90692,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90693,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90699,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
90700,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90701,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90702,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90703,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90704,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90705,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90706,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90707,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90708,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90710,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90712,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90713,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90716,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90717,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90718,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90719,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90720,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90721,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90723,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
90725,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90727,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90732,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90733,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90735,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90740,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90743,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90744,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90746,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90747,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90748,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
90749,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90801,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,,XXX,,,
90802,PEAC,"Kit, Pack, Tray",SA017,"kit, interactive materials (crayons,chalk,paper)",kit,0.04,1,,XXX,,,
90802,PEAC,"Kit, Pack, Tray",SA033,"kit, therapeutic toys-games",kit,0.2,1,,XXX,,,
90802,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,,XXX,,,
90804,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,,XXX,,,
90805,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,,XXX,,,
90806,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,,XXX,,,
90807,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,,XXX,,,
90808,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,,XXX,,,
90809,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,,XXX,,,
90810,PEAC,"Kit, Pack, Tray",SA017,"kit, interactive materials (crayons,chalk,paper)",kit,0.04,1,,XXX,,,
90810,PEAC,"Kit, Pack, Tray",SA033,"kit, therapeutic toys-games",kit,0.2,1,,XXX,,,
90810,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,,XXX,,,
90811,PEAC,"Kit, Pack, Tray",SA017,"kit, interactive materials (crayons,chalk,paper)",kit,0.04,1,,XXX,,,
90811,PEAC,"Kit, Pack, Tray",SA033,"kit, therapeutic toys-games",kit,0.2,1,,XXX,,,
90811,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,,XXX,,,
90812,PEAC,"Kit, Pack, Tray",SA017,"kit, interactive materials (crayons,chalk,paper)",kit,0.04,1,,XXX,,,
90812,PEAC,"Kit, Pack, Tray",SA033,"kit, therapeutic toys-games",kit,0.2,1,,XXX,,,
90812,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,,XXX,,,
90813,PEAC,"Kit, Pack, Tray",SA017,"kit, interactive materials (crayons,chalk,paper)",kit,0.04,1,,XXX,,,
90813,PEAC,"Kit, Pack, Tray",SA033,"kit, therapeutic toys-games",kit,0.2,1,,XXX,,,
90813,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,,XXX,,,
90814,PEAC,"Kit, Pack, Tray",SA017,"kit, interactive materials (crayons,chalk,paper)",kit,0.04,1,,XXX,,,
90814,PEAC,"Kit, Pack, Tray",SA033,"kit, therapeutic toys-games",kit,0.2,1,,XXX,,,
90814,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,,XXX,,,
90815,PEAC,"Kit, Pack, Tray",SA017,"kit, interactive materials (crayons,chalk,paper)",kit,0.04,1,,XXX,,,
90815,PEAC,"Kit, Pack, Tray",SA033,"kit, therapeutic toys-games",kit,0.2,1,,XXX,,,
90815,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,,XXX,,,
90816,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90817,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90818,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90819,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90821,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90822,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90823,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90824,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90826,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90827,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90828,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90829,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90845,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,,XXX,,,
90846,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90847,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90849,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90853,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90857,PEAC,"Kit, Pack, Tray",SA017,"kit, interactive materials (crayons,chalk,paper)",kit,0.04,1,,XXX,,,
90857,PEAC,"Kit, Pack, Tray",SA033,"kit, therapeutic toys-games",kit,0.2,1,,XXX,,,
90857,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,,XXX,,,
90862,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,,XXX,,,
90865,PEAC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,198,0,XXX,,Mar03,8
90865,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,XXX,,Mar03,8
90865,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Mar03,8
90870,PEAC,"Accessory, Procedure",SD006,bite block,item,1.5,1,0,000,,Mar03,8
90870,PEAC,"Accessory, Procedure",SD055,"electrode, electrical stimulation",item,1.312,2,0,000,,Mar03,8
90870,PEAC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,198,0,000,,Mar03,8
90870,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,000,,Mar03,8
90870,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,8
90870,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,8,0,000,,Mar03,8
90870,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,2,0,000,,Mar03,8
90870,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,Mar03,8
90871,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
90875,PEAC,"Accessory, Procedure",SD055,"electrode, electrical stimulation",item,1.312,1,0,XXX,,Mar03,8
90875,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,0,XXX,,Mar03,8
90875,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,Mar03,8
90875,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Mar03,8
90876,PEAC,"Accessory, Procedure",SD055,"electrode, electrical stimulation",item,1.312,1,0,XXX,,Mar03,8
90876,PEAC,"Office Supply, Grocery",SK005,assessment monitoring instruments,item,0.13,1,0,XXX,,Mar03,8
90876,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,Mar03,8
90876,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Mar03,8
90880,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Feb05,J
90882,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
90885,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90887,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
90889,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
90899,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
90901,PEAC,"Accessory, Procedure",SD063,"electrode, TENS-EMS, 2in x 2in (4 pack uou)",item,5.277,0.5,,000,,,
90901,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
90901,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
90901,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
90901,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,000,,,
90901,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,2,,000,,,
90901,PEAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,000,,,
90901,PEAC,"Pharmacy, NonRx",SJ024,electrolyte coupling gel,ml,0.016,1,,000,,,
90901,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
90901,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,000,,,
90901,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,000,,,
90911,PEAC,"Accessory, Procedure",SD057,"electrode, external pelvic muscle",item,0.9,3,,000,,,
90911,PEAC,"Accessory, Procedure",SD113,"sensor, EMG, vaginal-rectal",item,44.5,0.2,,000,,,
90911,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
90911,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
90911,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
90911,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,000,,,
90911,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
90911,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,2,,000,,,
90911,PEAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,000,,,
90911,PEAC,"Pharmacy, NonRx",SJ024,electrolyte coupling gel,ml,0.016,1,,000,,,
90911,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,000,,,
90911,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,000,,,
90939,RUC,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
90940,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
90940,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,XXX,,,
90940,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
90940,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,XXX,,,
90940,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
90951,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90952,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,Apr09,32
90953,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,Apr09,32
90954,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90955,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90956,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90957,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90958,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90959,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90960,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90961,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90962,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90963,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90964,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90965,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90966,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90967,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90968,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90969,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90970,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Apr09,32
90989,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90993,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
90997,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Feb05,
90999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
91010,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,CPT11,19
91010,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,CPT11,19
91010,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,,000,,CPT11,19
91010,RUC,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,,000,,CPT11,19
91010,RUC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,,000,,CPT11,19
91010,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,000,,CPT11,19
91010,RUC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,1,,000,,CPT11,19
91010,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,5,,000,,CPT11,19
91010,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,CPT11,19
91010,RUC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,20,,000,,CPT11,19
91010,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,,CPT11,19
91010,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,,000,,CPT11,19
91010,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,19
91010,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,3,,000,,CPT11,19
91010,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,000,,CPT11,19
91010,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,CPT11,19
91010,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,,000,,CPT11,19
91010,RUC,Infection Control,SM004,biohazard bag,item,,1,,000,,CPT11,19
91010,RUC,Infection Control,SM012,disinfectant spray (Transeptic) ml,ml,0.028,5,,000,,CPT11,19
91010,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,,CPT11,19
91010,RUC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,,CPT11,19
91010,RUC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6,,000,,CPT11,19
91010,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,2,,000,,CPT11,19
91013,RUC,"Accessory, Procedure",SD029,"catheter, red rubber",item,0.973,1,,ZZZ,,CPT11,19
91013,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,ZZZ,,CPT11,19
91013,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,ZZZ,,CPT11,19
91013,RUC,Lab,SL229,"HCl, 1% hydrochloric acid",cc,0.159,10,,ZZZ,,CPT11,19
91020,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,Mar03,16
91020,PEAC,"Accessory, Procedure",SD125,transducer dome (pressure),item,7.65,1,0,000,,Mar03,16
91020,PEAC,"Accessory, Procedure",SD127,"tube, suction NG (Salem sump)",item,3.218,1,0,000,,Mar03,16
91020,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,Mar03,16
91020,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,000,,Mar03,16
91020,PEAC,"Accessory, Procedure",SD203,"sensor, manometry",item,25,1,0,000,,Mar03,16
91020,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Mar03,16
91020,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,000,,Mar03,16
91020,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,Mar03,16
91020,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Mar03,16
91020,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,16
91020,PEAC,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,0,000,,Mar03,16
91020,PEAC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,1,0,000,,Mar03,16
91020,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,0,000,,Mar03,16
91020,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Mar03,16
91020,PEAC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,Mar03,16
91020,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,Mar03,16
91020,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,000,,Mar03,16
91020,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,000,,Mar03,16
91020,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Mar03,16
91020,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,5,0,000,,Mar03,16
91020,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Mar03,16
91022,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,000,,RUC05,
91022,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,5,0,000,,RUC05,
91022,RUC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,5,0,000,,RUC05,
91022,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,000,,RUC05,
91022,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,RUC05,
91022,RUC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,RUC05,
91022,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,RUC05,
91022,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,RUC05,
91022,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,RUC05,
91022,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,RUC05,
91022,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,RUC05,
91022,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,000,,RUC05,
91022,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,RUC05,
91022,RUC,"Accessory, Procedure",SD127,"tube, suction NG (Salem sump)",item,3.218,1,0,000,,RUC05,
91022,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,RUC05,
91022,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,RUC05,
91022,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,RUC05,
91022,RUC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,1,0,000,,RUC05,
91022,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,1,0,000,,RUC05,
91030,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,Mar03,16
91030,PEAC,"Accessory, Procedure",SD127,"tube, suction NG (Salem sump)",item,3.218,1,0,000,,Mar03,16
91030,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,Mar03,16
91030,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,000,,Mar03,16
91030,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Mar03,16
91030,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,000,,Mar03,16
91030,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,Mar03,16
91030,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Mar03,16
91030,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,000,,Mar03,16
91030,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,000,,Mar03,16
91030,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,8,0,000,,Mar03,16
91030,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,16
91030,PEAC,Lab,SL079,"hydrochloric acid 0.1%, std soln",ml,0.017,1,0,000,,Mar03,16
91030,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Mar03,16
91030,PEAC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,Mar03,16
91030,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,Mar03,16
91030,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,000,,Mar03,16
91030,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,0,000,,Mar03,16
91030,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,Mar03,16
91030,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,5,0,000,,Mar03,16
91030,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Mar03,16
91034,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,,
91034,RUC,"Accessory, Procedure",SD060,"electrode, internal for pH",item,41.6,1,0,000,,,
91034,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,,
91034,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,000,,,
91034,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,,
91034,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,000,,,
91034,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,,
91034,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,,
91034,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
91034,RUC,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,0,000,,,
91034,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,,
91034,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,,
91034,RUC,"Pharmacy, NonRx",SJ039,pH buffer solution,ml,0.044,60,0,000,,,
91034,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,000,,,
91034,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,0,000,,,
91034,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,,
91034,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,5,0,000,,,
91034,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
91034,RUC,"Wound Care, Dressings",SG089,"tape, phix strips (for nasal catheter)",item,1.4,5,0,000,,,
91035,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,,
91035,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,,
91035,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,000,,,
91035,RUC,"Accessory, Procedure",SD204,"sensor, pH capsule (Bravo)",item,225,1,0,000,,,
91035,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,,
91035,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,000,,,
91035,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,,
91035,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,,
91035,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
91035,RUC,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,0,000,,,
91035,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,,
91035,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,,
91035,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,000,,,
91035,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,0,000,,,
91035,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,,
91035,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,5,0,000,,,
91035,RUC,"Wound Care, Dressings",SG089,"tape, phix strips (for nasal catheter)",item,1.4,5,0,000,,,
91037,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,,
91037,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,,
91037,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,000,,,
91037,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,,
91037,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,000,,,
91037,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,,
91037,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,,
91037,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
91037,RUC,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,0,000,,,
91037,RUC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,4,0,000,,,
91037,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,,
91037,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,,
91037,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,000,,,
91037,RUC,"Pharmacy, NonRx",SJ068,"saline, viscous (swallow challenge medium)",ml,0.25,80,0,000,,,
91037,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,0,000,,,
91037,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,,
91037,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,5,0,000,,,
91037,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,,
91037,RUC,"Wound Care, Dressings",SG089,"tape, phix strips (for nasal catheter)",item,1.4,5,0,000,,,
91038,RUC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,,000,,Feb10,23
91038,PEAC,"Accessory, Procedure",SD230,"impedance catheter, infusion",item,95,1,0,000,,Feb10,23
91038,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Feb10,23
91038,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,Feb10,23
91038,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,000,,Feb10,23
91038,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,Feb10,23
91038,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Feb10,23
91038,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,Feb10,23
91038,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,Feb10,23
91038,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,000,,Feb10,23
91038,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,5,,000,,Feb10,23
91038,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Feb10,23
91038,RUC,"Wound Care, Dressings",SG089,"tape, phix strips (for nasal catheter)",item,1.4,5,0,000,,Feb10,23
91038,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,0,000,,Feb10,23
91038,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Feb10,23
91038,RUC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,,000,,Feb10,23
91038,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,Feb10,23
91038,PEAC,"Pharmacy, NonRx",SJ039,pH buffer solution,ml,0.044,60,0,000,,Feb10,23
91038,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,000,,Feb10,23
91038,RUC,"Pharmacy, NonRx",SJ068,"saline, viscous (swallow challenge medium)",ml,0.25,1,0,000,,Feb10,23
91038,RUC,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,0,000,,Feb10,23
91038,RUC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,1,0,000,,Feb10,23
91038,RUC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,1,0,000,,Feb10,23
91038,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,2,0,000,,Feb10,23
91038,RUC,"Office Supply, Grocery",SK095,"battery, AA",item,0.45,2,0,000,,Feb10,23
91040,RUC,"Accessory, Procedure",SD216,"catheter, balloon, esophageal or rectal (graded distention test)",item,217,1,0,000,,,
91040,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,,
91040,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,,
91040,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,,
91040,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,000,,,
91040,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,,
91040,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,,
91040,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
91040,RUC,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,0,000,,,
91040,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,,
91040,RUC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,000,,,
91040,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,,
91040,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,000,,,
91040,RUC,"Pharmacy, Rx",SH050,"lidocaine 4% soln, topical  (Xylocaine)",ml,0.153,20,0,000,,,
91040,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,,
91040,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,5,0,000,,,
91040,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,,
91065,RUC,"Accessory, Procedure",SD006,bite block,item,1.5,1,0,000,,Feb10,23
91065,RUC,"Hypodermic, IV",SC050,"stop cock, 4-way",item,1.621,1,0,000,,Feb10,23
91065,RUC,"Accessory, Procedure",SD244,Water Barriers/Dust Traps (5/Pk),item,4.94,1,0,000,,Feb10,23
91065,RUC,,SD224,"Filter, Foam Plug (10/Pk)",item,0.36,1,0,000,,Feb10,23
91065,RUC,,SD237,Sivrite-4,g,0.086,7.5,0,000,,Feb10,23
91065,RUC,,SD234,"QuinGas-3, 150 H2, 75 CH4, 6% CO2, BreathTracker SC Calibration G",cc,1.218,1,0,000,,Feb10,23
91065,RUC,,SD236,"Single Patient Discard Bag, 400 ml",item,1.2,1,0,000,,Feb10,23
91065,RUC,,SD242,"Tee-Connector, Plastic",item,1.4,1,0,000,,Feb10,23
91065,RUC,,SD225,Flutter Valve for Tee-Connector,item,1.26,1,0,000,,Feb10,23
91065,RUC,,SC094,"Syringe, 35 ml, Monoject, Plastic",item,2.24,1,0,000,,Feb10,23
91065,RUC,,SD241,"Substrate, D-Xylose, 25 gm Packet",item,10.76,1,0,000,,Feb10,23
91065,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,Feb10,23
91065,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,Feb10,23
91065,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,Feb10,23
91065,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,Feb10,23
91065,RUC,Infection Control,SM008,biohazard specimen transport bag,item,0.035,1,0,000,,Feb10,23
91065,RUC,Lab,SL048,desiccant-absorber,item,0.158,1,,000,,Feb10,23
91110,RUC,"Kit, Pack, Tray",SA005,"kit, capsule endoscopy w-application supplies (M2A)",kit,450,1,0,XXX,,,
91110,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
91111,RUC,"Kit, Pack, Tray",SA094,"kit, capsule, ESO,  endoscopy w-application supplies (ESO)",kit,450,1,0,XXX,,CPT07,
91117,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,CPT11,20
91120,RUC,"Accessory, Procedure",SD216,"catheter, balloon, esophageal or rectal (graded distention test)",item,217,1,0,000,,,
91120,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,,
91120,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,,
91120,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,1,0,000,,,
91120,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,000,,,
91120,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,,
91120,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,000,,,
91120,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,,
91120,RUC,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,0,000,,,
91120,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,,
91120,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,,,
91120,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,5,0,000,,,
91120,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,,
91122,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,Mar03,16
91122,PEAC,"Accessory, Procedure",SD125,transducer dome (pressure),item,7.65,1,0,000,,Mar03,16
91122,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,0,000,,Mar03,16
91122,PEAC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,000,,Mar03,16
91122,PEAC,"Accessory, Procedure",SD203,"sensor, manometry",item,25,1,0,000,,Mar03,16
91122,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,Mar03,16
91122,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,000,,Mar03,16
91122,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,0,000,,Mar03,16
91122,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,Mar03,16
91122,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Mar03,16
91122,PEAC,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,0,000,,Mar03,16
91122,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,0,000,,Mar03,16
91122,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,000,,Mar03,16
91122,PEAC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,0,000,,Mar03,16
91122,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,2,0,000,,Mar03,16
91122,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,5,0,000,,Mar03,16
91122,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,Mar03,16
91132,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Feb10,24
91132,RUC,"Accessory, Procedure",SD062,"electrode, surface",item,0.883,11,,XXX,,Feb10,24
91132,RUC,"Accessory, Procedure",SD106,"pad, cardioversion R2 (2 pack)",item,29.75,1,,XXX,,Feb10,24
91132,RUC,"Accessory, Procedure",SD111,respiratory monitoring belt,item,20,1,,XXX,,Feb10,24
91132,RUC,"Accessory, Procedure",SD166,"electrode, EGG (single)",item,2.917,1,0,XXX,,Feb10,24
91132,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,XXX,,Feb10,24
91132,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,XXX,,Feb10,24
91132,RUC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,0,XXX,,Feb10,24
91132,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Feb10,24
91132,RUC,"Office Supply, Grocery",SK068,razor,item,0.389,1,0,XXX,,Feb10,24
91133,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Feb10,24
91133,RUC,"Accessory, Procedure",SD062,"electrode, surface",item,0.883,11,0,XXX,,Feb10,24
91133,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,XXX,,Feb10,24
91133,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,0,XXX,,Feb10,24
91133,RUC,"Accessory, Procedure",SD106,"pad, cardioversion R2 (2 pack)",item,29.75,1,0,XXX,,Feb10,24
91133,RUC,"Accessory, Procedure",SD111,respiratory monitoring belt,item,20,1,0,XXX,,Feb10,24
91133,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,XXX,,Feb10,24
91133,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,XXX,,Feb10,24
91133,RUC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,0,XXX,,Feb10,24
91133,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,Feb10,24
91133,RUC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,1,0,XXX,,Feb10,24
91133,RUC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,1,0,XXX,,Feb10,24
91133,RUC,"Office Supply, Grocery",SK042,"juice, apple",oz,0.039,4,0,XXX,,Feb10,24
91133,RUC,"Accessory, Procedure",SD166,"electrode, EGG (single)",item,2.917,1,0,XXX,,Feb10,24
91133,RUC,"Office Supply, Grocery",SK068,razor,item,0.389,1,0,XXX,,Feb10,24
91299,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
92002,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,1,0,XXX,ok,,
92002,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
92002,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,,XXX,,,
92004,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,1,0,XXX,ok,,
92004,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
92004,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,,XXX,,,
92012,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,1,0,XXX,ok,,
92012,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
92012,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,,XXX,,,
92014,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,1,0,XXX,ok,,
92014,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
92014,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,,XXX,,,
92015,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Sep04,
92018,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
92019,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
92020,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,,
92020,PEAC,"Pharmacy, Rx",SH037,Goniosol 2.5% ophth,ml,0.58,2,,XXX,,,
92025,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT07,
92060,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
92065,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,,XXX,,,
92065,PEAC,"Wound Care, Dressings",SG043,"dressing, eye pad (Opticlude)",item,0.328,1,,XXX,,,
92070,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,,
92070,PEAC,"Pharmacy, NonRx",SJ015,contact lens soln (12oz uou),item,4.19,1,,XXX,,,
92070,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,1,,XXX,,,
92081,CMS,"Accessory, Procedure",SD103,"occluder, clip-on",item,1.442,1,,XXX,92082,,
92081,CMS,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,2,,XXX,92082,,
92082,PEAC,"Accessory, Procedure",SD103,"occluder, clip-on",item,1.442,1,,XXX,,,
92082,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,2,,XXX,,,
92083,CMS,"Accessory, Procedure",SD103,"occluder, clip-on",item,1.442,1,,XXX,92082,,
92083,CMS,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,2,,XXX,92082,,
92100,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,4,,XXX,,,
92120,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,,
92130,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,,
92133,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT11,38
92134,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT11,38
92136,RUC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,,
92136,RUC,"Office Supply, Grocery",SK029,"film, instant (Polaroid) (per exposure)",item,1.825,2,,XXX,,,
92136,RUC,"Pharmacy, Rx",SH037,Goniosol 2.5% ophth,ml,0.58,15,,XXX,,,
92140,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,,
92225,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,1,0,XXX,ok,Apr06,J
92226,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,1,0,XXX,ok,Apr06,J
92227,RUC,"Pharmacy, Rx",SH073,tropicamide 1% ophth (Mydriacyl),ml,0.656,1,0,XXX,,CPT11,22
92228,RUC,"Pharmacy, Rx",SH073,tropicamide 1% ophth (Mydriacyl),ml,0.656,1,0,XXX,,CPT11,22
92230,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,1,0,XXX,ok,Sep04,
92230,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Sep04,
92230,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Sep04,
92230,PEAC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,0,XXX,,Sep04,
92230,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,XXX,Sep04,Sep04,
92230,PEAC,"Pharmacy, Rx",SH033,fluorescein inj (5ml uou),item,5.442,1,0,XXX,Sep04,Sep04,
92230,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,Sep04,Sep04,
92235,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,1,0,XXX,ok,,
92235,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,,,
92235,PEAC,"Hypodermic, IV",SC027,"needle, 18-19g, filter",item,0.37,1,,XXX,,,
92235,PEAC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,,,
92235,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,XXX,,,
92235,PEAC,"Office Supply, Grocery",SK030,"film, Tri-x 35mm BW (per exposure)",item,0.19,24,,XXX,,,
92235,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,XXX,,,
92235,PEAC,"Office Supply, Grocery",SK065,photographic stop bath,oz,0.01,8,,XXX,,,
92235,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,XXX,,,
92235,PEAC,"Pharmacy, Rx",SH033,fluorescein inj (5ml uou),item,5.442,1,,XXX,,,
92235,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,,
92235,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,,XXX,,,
92240,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,1,0,XXX,ok,,
92240,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,,,
92240,PEAC,"Hypodermic, IV",SC027,"needle, 18-19g, filter",item,0.37,1,,XXX,,,
92240,PEAC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,,,
92240,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,XXX,,,
92240,PEAC,Lab,SL083,indocyanine green (25ml uou),item,76.875,1,,XXX,,,
92240,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,,XXX,,,
92240,PEAC,"Office Supply, Grocery",SK076,slide sleeve (photo slides),item,0.192,1,,XXX,,,
92240,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,XXX,,,
92240,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,,
92240,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,,XXX,,,
92250,PEAC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,1,0,XXX,ok,,
92250,PEAC,"Office Supply, Grocery",SK026,"film, Ektachrome 35mm (per exposure)",item,0.285,36,,XXX,,,
92250,PEAC,"Office Supply, Grocery",SK076,slide sleeve (photo slides),item,0.192,1,,XXX,,,
92250,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,XXX,,,
92250,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,,
92260,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,Apr06,J
92260,CPEP,"Pharmacy, Rx",SH030,Emla cream,gm,2.089,1,,XXX,,,
92265,PEAC,"Accessory, Procedure",SD051,"electrode needle, monopolar EMG w-lead",item,3.03,1,0,XXX,,Sep04,
92265,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,XXX,,Sep04,
92265,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,XXX,,Sep04,
92265,PEAC,Lab,SL187,"balance salt solution (BSS), sterile, 15cc",ml,,15,0,XXX,,Sep04,
92265,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,XXX,,Sep04,
92265,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,Sep04,
92270,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,,XXX,,,
92270,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,,
92270,PEAC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,0.1,,XXX,,,
92270,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,,XXX,,,
92270,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,,
92275,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,,XXX,,,
92275,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,,
92275,PEAC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,0.1,,XXX,,,
92275,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,,XXX,,,
92275,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,,
92283,PEAC,"Accessory, Procedure",SD103,"occluder, clip-on",item,1.442,1,,XXX,,,
92283,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
92283,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,2,,XXX,,,
92284,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,0,0,XXX,,Sep04,
92285,RUC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,4,0,XXX,,CPT11,72
92286,PERC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,Apr06,J
92286,CPEP,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,36,,XXX,,,
92286,CPEP,"Office Supply, Grocery",SK026,"film, Ektachrome 35mm (per exposure)",item,0.285,36,,XXX,,,
92286,CPEP,"Office Supply, Grocery",SK076,slide sleeve (photo slides),item,0.192,2,,XXX,,,
92286,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,,XXX,,,
92286,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,,
92287,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,Sep04,
92287,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,XXX,,Sep04,
92287,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Sep04,
92287,PEAC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,0,XXX,Sep04,Sep04,
92287,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,XXX,Sep04,Sep04,
92287,PEAC,"Office Supply, Grocery",SK030,"film, Tri-x 35mm BW (per exposure)",item,0.19,24,0,XXX,,Sep04,
92287,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,2,0,XXX,,Sep04,
92287,PEAC,"Office Supply, Grocery",SK065,photographic stop bath,oz,0.01,16,0,XXX,,Sep04,
92287,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,XXX,90780,Sep04,
92287,PEAC,"Pharmacy, Rx",SH033,fluorescein inj (5ml uou),item,5.442,1,0,XXX,Sep04,Sep04,
92287,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,0,XXX,,Sep04,
92310,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,Sep04,
92310,PEAC,"Pharmacy, NonRx",SJ073,DMV remover,item,1.99,1,0,XXX,,Sep04,
92310,PEAC,"Kit, Pack, Tray",SA089,"kit, boston original system",kit,4.5,1,0,XXX,,Sep04,
92311,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,Sep04,
92311,PEAC,"Pharmacy, NonRx",SJ073,DMV remover,item,1.99,1,0,XXX,,Sep04,
92311,PEAC,"Kit, Pack, Tray",SA089,"kit, boston original system",kit,4.5,1,0,XXX,,Sep04,
92312,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,Sep04,
92312,PEAC,"Pharmacy, NonRx",SJ073,DMV remover,item,1.99,1,0,XXX,,Sep04,
92312,PEAC,"Kit, Pack, Tray",SA089,"kit, boston original system",kit,4.5,1,0,XXX,,Sep04,
92313,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,Sep04,
92313,PEAC,"Pharmacy, NonRx",SJ073,DMV remover,item,1.99,1,0,XXX,,Sep04,
92313,CMS,"Pharmacy, NonRx",SJ080,"lens cleaner, daily (Allergan)",ounce,0.42,1,0,XXX,,PFS07,
92313,PEAC,"Kit, Pack, Tray",SA089,"kit, boston original system",kit,4.5,1,0,XXX,,Sep04,
92314,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,Sep04,
92314,PEAC,"Pharmacy, NonRx",SJ073,DMV remover,item,1.99,1,0,XXX,,Sep04,
92314,PEAC,"Kit, Pack, Tray",SA089,"kit, boston original system",kit,4.5,1,0,XXX,,Sep04,
92315,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,Sep04,
92315,PEAC,"Pharmacy, NonRx",SJ073,DMV remover,item,1.99,1,0,XXX,,Sep04,
92315,PEAC,"Kit, Pack, Tray",SA089,"kit, boston original system",kit,4.5,1,0,XXX,,Sep04,
92316,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,Sep04,
92316,PEAC,"Pharmacy, NonRx",SJ073,DMV remover,item,1.99,1,0,XXX,,Sep04,
92316,PEAC,"Kit, Pack, Tray",SA089,"kit, boston original system",kit,4.5,1,0,XXX,,Sep04,
92317,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,Sep04,
92317,PEAC,"Pharmacy, NonRx",SJ073,DMV remover,item,1.99,1,0,XXX,,Sep04,
92317,PEAC,"Kit, Pack, Tray",SA089,"kit, boston original system",kit,4.5,1,0,XXX,,Sep04,
92325,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,Jan04,13
92325,PEAC,"Pharmacy, NonRx",SJ065,contact lens (hard) care kit,item,7.95,1,0,XXX,,Jan04,13
92325,PEAC,"Pharmacy, NonRx",SJ066,contact lens (hard) extra strength cleaning solution,ml,0.1583,1,0,XXX,,Jan04,13
92325,PEAC,"Pharmacy, NonRx",SJ067,contact lens (RGP) polishing soln (Silo2 Care),ml,0.077,15,0,XXX,,Jan04,13
92326,PEAC,"Kit, Pack, Tray",SA050,"pack, ophthalmology visit (no dilation)",pack,1.185,1,0,XXX,,Jan04,13
92326,PEAC,"Pharmacy, NonRx",SJ065,contact lens (hard) care kit,item,7.95,1,0,XXX,,Jan04,13
92326,PEAC,"Pharmacy, NonRx",SJ066,contact lens (hard) extra strength cleaning solution,ml,0.1583,1,0,XXX,,Jan04,13
92340,PEAC,"Pharmacy, NonRx",SJ074,lens cleaner,ounce,0.69,1,0,XXX,,Sep04,
92341,PEAC,"Pharmacy, NonRx",SJ074,lens cleaner,ounce,0.69,1,0,XXX,,Sep04,
92342,PEAC,"Pharmacy, NonRx",SJ074,lens cleaner,ounce,0.69,1,0,XXX,,Sep04,
92352,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
92352,CPEP,"Gown, Drape",SB035,"paper, chinrest",item,0.008,1,,XXX,,,
92352,CPEP,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,1,,XXX,,,
92352,CPEP,"Office Supply, Grocery",SK082,"towel, paper (Bounty) (per sheet)",item,0.007,2,,XXX,,,
92352,CPEP,"Pharmacy, NonRx",SJ015,contact lens soln (12oz uou),item,4.19,1,,XXX,,,
92352,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,,XXX,,,
92352,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
92352,CPEP,"Pharmacy, Rx",SH034,fluorescein strips,item,0.282,1,,XXX,,,
92352,CPEP,"Pharmacy, Rx",SH056,phenylephrine 2.5% ophth (Mydfrin),ml,0.391,0.1,,XXX,,,
92352,CPEP,"Pharmacy, Rx",SH058,"proparacaine 0.5% ophth (Ophthaine, Alcaine)",ml,0.596,0.1,,XXX,,,
92352,CPEP,"Pharmacy, Rx",SH073,tropicamide 1% ophth (Mydriacyl),ml,0.656,0.1,,XXX,,,
92352,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,,
92353,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
92353,CPEP,"Gown, Drape",SB035,"paper, chinrest",item,0.008,1,,XXX,,,
92353,CPEP,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,1,,XXX,,,
92353,CPEP,"Office Supply, Grocery",SK082,"towel, paper (Bounty) (per sheet)",item,0.007,2,,XXX,,,
92353,CPEP,"Pharmacy, NonRx",SJ015,contact lens soln (12oz uou),item,4.19,1,,XXX,,,
92353,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,,XXX,,,
92353,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
92353,CPEP,"Pharmacy, Rx",SH034,fluorescein strips,item,0.282,1,,XXX,,,
92353,CPEP,"Pharmacy, Rx",SH056,phenylephrine 2.5% ophth (Mydfrin),ml,0.391,0.1,,XXX,,,
92353,CPEP,"Pharmacy, Rx",SH058,"proparacaine 0.5% ophth (Ophthaine, Alcaine)",ml,0.596,0.1,,XXX,,,
92353,CPEP,"Pharmacy, Rx",SH073,tropicamide 1% ophth (Mydriacyl),ml,0.656,0.1,,XXX,,,
92353,CPEP,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,,
92354,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,13
92355,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,13
92358,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,13
92370,PEAC,"Pharmacy, NonRx",SJ078,temple tips,pair,1,1,0,XXX,,Sep04,
92370,PEAC,"Pharmacy, NonRx",SJ077,"screws, spectacles",item,0.14,1,0,XXX,,Sep04,
92370,PEAC,"Pharmacy, NonRx",SJ076,nose pads,item,0.79,1,0,XXX,,Sep04,
92371,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,13
92499,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
92502,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
92504,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,XXX,,,
92504,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,XXX,,,
92504,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
92504,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,XXX,,,
92504,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,XXX,,,
92504,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
92504,PEAC,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,1,,XXX,,,
92504,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,,
92504,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,2,,XXX,,,
92504,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,4,,XXX,,,
92506,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
92506,PEAC,"Office Supply, Grocery",SK007,audio cassette tape 60 min,item,0.76,1,,XXX,,,
92506,PEAC,"Office Supply, Grocery",SK008,audiology scoring forms,item,0.088,4,,XXX,,,
92506,PEAC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,1,,XXX,,,
92506,PEAC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,1,,XXX,,,
92506,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
92506,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
92506,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,,XXX,,,
92506,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,2,,XXX,,,
92507,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
92507,PEAC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,2,,XXX,,,
92507,PEAC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,2,,XXX,,,
92507,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
92507,PEAC,"Office Supply, Grocery",SK077,"spoon, plastic",item,0.026,2,,XXX,,,
92507,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,XXX,,,
92507,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,1,,XXX,,,
92508,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
92508,PEAC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,2,,XXX,,,
92508,PEAC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,2,,XXX,,,
92508,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
92508,PEAC,"Office Supply, Grocery",SK077,"spoon, plastic",item,0.026,2,,XXX,,,
92508,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,XXX,,,
92508,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,1,,XXX,,,
92511,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,,,
92511,PEAC,"Accessory, Procedure",SD070,endosheath,item,9.5,1,,000,,,
92511,PEAC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,2,,000,,,
92511,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
92511,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,,000,,,
92511,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,4,,000,,,
92511,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
92511,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,,000,,,
92511,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,000,,,
92511,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,000,,,
92511,PEAC,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,,000,,,
92511,PEAC,Infection Control,SM001,atomizer tip shield (RhinoGuard),item,0.56,1,,000,,,
92511,PEAC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,000,,,
92511,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
92511,PEAC,"Office Supply, Grocery",SK032,"film, type 667 Polaroid (per exposure)",item,1,1,,000,,,
92511,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
92511,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,1,,000,,,
92511,PEAC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,000,,,
92511,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
92511,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,2,,000,,,
92511,PEAC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,,000,,,
92511,PEAC,"Wound Care, Dressings",SG031,cottonoid,item,0.773,3,0,000,,,
92511,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,000,,,
92512,PEAC,"Accessory, Procedure",SD130,"tubing, latex",foot,0.583,2,0,XXX,,Mar04,K
92512,PEAC,"Accessory, Procedure",SD183,"nasal tip, olive",item,0.34,1,0,XXX,,Mar04,K
92512,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,4,0,XXX,,Mar04,K
92516,PEAC,"Accessory, Procedure",SD051,"electrode needle, monopolar EMG w-lead",item,3.03,2,0,XXX,,Mar04,K
92516,PEAC,"Accessory, Procedure",SD055,"electrode, electrical stimulation",item,1.312,1,0,XXX,,Mar04,K
92516,PEAC,"Accessory, Procedure",SD062,"electrode, surface",item,0.883,1,0,XXX,,Mar04,K
92516,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,2,0,XXX,,Mar04,K
92516,PEAC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,2,0,XXX,,Mar04,K
92516,PEAC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,0.5,0,XXX,,Mar04,K
92516,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Mar04,K
92516,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,4,0,XXX,,Mar04,K
92520,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,8,0,XXX,,RUC05,
92520,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,RUC05,
92520,RUC,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,0,XXX,,RUC05,
92520,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,RUC05,
92520,RUC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,30,0,XXX,,RUC05,
92520,RUC,"Accessory, Procedure",SD130,"tubing, latex",foot,0.583,1,0,XXX,,RUC05,
92520,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,1,0,XXX,,RUC05,
92526,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
92526,PEAC,"Office Supply, Grocery",SK004,apple sauce,oz,0.052,1,,XXX,,,
92526,PEAC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,2,,XXX,,,
92526,PEAC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,2,,XXX,,,
92526,PEAC,"Office Supply, Grocery",SK040,graham crackers (one packet),item,0.697,3,,XXX,,,
92526,PEAC,"Office Supply, Grocery",SK042,"juice, apple",oz,0.039,1,,XXX,,,
92526,PEAC,"Office Supply, Grocery",SK077,"spoon, plastic",item,0.026,2,,XXX,,,
92526,PEAC,"Pharmacy, NonRx",SJ051,"swab, lemon-glycerine (3 pak uou)",item,0.129,3,,XXX,,,
92526,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
92526,PEAC,"Pharmacy, NonRx",SJ058,thick-it pack,item,0.35,3,,XXX,,,
92526,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,XXX,,,
92526,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,3,,XXX,,,
92527,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,CPT10,55
92531,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
92532,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
92533,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
92534,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
92540,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,CPT10,36
92540,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,5,,XXX,,CPT10,36
92540,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,XXX,,CPT10,36
92540,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,CPT10,36
92540,RUC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,CPT10,36
92540,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,12,,XXX,,CPT10,36
92540,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,XXX,,CPT10,36
92540,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,CPT10,36
92540,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,XXX,,CPT10,36
92540,RUC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,1,,XXX,,CPT10,36
92540,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,CPT10,36
92540,RUC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,2,,XXX,,CPT10,36
92541,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,CPT10,36
92541,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,XXX,,CPT10,36
92541,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,CPT10,36
92541,RUC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,CPT10,36
92541,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,3,,XXX,,CPT10,36
92541,RUC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,1,,XXX,,CPT10,36
92541,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,CPT10,36
92541,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,XXX,,CPT10,36
92541,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,,XXX,,CPT10,36
92542,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,CPT10,36
92542,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,,XXX,,CPT10,36
92542,RUC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,XXX,,CPT10,36
92542,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,CPT10,36
92542,RUC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,CPT10,36
92542,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,3,,XXX,,CPT10,36
92542,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,XXX,,CPT10,36
92542,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,CPT10,36
92542,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,XXX,,CPT10,36
92542,RUC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,1,,XXX,,CPT10,36
92543,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,1,,XXX,,,
92543,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,XXX,,,
92543,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,XXX,,,
92543,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,,
92543,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,,XXX,,,
92543,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,1,,XXX,,,
92543,PEAC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,1,,XXX,,,
92543,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
92543,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,1,,XXX,,,
92544,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,,XXX,,,
92544,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,XXX,,,
92544,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
92544,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,,
92544,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,3,,XXX,,,
92544,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,XXX,,,
92544,PEAC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,1,,XXX,,,
92544,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
92544,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,,
92544,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,XXX,,,
92545,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,,XXX,,,
92545,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,XXX,,,
92545,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
92545,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,,
92545,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,3,,XXX,,,
92545,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,XXX,,,
92545,PEAC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,1,,XXX,,,
92545,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
92545,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,,
92545,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,XXX,,,
92546,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,,XXX,,,
92546,PEAC,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,XXX,,,
92546,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
92546,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,,
92546,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,3,,XXX,,,
92546,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,XXX,,,
92546,PEAC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,1,,XXX,,,
92546,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
92546,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,,
92546,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,XXX,,,
92547,PEAC,"Accessory, Procedure",SD062,"electrode, surface",item,0.883,2,0,ZZZ,,Mar04,K
92547,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,4,0,ZZZ,,Mar04,K
92547,PEAC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,2,0,ZZZ,,Mar04,K
92547,PEAC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,1,0,ZZZ,,Mar04,K
92547,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,2,0,ZZZ,,Mar04,K
92547,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,ZZZ,,Mar04,K
92547,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,2,0,ZZZ,,Mar04,K
92548,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,6,0,XXX,,Mar04,K
92550,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,CPT10,36
92550,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,2,,XXX,,CPT10,36
92550,RUC,"Accessory, Procedure",SD046,"ear tip, tympanometry probe",item,0.953,1,,XXX,,CPT10,36
92550,RUC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,CPT10,36
92551,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Feb05,
92551,PEAC,"Accessory, Procedure",SD047,eartip insert with sound tube,item,0.423,2,0,XXX,,Feb05,
92552,PEAC,"Accessory, Procedure",SD047,eartip insert with sound tube,item,0.423,2,0,XXX,,,
92552,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,,
92552,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
92553,PEAC,"Accessory, Procedure",SD047,eartip insert with sound tube,item,0.423,2,0,XXX,,,
92553,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,,
92553,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
92555,PEAC,"Accessory, Procedure",SD047,eartip insert with sound tube,item,0.423,2,0,XXX,,,
92555,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,,
92555,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,,
92556,PEAC,"Accessory, Procedure",SD047,eartip insert with sound tube,item,0.423,2,0,XXX,,,
92556,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,,
92556,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,,
92557,PEAC,"Accessory, Procedure",SD047,eartip insert with sound tube,item,0.423,2,0,XXX,,,
92557,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,,
92557,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,,
92559,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
92560,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
92561,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,,
92561,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,,XXX,,,
92561,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
92562,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,,
92562,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
92563,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,,
92563,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
92564,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,,
92564,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
92565,PEAC,"Office Supply, Grocery",SK008,audiology scoring forms,item,0.088,1,0,XXX,,Mar04,K
92567,PEAC,"Accessory, Procedure",SD046,"ear tip, tympanometry probe",item,0.953,2,,XXX,,,
92567,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,,
92567,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,,XXX,,,
92567,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
92568,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,,XXX,,,
92570,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,CPT10,36
92570,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,3,,XXX,,CPT10,36
92570,RUC,"Accessory, Procedure",SD046,"ear tip, tympanometry probe",item,0.953,1,,XXX,,CPT10,36
92570,RUC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,CPT10,36
92571,PEAC,"Office Supply, Grocery",SK008,audiology scoring forms,item,0.088,1,0,XXX,,Mar04,K
92572,PEAC,"Office Supply, Grocery",SK008,audiology scoring forms,item,0.088,1,0,XXX,,Mar04,K
92575,PEAC,"Office Supply, Grocery",SK008,audiology scoring forms,item,0.088,1,0,XXX,,Mar04,K
92575,PEAC,"Office Supply, Grocery",SK085,"Velcro, strong (Poly-Lock)",foot,2.82,2,0,XXX,,Mar04,K
92576,PEAC,"Office Supply, Grocery",SK008,audiology scoring forms,item,0.088,1,0,XXX,,Mar04,K
92577,PEAC,"Office Supply, Grocery",SK008,audiology scoring forms,item,0.088,1,0,XXX,,Mar04,K
92579,PEAC,"Accessory, Procedure",SD044,"ear tip, earphone",item,0.43,2,0,XXX,,Mar04,K
92579,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,Mar04,K
92579,PEAC,"Office Supply, Grocery",SK008,audiology scoring forms,item,0.088,1,0,XXX,,Mar04,K
92582,PEAC,"Accessory, Procedure",SD044,"ear tip, earphone",item,0.43,2,0,XXX,,Mar04,K
92582,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,Mar04,K
92582,PEAC,"Office Supply, Grocery",SK008,audiology scoring forms,item,0.088,1,0,XXX,,Mar04,K
92583,PEAC,"Accessory, Procedure",SD044,"ear tip, earphone",item,0.43,2,0,XXX,,Mar04,K
92583,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,Mar04,K
92583,PEAC,"Office Supply, Grocery",SK008,audiology scoring forms,item,0.088,1,0,XXX,,Mar04,K
92584,PEAC,"Accessory, Procedure",SD047,eartip insert with sound tube,item,0.423,2,0,XXX,,Mar04,K
92584,PEAC,"Accessory, Procedure",SD062,"electrode, surface",item,0.883,3,0,XXX,,Mar04,K
92584,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,2,0,XXX,,Mar04,K
92584,PEAC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,2,0,XXX,,Mar04,K
92584,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,2,0,XXX,,Mar04,K
92584,PEAC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,1.5,0,XXX,,Mar04,K
92584,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,2,0,XXX,,Mar04,K
92584,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,XXX,,Mar04,K
92584,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Mar04,K
92585,PEAC,"Accessory, Procedure",SD044,"ear tip, earphone",item,0.43,2,0,XXX,,Mar04,K
92585,PEAC,"Accessory, Procedure",SD062,"electrode, surface",item,0.883,4,0,XXX,,Mar04,K
92585,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,Mar04,K
92585,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,2,0,XXX,,Mar04,K
92585,PEAC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,2,0,XXX,,Mar04,K
92585,PEAC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,2,0,XXX,,Mar04,K
92585,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,2,0,XXX,,Mar04,K
92585,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,3,0,XXX,,Mar04,K
92585,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Mar04,K
92586,PEAC,"Accessory, Procedure",SD044,"ear tip, earphone",item,0.43,2,0,XXX,,Mar04,K
92586,PEAC,"Accessory, Procedure",SD062,"electrode, surface",item,0.883,3,0,XXX,,Mar04,K
92586,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,Mar04,K
92586,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,2,0,XXX,,Mar04,K
92586,PEAC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,2,0,XXX,,Mar04,K
92586,PEAC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,2,0,XXX,,Mar04,K
92586,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,2,0,XXX,,Mar04,K
92586,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,3,0,XXX,,Mar04,K
92586,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,5,0,XXX,,Mar04,K
92587,PEAC,"Accessory, Procedure",SD045,"ear tip, immittance",item,0.165,1,0,XXX,,Mar04,K
92587,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,Mar04,K
92587,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,2,0,XXX,,Mar04,K
92587,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar04,K
92588,PEAC,"Accessory, Procedure",SD045,"ear tip, immittance",item,0.165,1,0,XXX,,Mar04,K
92588,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,Mar04,K
92588,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,2,0,XXX,,Mar04,K
92588,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar04,K
92590,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
92591,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
92592,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
92593,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
92594,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
92595,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
92596,PEAC,"Office Supply, Grocery",SK008,audiology scoring forms,item,0.088,1,0,XXX,,Mar04,K
92597,RUC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,1,,XXX,,,
92597,RUC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,1,,XXX,,,
92597,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,CPT10,55
92597,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,8,,XXX,,CPT10,55
92597,RUC,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,1,,XXX,,CPT10,55
92597,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,CPT10,55
92597,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,XXX,,CPT10,55
92601,HCPAC,"Accessory, Procedure",SD045,"ear tip, immittance",item,0.165,1,,XXX,,,
92601,HCPAC,"Kit, Pack, Tray",SA032,"kit, tangible reinforcement-reward for children",kit,1.5,1,,XXX,,,
92601,HCPAC,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,,XXX,,,
92601,HCPAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,5,,XXX,,,
92601,HCPAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
92601,HCPAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
92601,HCPAC,"Office Supply, Grocery",SK079,"tape, toupee",inch,0.048,105,,XXX,,,
92601,HCPAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,10,,XXX,,,
92602,HCPAC,"Accessory, Procedure",SD045,"ear tip, immittance",item,0.165,1,,XXX,,,
92602,HCPAC,"Kit, Pack, Tray",SA032,"kit, tangible reinforcement-reward for children",kit,1.5,1,,XXX,,,
92602,HCPAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,5,,XXX,,,
92602,HCPAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
92602,HCPAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
92602,HCPAC,"Office Supply, Grocery",SK079,"tape, toupee",inch,0.048,105,,XXX,,,
92602,HCPAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,10,,XXX,,,
92603,HCPAC,"Accessory, Procedure",SD045,"ear tip, immittance",item,0.165,1,,XXX,,,
92603,HCPAC,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,,XXX,,,
92603,HCPAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,5,,XXX,,,
92603,HCPAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
92603,HCPAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
92603,HCPAC,"Office Supply, Grocery",SK079,"tape, toupee",inch,0.048,105,,XXX,,,
92603,HCPAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,10,,XXX,,,
92604,HCPAC,"Accessory, Procedure",SD045,"ear tip, immittance",item,0.165,1,,XXX,,,
92604,HCPAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,5,,XXX,,,
92604,HCPAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
92604,HCPAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
92604,HCPAC,"Office Supply, Grocery",SK079,"tape, toupee",inch,0.048,105,,XXX,,,
92604,HCPAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,10,,XXX,,,
92605,HCPAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
92605,HCPAC,"Office Supply, Grocery",SK044,lamination sheet (letter size),item,0.666,1,,XXX,,,
92605,HCPAC,"Office Supply, Grocery",SK055,"paper, card stock (8.5 x 11)",item,0.035,10,,XXX,,,
92605,HCPAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
92605,HCPAC,"Office Supply, Grocery",SK070,"Rep-band, light (6yd uou)",item,6.12,1,,XXX,,,
92605,HCPAC,"Office Supply, Grocery",SK084,"Velcro, standard",foot,0.372,3,,XXX,,,
92605,HCPAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,10,,XXX,,,
92605,HCPAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,,XXX,,,
92606,HCPAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
92606,HCPAC,"Office Supply, Grocery",SK044,lamination sheet (letter size),item,0.666,1,,XXX,,,
92606,HCPAC,"Office Supply, Grocery",SK055,"paper, card stock (8.5 x 11)",item,0.035,10,,XXX,,,
92606,HCPAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
92606,HCPAC,"Office Supply, Grocery",SK070,"Rep-band, light (6yd uou)",item,6.12,1,,XXX,,,
92606,HCPAC,"Office Supply, Grocery",SK084,"Velcro, standard",foot,0.372,3,,XXX,,,
92606,HCPAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,10,,XXX,,,
92606,HCPAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,,XXX,,,
92607,HCPAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
92607,HCPAC,"Office Supply, Grocery",SK044,lamination sheet (letter size),item,0.666,1,,XXX,,,
92607,HCPAC,"Office Supply, Grocery",SK055,"paper, card stock (8.5 x 11)",item,0.035,10,,XXX,,,
92607,HCPAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
92607,HCPAC,"Office Supply, Grocery",SK070,"Rep-band, light (6yd uou)",item,6.12,1,,XXX,,,
92607,HCPAC,"Office Supply, Grocery",SK084,"Velcro, standard",foot,0.372,3,,XXX,,,
92607,HCPAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,10,,XXX,,,
92607,HCPAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,,XXX,,,
92608,HCPAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,0.33,,XXX,,,
92608,HCPAC,"Office Supply, Grocery",SK044,lamination sheet (letter size),item,0.666,0.33,,XXX,,,
92608,HCPAC,"Office Supply, Grocery",SK055,"paper, card stock (8.5 x 11)",item,0.035,3.3,,XXX,,,
92608,HCPAC,"Office Supply, Grocery",SK068,razor,item,0.389,0.33,,XXX,,,
92608,HCPAC,"Office Supply, Grocery",SK070,"Rep-band, light (6yd uou)",item,6.12,0.33,,XXX,,,
92608,HCPAC,"Office Supply, Grocery",SK084,"Velcro, standard",foot,0.372,1,,XXX,,,
92608,HCPAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3.3,,XXX,,,
92608,HCPAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,0.33,,XXX,,,
92609,HCPAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
92609,HCPAC,"Office Supply, Grocery",SK044,lamination sheet (letter size),item,0.666,1,,XXX,,,
92609,HCPAC,"Office Supply, Grocery",SK055,"paper, card stock (8.5 x 11)",item,0.035,10,,XXX,,,
92609,HCPAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
92609,HCPAC,"Office Supply, Grocery",SK070,"Rep-band, light (6yd uou)",item,6.12,1,,XXX,,,
92609,HCPAC,"Office Supply, Grocery",SK084,"Velcro, standard",foot,0.372,3,,XXX,,,
92609,HCPAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,10,,XXX,,,
92609,HCPAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,,XXX,,,
92610,HCPAC,"Pharmacy, NonRx",SJ044,pre-thickened juice (4oz uou),item,0.831,2,,XXX,,CPT10,55
92610,HCPAC,"Pharmacy, Rx",SH017,"barium, honey (Varibar)",ml,0.217,8,,XXX,,CPT10,55
92610,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,8,,XXX,,CPT10,55
92610,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,CPT10,55
92610,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,2,,XXX,,CPT10,55
92610,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,CPT10,55
92610,RUC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,6,,XXX,,CPT10,55
92610,RUC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,2,,XXX,,CPT10,55
92610,RUC,"Pharmacy, NonRx",SJ058,thick-it pack,item,0.35,3,,XXX,,CPT10,55
92610,HCPAC,"Office Supply, Grocery",SK017,cookie (each),item,0.06,1,,XXX,,CPT10,55
92610,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,XXX,,CPT10,55
92611,HCPAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
92611,HCPAC,"Office Supply, Grocery",SK017,cookie (each),item,0.06,1,,XXX,,,
92611,HCPAC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,1,,XXX,,,
92611,HCPAC,"Office Supply, Grocery",SK077,"spoon, plastic",item,0.026,2,,XXX,,,
92611,HCPAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,,XXX,,,
92611,HCPAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,,XXX,,,
92611,HCPAC,"Pharmacy, Rx",SH017,"barium, honey (Varibar)",ml,0.217,8,,XXX,,,
92611,HCPAC,"Pharmacy, Rx",SH018,"barium, nectar (Varibar)",ml,0.021,240,,XXX,,,
92611,HCPAC,"Pharmacy, Rx",SH019,"barium, pudding (Varibar)",ml,0.217,8,,XXX,,,
92612,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,XXX,,,
92612,RUC,"Accessory, Procedure",SD070,endosheath,item,9.5,1,,XXX,,,
92612,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,XXX,,,
92612,RUC,"Accessory, Procedure",SD133,"tubing, suction, non-latex (6ft) with Poole tip (1)",item,3.759,1,,XXX,,,
92612,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,XXX,,,
92612,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
92612,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
92612,RUC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,XXX,,,
92612,RUC,"Office Supply, Grocery",SK004,apple sauce,oz,0.052,3,,XXX,,,
92612,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,,XXX,,,
92612,RUC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,6,,XXX,,,
92612,RUC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,3,,XXX,,,
92612,RUC,"Office Supply, Grocery",SK032,"film, type 667 Polaroid (per exposure)",item,1,3,,XXX,,,
92612,RUC,"Office Supply, Grocery",SK040,graham crackers (one packet),item,0.697,1,,XXX,,,
92612,RUC,"Office Supply, Grocery",SK042,"juice, apple",oz,0.039,21,,XXX,,,
92612,RUC,"Office Supply, Grocery",SK077,"spoon, plastic",item,0.026,2,,XXX,,,
92612,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,XXX,,,
92612,RUC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,XXX,,,
92612,RUC,"Pharmacy, NonRx",SJ058,thick-it pack,item,0.35,3,,XXX,,,
92612,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,,XXX,,,
92612,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,,XXX,,,
92612,RUC,"Pharmacy, Rx",SH048,"lidocaine 2% jelly, topical  (Xylocaine)",ml,0.647,5,,XXX,,,
92612,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,,
92612,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,3,,XXX,,,
92613,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
92614,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,XXX,,,
92614,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,XXX,,,
92614,RUC,"Accessory, Procedure",SD133,"tubing, suction, non-latex (6ft) with Poole tip (1)",item,3.759,1,,XXX,,,
92614,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,XXX,,,
92614,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
92614,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
92614,RUC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,XXX,,,
92614,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,,XXX,,,
92614,RUC,"Office Supply, Grocery",SK032,"film, type 667 Polaroid (per exposure)",item,1,3,,XXX,,,
92614,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,XXX,,,
92614,RUC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,XXX,,,
92614,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,,XXX,,,
92614,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,3,,XXX,,,
92615,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
92616,RUC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,XXX,,,
92616,RUC,"Accessory, Procedure",SD132,"tubing, suction, non-latex (6ft uou)",item,1.795,1,,XXX,,,
92616,RUC,"Accessory, Procedure",SD133,"tubing, suction, non-latex (6ft) with Poole tip (1)",item,3.759,1,,XXX,,,
92616,RUC,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,XXX,,,
92616,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
92616,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
92616,RUC,Infection Control,SM014,endoscope anti-fog solution,ml,1.067,1,,XXX,,,
92616,RUC,"Office Supply, Grocery",SK004,apple sauce,oz,0.052,3,,XXX,,,
92616,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,,XXX,,,
92616,RUC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,6,,XXX,,,
92616,RUC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,3,,XXX,,,
92616,RUC,"Office Supply, Grocery",SK032,"film, type 667 Polaroid (per exposure)",item,1,3,,XXX,,,
92616,RUC,"Office Supply, Grocery",SK040,graham crackers (one packet),item,0.697,1,,XXX,,,
92616,RUC,"Office Supply, Grocery",SK042,"juice, apple",oz,0.039,21,,XXX,,,
92616,RUC,"Office Supply, Grocery",SK077,"spoon, plastic",item,0.026,2,,XXX,,,
92616,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,XXX,,,
92616,RUC,"Pharmacy, NonRx",SJ037,oxymetazoline nasal spray (Afrin) (15ml uou),item,1.83,1,,XXX,,,
92616,RUC,"Pharmacy, NonRx",SJ058,thick-it pack,item,0.35,3,,XXX,,,
92616,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,,XXX,,,
92616,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,3,,XXX,,,
92617,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
92620,HCPAC,"Office Supply, Grocery",SK008,audiology scoring forms,item,0.088,4,0,XXX,,,
92621,HCPAC,"Office Supply, Grocery",SK008,audiology scoring forms,item,0.088,2,0,XXX,,,
92625,HCPAC,"Office Supply, Grocery",SK008,audiology scoring forms,item,0.088,3,0,ZZZ,,,
92626,HCPAC,"Office Supply, Grocery",SK008,audiology scoring forms,item,0.088,4,0,XXX,,CPT06,
92626,HCPAC,"Kit, Pack, Tray",SA033,"kit, therapeutic toys-games",kit,0.2,1,0,XXX,,CPT06,
92627,HCPAC,"Office Supply, Grocery",SK008,audiology scoring forms,item,0.088,4,0,ZZZ,,CPT06,
92627,HCPAC,"Kit, Pack, Tray",SA033,"kit, therapeutic toys-games",kit,0.2,1,0,ZZZ,,CPT06,
92630,HCPAC,"Kit, Pack, Tray",SA033,"kit, therapeutic toys-games",kit,0.2,1,0,XXX,,CPT06,
92630,HCPAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.1,0,XXX,,CPT06,
92633,HCPAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.1,0,XXX,,CPT06,
92640,HCPAC,"Office Supply, Grocery",SK008,audiology scoring forms,item,0.088,1,0,XXX,,CPT07,
92640,HCPAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.1,0,XXX,,OCT08,5y
92640,HCPAC,"Office Supply, Grocery",SK068,razor,item,0.389,0.25,0,XXX,,CPT07,
92700,HCPAC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
92950,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,10,,000,,Mar03,12
92950,PEAC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,375,,000,,Mar03,12
92950,PEAC,"Accessory, Procedure",SD106,"pad, cardioversion R2 (2 pack)",item,29.75,1,,000,,Mar03,12
92950,PEAC,"Accessory, Procedure",SD182,"mask, CPR (RespAide)",item,16.95,1,,000,,Mar03,12
92950,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,Mar03,12
92950,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,000,,Mar03,12
92950,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,,000,,Mar03,12
92950,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,3,,000,,Mar03,12
92950,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.33,,000,,Mar03,12
92950,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,,Mar03,12
92950,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,10,,000,,Mar03,12
92950,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,8,,000,,Mar03,12
92950,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,000,,Mar03,12
92953,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
92960,PEAC,"Accessory, Procedure",SD106,"pad, cardioversion R2 (2 pack)",item,29.75,1,,000,,,
92960,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
92960,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
92960,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,4,,000,,,
92961,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
92970,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
92971,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
92973,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
92974,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
92975,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
92977,CMS WALK: BOTH SITES,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,90780,,
92977,CMS WALK: BOTH SITES,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,90780,,
92977,CMS WALK: BOTH SITES,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,90780,,
92977,CMS WALK: BOTH SITES,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,90780,,
92977,CMS WALK: BOTH SITES,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,90780,,
92977,CMS WALK: BOTH SITES,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,90780,,
92977,CMS WALK: BOTH SITES,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,90780,,
92977,CMS WALK: BOTH SITES,"Hypodermic, IV",SC013,infusion pump cassette-reservoir,item,12.963,1,,XXX,90780,,
92977,CMS WALK: BOTH SITES,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,90780,,
92977,CMS WALK: BOTH SITES,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,90780,,
92977,CMS WALK: BOTH SITES,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,XXX,90780,,
92977,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,90780,,
92977,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,90780,,
92978,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
92979,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
92980,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
92981,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
92982,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
92984,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
92986,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
92987,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
92990,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
92992,CPEP,NO DETAILS,SX003,CARRIER PRICED,na,,,,090,,,
92993,CPEP,NO DETAILS,SX003,CARRIER PRICED,na,,,,090,,,
92995,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
92996,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
92997,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
92998,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
93000,CMS,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,10,,XXX,,,
93000,CMS,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,4,,XXX,,,
93000,CMS,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,XXX,,,
93005,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,10,,XXX,,,
93005,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,4,,XXX,,,
93005,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,XXX,,,
93010,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
93015,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,10,,XXX,,,
93015,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,15,,XXX,,,
93015,PEAC,"Office Supply, Grocery",SK072,sandpaper (per sheet),item,0.398,1,,XXX,,,
93015,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
93015,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
93016,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
93017,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,10,,XXX,,,
93017,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,15,,XXX,,,
93017,PEAC,"Office Supply, Grocery",SK072,sandpaper (per sheet),item,0.398,1,,XXX,,,
93017,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
93017,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
93018,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
93024,CPEP,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,,
93024,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93024,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
93024,CPEP,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
93024,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
93024,CPEP,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,,
93024,CPEP,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
93024,CPEP,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,,,
93024,CPEP,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,,,
93024,CPEP,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,XXX,,,
93024,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
93024,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
93024,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
93025,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,7,,XXX,,,
93025,RUC,"Accessory, Procedure",SD115,"sensor, microvolt (Micro-V)",item,12,7,,XXX,,,
93025,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
93025,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
93025,RUC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
93025,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,,XXX,,,
93025,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,10,,XXX,,,
93025,RUC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
93025,RUC,"Pharmacy, NonRx",SJ023,electrode skin prep tape (One-Step),inch,0.097,1,,XXX,,,
93025,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,XXX,,,
93040,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,5,,XXX,,,
93040,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,4,,XXX,,,
93040,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,,XXX,,,
93041,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,5,,XXX,,,
93041,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,4,,XXX,,,
93041,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,,XXX,,,
93042,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
93224,PEAC,"Kit, Pack, Tray",SA002,"kit, ambulatory Holter",kit,4.449,1,0,XXX,,Mar04,L
93224,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,20,0,XXX,,Mar04,L
93225,PEAC,"Kit, Pack, Tray",SA002,"kit, ambulatory Holter",kit,4.449,1,0,XXX,,Mar04,L
93226,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,10,0,XXX,,Mar04,L
93227,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,10,0,XXX,,Mar04,L
93228,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT09,25
93268,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,CPT11,
93268,CMS,"Office Supply, Grocery",SK106,device shipping cost,item,12,1,,XXX,,CPT11,
93268,CMS,"Office Supply, Grocery",SK095,"battery, AA",item,0.45,12,,XXX,,CPT11,
93268,CMS,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,6,,XXX,,CPT11,
93268,CMS,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,CPT11,
93268,CMS,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,60,,XXX,,CPT11,
93270,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,L
93271,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,6,,XXX,,Apr05,
93271,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,Apr05,
93271,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,88171,Apr05,
93271,PEAC,"Office Supply, Grocery",SK106,device shipping cost,item,12,1,,XXX,,Apr05,
93271,CMS,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,60,,XXX,,Apr05,
93271,PEAC,"Office Supply, Grocery",SK095,"battery, AA",item,0.45,12,,XXX,,Apr05,
93272,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,L
93278,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,10,0,XXX,,Mar04,L
93278,PEAC,"Office Supply, Grocery",SK072,sandpaper (per sheet),item,0.398,1,0,XXX,,Mar04,L
93278,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Mar04,L
93279,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT09,25
93279,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,10,0,XXX,,CPT09,25
93279,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,4,0,XXX,,CPT09,25
93279,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,CPT09,25
93279,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,0,XXX,,CPT09,25
93280,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT09,25
93280,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,15,0,XXX,,CPT09,25
93280,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,4,0,XXX,,CPT09,25
93280,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,CPT09,25
93280,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,0,XXX,,CPT09,25
93281,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT09,25
93281,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,15,0,XXX,,CPT09,25
93281,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,4,0,XXX,,CPT09,25
93281,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,CPT09,25
93281,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,0,XXX,,CPT09,25
93282,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT09,25
93282,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,15,0,XXX,,CPT09,25
93282,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,4,0,XXX,,CPT09,25
93282,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,CPT09,25
93282,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,0,XXX,,CPT09,25
93283,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT09,25
93283,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,20,0,XXX,,CPT09,25
93283,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,4,0,XXX,,CPT09,25
93283,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,CPT09,25
93283,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,0,XXX,,CPT09,25
93284,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT09,25
93284,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,20,0,XXX,,CPT09,25
93284,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,4,0,XXX,,CPT09,25
93284,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,CPT09,25
93284,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,0,XXX,,CPT09,25
93285,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,4,0,XXX,,CPT09,25
93285,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,CPT09,25
93285,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,0,XXX,,CPT09,25
93285,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,20,0,XXX,,CPT09,25
93285,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT09,25
93286,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,5,0,XXX,,CPT09,25
93286,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,CPT09,25
93286,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,5,0,XXX,,CPT09,25
93286,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,10,0,XXX,,CPT09,25
93286,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT09,25
93286,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,CPT09,25
93287,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,5,0,XXX,,CPT09,25
93287,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,CPT09,25
93287,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,5,0,XXX,,CPT09,25
93287,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,10,0,XXX,,CPT09,25
93287,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT09,25
93287,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,CPT09,25
93288,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT09,25
93288,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,10,0,XXX,,CPT09,25
93288,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,4,0,XXX,,CPT09,25
93288,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,CPT09,25
93288,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,0,XXX,,CPT09,25
93289,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT09,25
93289,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,15,0,XXX,,CPT09,25
93289,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,4,0,XXX,,CPT09,25
93289,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,CPT09,25
93289,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,0,XXX,,CPT09,25
93290,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,4,0,XXX,,CPT09,25
93290,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,CPT09,25
93290,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,0,XXX,,CPT09,25
93290,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,10,0,XXX,,CPT09,25
93290,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT09,25
93291,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,4,0,XXX,,CPT09,25
93291,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,CPT09,25
93291,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,0,XXX,,CPT09,25
93291,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,15,0,XXX,,CPT09,25
93291,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT09,25
93292,RUC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,4,0,XXX,,CPT09,25
93292,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,CPT09,25
93292,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,0,XXX,,CPT09,25
93292,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,10,0,XXX,,CPT09,25
93292,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT09,25
93293,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,10,0,XXX,,CPT09,25
93294,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT09,25
93295,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT09,25
93296,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,10,0,XXX,,CPT09,25
93297,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT09,25
93298,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT09,25
93299,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT09,25
93303,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,3,,XXX,,,
93303,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93303,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.034,,XXX,,,
93303,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,3,,XXX,,,
93303,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93303,PEAC,"Office Supply, Grocery",SK015,"computer media, optical disk 128mb",item,12,0.2,,XXX,,,
93303,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93303,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,0.2,,XXX,,,
93303,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,180,,XXX,,,
93304,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,3,,XXX,,,
93304,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93304,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.034,,XXX,,,
93304,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,3,,XXX,,,
93304,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93304,PEAC,"Office Supply, Grocery",SK015,"computer media, optical disk 128mb",item,12,0.2,,XXX,,,
93304,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93304,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,0.2,,XXX,,,
93304,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,180,,XXX,,,
93306,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,3,,XXX,,CPT09,26
93306,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,CPT09,26
93306,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,3,,XXX,,CPT09,26
93306,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,CPT09,26
93306,RUC,"Office Supply, Grocery",SK015,"computer media, optical disk 128mb",item,12,0.2,,XXX,,CPT09,26
93306,RUC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,0.2,,XXX,,CPT09,26
93306,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,180,,XXX,,CPT09,26
93307,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,3,,XXX,,CPT10,56
93307,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,CPT10,56
93307,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,3,,XXX,,CPT10,56
93307,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,CPT10,56
93307,PEAC,"Office Supply, Grocery",SK015,"computer media, optical disk 128mb",item,12,0.2,,XXX,,CPT10,56
93307,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,0.2,,XXX,,CPT10,56
93307,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,180,,XXX,,CPT10,56
93308,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,3,,XXX,,,
93308,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93308,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.034,,XXX,,,
93308,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,3,,XXX,,,
93308,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93308,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,0.2,,XXX,,,
93308,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,180,,XXX,,,
93312,PEAC,"Accessory, Procedure",SD006,bite block,item,1.5,1,,XXX,,,
93312,PEAC,"Accessory, Procedure",SD127,"tube, suction NG (Salem sump)",item,3.218,1,,XXX,,,
93312,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,,
93312,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
93312,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,3,,XXX,,,
93312,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
93312,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
93312,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
93312,PEAC,"Hypodermic, IV",SC003,arm board,item,0.598,1,,XXX,,,
93312,PEAC,"Hypodermic, IV",SC014,Interlink adaptor,item,1.725,1,,XXX,,,
93312,PEAC,"Hypodermic, IV",SC015,Interlink vial access,item,2.04,1,,XXX,,,
93312,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,,XXX,,,
93312,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,XXX,,,
93312,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.2,,XXX,,,
93312,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,XXX,,,
93312,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,,XXX,,,
93312,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93312,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,0.2,,XXX,,,
93312,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,XXX,,,
93312,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,,XXX,,,
93312,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,20,,XXX,,,
93312,PEAC,"Pharmacy, Rx",SH030,Emla cream,gm,2.089,1,,XXX,,,
93312,PEAC,"Pharmacy, Rx",SH036,glycopyrrolate inj (2ml uou),item,2.097,1,,XXX,,,
93312,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,,XXX,,,
93312,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,XXX,,,
93312,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,XXX,,,
93313,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
93314,PEAC,"Accessory, Procedure",SD006,bite block,item,1.5,1,,XXX,,,
93314,PEAC,"Accessory, Procedure",SD127,"tube, suction NG (Salem sump)",item,3.218,1,,XXX,,,
93314,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,,
93314,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
93314,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,3,,XXX,,,
93314,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
93314,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
93314,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
93314,PEAC,"Hypodermic, IV",SC003,arm board,item,0.598,1,,XXX,,,
93314,PEAC,"Hypodermic, IV",SC014,Interlink adaptor,item,1.725,1,,XXX,,,
93314,PEAC,"Hypodermic, IV",SC015,Interlink vial access,item,2.04,1,,XXX,,,
93314,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,,XXX,,,
93314,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,XXX,,,
93314,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.2,,XXX,,,
93314,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,XXX,,,
93314,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,,XXX,,,
93314,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93314,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,0.2,,XXX,,,
93314,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,XXX,,,
93314,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,,XXX,,,
93314,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,20,,XXX,,,
93314,PEAC,"Pharmacy, Rx",SH030,Emla cream,gm,2.089,1,,XXX,,,
93314,PEAC,"Pharmacy, Rx",SH036,glycopyrrolate inj (2ml uou),item,2.097,1,,XXX,,,
93314,PEAC,"Pharmacy, Rx",SH040,heparin lock flush soln,item,1.16,1,,XXX,,,
93314,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,10,,XXX,,,
93314,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,XXX,,,
93315,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
93316,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
93317,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
93318,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
93320,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
93321,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
93325,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
93350,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,3,,XXX,,,
93350,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93350,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.034,,XXX,,,
93350,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,3,,XXX,,,
93350,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93350,PEAC,"Office Supply, Grocery",SK015,"computer media, optical disk 128mb",item,12,0.2,,XXX,,,
93350,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93350,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,0.2,,XXX,,,
93350,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,180,,XXX,,,
93351,RUC,"Office Supply, Grocery",SK072,sandpaper (per sheet),item,0.398,1,,XXX,,CPT09,27
93351,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,13,,XXX,,CPT09,27
93351,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,CPT09,27
93351,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,3,,XXX,,CPT09,27
93351,RUC,"Office Supply, Grocery",SK015,"computer media, optical disk 128mb",item,12,1,,XXX,,CPT09,27
93351,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,CPT09,27
93351,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,CPT09,27
93351,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,15,,XXX,,CPT09,27
93351,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,CPT09,27
93351,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,CPT09,27
93351,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,CPT09,27
93351,RUC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,1,,XXX,,CPT09,27
93352,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,ZZZ,,CPT09,27
93352,RUC,"Hypodermic, IV",SC015,Interlink vial access,item,2.04,1,,ZZZ,,CPT09,27
93352,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,ZZZ,,CPT09,27
93352,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,ZZZ,,CPT09,27
93352,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,ZZZ,,CPT09,27
93352,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,ZZZ,,CPT09,27
93352,RUC,"Accessory, Procedure",SD124,"tourniquet, non-latex 1in x 18in",item,0.226,1,,ZZZ,,CPT09,27
93352,RUC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,1,,ZZZ,,CPT09,27
93352,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,ZZZ,,CPT09,27
93352,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,1,,ZZZ,,CPT09,27
93352,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,,ZZZ,,CPT09,27
93352,RUC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,1,,ZZZ,,CPT09,27
93352,RUC,"Pharmacy, NonRx",SJ081,"swab, patient prep, 1.5 ml  (chloraprep)",item,1.04,1,,ZZZ,,CPT09,27
93451,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,2,0,000,,CPT11,40
93451,RUC,"Accessory, Procedure",SD140,"bag system, 1000ml (for angiography waste fluids)",item,19,2,0,000,,CPT11,40
93451,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,CPT11,40
93451,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT11,40
93451,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,0,0,000,,CPT11,40
93451,RUC,"Accessory, Procedure",SD156,"catheter, Swan Ganz",item,65,1,0,000,,CPT11,40
93451,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,CPT11,40
93451,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT11,40
93451,RUC,"Pharmacy, Rx",SH026,Conray Inj (iothalamate 43%),ml,0.087,60,0,000,,CPT11,40
93451,RUC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,1,0,000,,CPT11,40
93451,RUC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,CPT11,40
93451,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT11,40
93451,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,2,0,000,,CPT11,40
93451,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,CPT11,40
93451,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,CPT11,40
93451,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,000,,CPT11,40
93451,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,CPT11,40
93451,RUC,"Accessory, Procedure",SD169,"forceps, Kelly",item,2.335,1,0,000,,CPT11,40
93451,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,CPT11,40
93451,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,CPT11,40
93451,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,CPT11,40
93451,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT11,40
93451,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,CPT11,40
93451,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,CPT11,40
93451,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,000,,CPT11,40
93451,RUC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,000,,CPT11,40
93451,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,000,,CPT11,40
93451,RUC,"Accessory, Procedure",SD180,manifold (for angiography),item,6.682,1,0,000,,CPT11,40
93451,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,CPT11,40
93451,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT11,40
93451,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT11,40
93451,RUC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,0,000,,CPT11,40
93451,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,CPT11,40
93451,RUC,"Hypodermic, IV",SC076,"needle, arterial, percutaneous",item,3.15,1,0,000,,CPT11,40
93451,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT11,40
93451,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,CPT11,40
93451,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,000,,CPT11,40
93451,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,CPT11,40
93451,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,CPT11,40
93451,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,2,0,000,,CPT11,40
93451,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,CPT11,40
93451,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,0,000,,CPT11,40
93451,RUC,"Hypodermic, IV",SC082,"syringe 12ml, coronary control",item,7,1,0,000,,CPT11,40
93451,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,0,000,,CPT11,40
93451,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,CPT11,40
93451,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,000,,CPT11,40
93451,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,CPT11,40
93451,RUC,"Accessory, Procedure",SD210,"transducer, pressure monitoring (for angiography)",item,9.52,1,0,000,,CPT11,40
93451,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,CPT11,40
93451,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,1,0,000,,CPT11,40
93451,RUC,"Accessory, Procedure",SD211,"tubing, pressure injection line (angiography)",item,3.17,1,0,000,,CPT11,40
93451,RUC,"Accessory, Procedure",SD212,"tubing, sterile, connecting (fluid administration)",item,1.95,1,0,000,,CPT11,40
93451,RUC,"Accessory, Procedure",SD213,"tubing, sterile, non-vented (fluid administration)",item,0.949,1,0,000,,CPT11,40
93451,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,0,000,,CPT11,40
93452,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,2,0,000,,CPT11,40
93452,RUC,"Accessory, Procedure",SD140,"bag system, 1000ml (for angiography waste fluids)",item,19,2,0,000,,CPT11,40
93452,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,CPT11,40
93452,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT11,40
93452,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,000,,CPT11,40
93452,RUC,"Accessory, Procedure",SD156,"catheter, Swan Ganz",item,65,0,0,000,,CPT11,40
93452,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,CPT11,40
93452,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT11,40
93452,RUC,"Pharmacy, Rx",SH026,Conray Inj (iothalamate 43%),ml,0.087,60,0,000,,CPT11,40
93452,RUC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,1,0,000,,CPT11,40
93452,RUC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,CPT11,40
93452,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT11,40
93452,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,2,0,000,,CPT11,40
93452,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,CPT11,40
93452,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,CPT11,40
93452,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,000,,CPT11,40
93452,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,CPT11,40
93452,RUC,"Accessory, Procedure",SD169,"forceps, Kelly",item,2.335,1,0,000,,CPT11,40
93452,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,CPT11,40
93452,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,CPT11,40
93452,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,CPT11,40
93452,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT11,40
93452,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,CPT11,40
93452,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,CPT11,40
93452,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,000,,CPT11,40
93452,RUC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,000,,CPT11,40
93452,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,000,,CPT11,40
93452,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,CPT11,40
93452,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT11,40
93452,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT11,40
93452,RUC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,0,000,,CPT11,40
93452,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,CPT11,40
93452,RUC,"Hypodermic, IV",SC076,"needle, arterial, percutaneous",item,3.15,1,0,000,,CPT11,40
93452,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT11,40
93452,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,CPT11,40
93452,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,000,,CPT11,40
93452,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,CPT11,40
93452,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,CPT11,40
93452,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,2,0,000,,CPT11,40
93452,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,CPT11,40
93452,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,0,000,,CPT11,40
93452,RUC,"Hypodermic, IV",SC082,"syringe 12ml, coronary control",item,7,1,0,000,,CPT11,40
93452,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,0,000,,CPT11,40
93452,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,CPT11,40
93452,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,000,,CPT11,40
93452,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,CPT11,40
93452,RUC,"Accessory, Procedure",SD180,manifold (for angiography),item,6.682,1,0,000,,CPT11,40
93452,RUC,"Accessory, Procedure",SD210,"transducer, pressure monitoring (for angiography)",item,9.52,1,0,000,,CPT11,40
93452,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,CPT11,40
93452,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,1,0,000,,CPT11,40
93452,RUC,"Accessory, Procedure",SD211,"tubing, pressure injection line (angiography)",item,3.17,1,0,000,,CPT11,40
93452,RUC,"Accessory, Procedure",SD212,"tubing, sterile, connecting (fluid administration)",item,1.95,1,0,000,,CPT11,40
93452,RUC,"Accessory, Procedure",SD213,"tubing, sterile, non-vented (fluid administration)",item,0.949,1,0,000,,CPT11,40
93452,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,0,000,,CPT11,40
93453,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,2,0,000,,CPT11,40
93453,RUC,"Accessory, Procedure",SD140,"bag system, 1000ml (for angiography waste fluids)",item,19,2,0,000,,CPT11,40
93453,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,CPT11,40
93453,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT11,40
93453,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,000,,CPT11,40
93453,RUC,"Accessory, Procedure",SD156,"catheter, Swan Ganz",item,65,1,0,000,,CPT11,40
93453,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,CPT11,40
93453,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT11,40
93453,RUC,"Pharmacy, Rx",SH026,Conray Inj (iothalamate 43%),ml,0.087,60,0,000,,CPT11,40
93453,RUC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,1,0,000,,CPT11,40
93453,RUC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,CPT11,40
93453,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT11,40
93453,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,2,0,000,,CPT11,40
93453,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,CPT11,40
93453,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,CPT11,40
93453,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,000,,CPT11,40
93453,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,CPT11,40
93453,RUC,"Accessory, Procedure",SD169,"forceps, Kelly",item,2.335,1,0,000,,CPT11,40
93453,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,CPT11,40
93453,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,CPT11,40
93453,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,CPT11,40
93453,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT11,40
93453,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,CPT11,40
93453,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,CPT11,40
93453,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,000,,CPT11,40
93453,RUC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,000,,CPT11,40
93453,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,000,,CPT11,40
93453,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,CPT11,40
93453,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT11,40
93453,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT11,40
93453,RUC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,0,000,,CPT11,40
93453,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,CPT11,40
93453,RUC,"Hypodermic, IV",SC076,"needle, arterial, percutaneous",item,3.15,1,0,000,,CPT11,40
93453,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT11,40
93453,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,CPT11,40
93453,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,000,,CPT11,40
93453,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,CPT11,40
93453,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,CPT11,40
93453,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,2,0,000,,CPT11,40
93453,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,CPT11,40
93453,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,0,000,,CPT11,40
93453,RUC,"Hypodermic, IV",SC082,"syringe 12ml, coronary control",item,7,1,0,000,,CPT11,40
93453,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,0,000,,CPT11,40
93453,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,CPT11,40
93453,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,000,,CPT11,40
93453,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,CPT11,40
93453,RUC,"Accessory, Procedure",SD180,manifold (for angiography),item,6.682,1,0,000,,CPT11,40
93453,RUC,"Accessory, Procedure",SD210,"transducer, pressure monitoring (for angiography)",item,9.52,1,0,000,,CPT11,40
93453,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,CPT11,40
93453,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,1,0,000,,CPT11,40
93453,RUC,"Accessory, Procedure",SD211,"tubing, pressure injection line (angiography)",item,3.17,1,0,000,,CPT11,40
93453,RUC,"Accessory, Procedure",SD212,"tubing, sterile, connecting (fluid administration)",item,1.95,1,0,000,,CPT11,40
93453,RUC,"Accessory, Procedure",SD213,"tubing, sterile, non-vented (fluid administration)",item,0.949,1,0,000,,CPT11,40
93453,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,2,0,000,,CPT11,40
93454,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,2,0,000,,CPT11,40
93454,RUC,"Accessory, Procedure",SD140,"bag system, 1000ml (for angiography waste fluids)",item,19,2,0,000,,CPT11,40
93454,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,CPT11,40
93454,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT11,40
93454,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,2.3,0,000,,CPT11,40
93454,RUC,"Accessory, Procedure",SD156,"catheter, Swan Ganz",item,65,0,0,000,,CPT11,40
93454,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,CPT11,40
93454,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT11,40
93454,RUC,"Pharmacy, Rx",SH026,Conray Inj (iothalamate 43%),ml,0.087,60,0,000,,CPT11,40
93454,RUC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,1,0,000,,CPT11,40
93454,RUC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,CPT11,40
93454,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT11,40
93454,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,2,0,000,,CPT11,40
93454,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,CPT11,40
93454,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,CPT11,40
93454,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,000,,CPT11,40
93454,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,CPT11,40
93454,RUC,"Accessory, Procedure",SD169,"forceps, Kelly",item,2.335,1,0,000,,CPT11,40
93454,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,CPT11,40
93454,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,CPT11,40
93454,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,CPT11,40
93454,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT11,40
93454,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,CPT11,40
93454,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,CPT11,40
93454,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,000,,CPT11,40
93454,RUC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,000,,CPT11,40
93454,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,000,,CPT11,40
93454,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,CPT11,40
93454,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT11,40
93454,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT11,40
93454,RUC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,0,000,,CPT11,40
93454,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,CPT11,40
93454,RUC,"Hypodermic, IV",SC076,"needle, arterial, percutaneous",item,3.15,1,0,000,,CPT11,40
93454,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT11,40
93454,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,CPT11,40
93454,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,000,,CPT11,40
93454,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,CPT11,40
93454,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,CPT11,40
93454,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,2,0,000,,CPT11,40
93454,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,CPT11,40
93454,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,0,000,,CPT11,40
93454,RUC,"Hypodermic, IV",SC082,"syringe 12ml, coronary control",item,7,1,0,000,,CPT11,40
93454,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,0,000,,CPT11,40
93454,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,CPT11,40
93454,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,000,,CPT11,40
93454,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,CPT11,40
93454,RUC,"Accessory, Procedure",SD180,manifold (for angiography),item,6.682,1,0,000,,CPT11,40
93454,RUC,"Accessory, Procedure",SD210,"transducer, pressure monitoring (for angiography)",item,9.52,1,0,000,,CPT11,40
93454,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,CPT11,40
93454,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,1,0,000,,CPT11,40
93454,RUC,"Accessory, Procedure",SD211,"tubing, pressure injection line (angiography)",item,3.17,1,0,000,,CPT11,40
93454,RUC,"Accessory, Procedure",SD212,"tubing, sterile, connecting (fluid administration)",item,1.95,1,0,000,,CPT11,40
93454,RUC,"Accessory, Procedure",SD213,"tubing, sterile, non-vented (fluid administration)",item,0.949,1,0,000,,CPT11,40
93454,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,0,000,,CPT11,40
93455,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,2,0,000,,CPT11,40
93455,RUC,"Accessory, Procedure",SD140,"bag system, 1000ml (for angiography waste fluids)",item,19,2,0,000,,CPT11,40
93455,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,CPT11,40
93455,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT11,40
93455,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,4.3,0,000,,CPT11,40
93455,RUC,"Accessory, Procedure",SD156,"catheter, Swan Ganz",item,65,0,0,000,,CPT11,40
93455,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,CPT11,40
93455,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT11,40
93455,RUC,"Pharmacy, Rx",SH026,Conray Inj (iothalamate 43%),ml,0.087,60,0,000,,CPT11,40
93455,RUC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,1,0,000,,CPT11,40
93455,RUC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,CPT11,40
93455,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT11,40
93455,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,2,0,000,,CPT11,40
93455,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,CPT11,40
93455,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,CPT11,40
93455,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,000,,CPT11,40
93455,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,CPT11,40
93455,RUC,"Accessory, Procedure",SD169,"forceps, Kelly",item,2.335,1,0,000,,CPT11,40
93455,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,CPT11,40
93455,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,CPT11,40
93455,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,CPT11,40
93455,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT11,40
93455,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,CPT11,40
93455,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,CPT11,40
93455,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,000,,CPT11,40
93455,RUC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,000,,CPT11,40
93455,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,000,,CPT11,40
93455,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,CPT11,40
93455,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT11,40
93455,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT11,40
93455,RUC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,0,000,,CPT11,40
93455,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,CPT11,40
93455,RUC,"Hypodermic, IV",SC076,"needle, arterial, percutaneous",item,3.15,1,0,000,,CPT11,40
93455,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT11,40
93455,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,CPT11,40
93455,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,000,,CPT11,40
93455,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,CPT11,40
93455,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,CPT11,40
93455,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,2,0,000,,CPT11,40
93455,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,CPT11,40
93455,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,0,000,,CPT11,40
93455,RUC,"Hypodermic, IV",SC082,"syringe 12ml, coronary control",item,7,1,0,000,,CPT11,40
93455,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,0,000,,CPT11,40
93455,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,CPT11,40
93455,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,000,,CPT11,40
93455,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,CPT11,40
93455,RUC,"Accessory, Procedure",SD180,manifold (for angiography),item,6.682,1,0,000,,CPT11,40
93455,RUC,"Accessory, Procedure",SD210,"transducer, pressure monitoring (for angiography)",item,9.52,1,0,000,,CPT11,40
93455,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,CPT11,40
93455,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,1,0,000,,CPT11,40
93455,RUC,"Accessory, Procedure",SD211,"tubing, pressure injection line (angiography)",item,3.17,1,0,000,,CPT11,40
93455,RUC,"Accessory, Procedure",SD212,"tubing, sterile, connecting (fluid administration)",item,1.95,1,0,000,,CPT11,40
93455,RUC,"Accessory, Procedure",SD213,"tubing, sterile, non-vented (fluid administration)",item,0.949,1,0,000,,CPT11,40
93455,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,0,000,,CPT11,40
93456,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,2,0,000,,CPT11,40
93456,RUC,"Accessory, Procedure",SD140,"bag system, 1000ml (for angiography waste fluids)",item,19,2,0,000,,CPT11,40
93456,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,CPT11,40
93456,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT11,40
93456,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,2.3,0,000,,CPT11,40
93456,RUC,"Accessory, Procedure",SD156,"catheter, Swan Ganz",item,65,1,0,000,,CPT11,40
93456,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,CPT11,40
93456,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT11,40
93456,RUC,"Pharmacy, Rx",SH026,Conray Inj (iothalamate 43%),ml,0.087,60,0,000,,CPT11,40
93456,RUC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,1,0,000,,CPT11,40
93456,RUC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,CPT11,40
93456,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT11,40
93456,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,2,0,000,,CPT11,40
93456,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,CPT11,40
93456,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,CPT11,40
93456,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,000,,CPT11,40
93456,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,CPT11,40
93456,RUC,"Accessory, Procedure",SD169,"forceps, Kelly",item,2.335,1,0,000,,CPT11,40
93456,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,CPT11,40
93456,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,CPT11,40
93456,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,CPT11,40
93456,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT11,40
93456,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,CPT11,40
93456,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,CPT11,40
93456,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,000,,CPT11,40
93456,RUC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,000,,CPT11,40
93456,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,000,,CPT11,40
93456,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,CPT11,40
93456,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT11,40
93456,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT11,40
93456,RUC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,0,000,,CPT11,40
93456,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,CPT11,40
93456,RUC,"Hypodermic, IV",SC076,"needle, arterial, percutaneous",item,3.15,1,0,000,,CPT11,40
93456,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT11,40
93456,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,CPT11,40
93456,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,000,,CPT11,40
93456,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,CPT11,40
93456,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,CPT11,40
93456,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,2,0,000,,CPT11,40
93456,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,CPT11,40
93456,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,0,000,,CPT11,40
93456,RUC,"Hypodermic, IV",SC082,"syringe 12ml, coronary control",item,7,1,0,000,,CPT11,40
93456,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,0,000,,CPT11,40
93456,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,CPT11,40
93456,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,000,,CPT11,40
93456,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,CPT11,40
93456,RUC,"Accessory, Procedure",SD180,manifold (for angiography),item,6.682,1,0,000,,CPT11,40
93456,RUC,"Accessory, Procedure",SD210,"transducer, pressure monitoring (for angiography)",item,9.52,1,0,000,,CPT11,40
93456,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,CPT11,40
93456,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,1,0,000,,CPT11,40
93456,RUC,"Accessory, Procedure",SD211,"tubing, pressure injection line (angiography)",item,3.17,1,0,000,,CPT11,40
93456,RUC,"Accessory, Procedure",SD212,"tubing, sterile, connecting (fluid administration)",item,1.95,1,0,000,,CPT11,40
93456,RUC,"Accessory, Procedure",SD213,"tubing, sterile, non-vented (fluid administration)",item,0.949,1,0,000,,CPT11,40
93456,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,2,0,000,,CPT11,40
93457,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,2,0,000,,CPT11,40
93457,RUC,"Accessory, Procedure",SD140,"bag system, 1000ml (for angiography waste fluids)",item,19,2,0,000,,CPT11,40
93457,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,CPT11,40
93457,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT11,40
93457,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,4.3,0,000,,CPT11,40
93457,RUC,"Accessory, Procedure",SD156,"catheter, Swan Ganz",item,65,1,0,000,,CPT11,40
93457,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,CPT11,40
93457,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT11,40
93457,RUC,"Pharmacy, Rx",SH026,Conray Inj (iothalamate 43%),ml,0.087,60,0,000,,CPT11,40
93457,RUC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,1,0,000,,CPT11,40
93457,RUC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,CPT11,40
93457,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT11,40
93457,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,2,0,000,,CPT11,40
93457,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,CPT11,40
93457,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,CPT11,40
93457,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,000,,CPT11,40
93457,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,CPT11,40
93457,RUC,"Accessory, Procedure",SD169,"forceps, Kelly",item,2.335,1,0,000,,CPT11,40
93457,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,CPT11,40
93457,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,CPT11,40
93457,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,CPT11,40
93457,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT11,40
93457,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,CPT11,40
93457,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,CPT11,40
93457,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,000,,CPT11,40
93457,RUC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,000,,CPT11,40
93457,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,000,,CPT11,40
93457,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,CPT11,40
93457,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT11,40
93457,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT11,40
93457,RUC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,0,000,,CPT11,40
93457,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,CPT11,40
93457,RUC,"Hypodermic, IV",SC076,"needle, arterial, percutaneous",item,3.15,1,0,000,,CPT11,40
93457,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT11,40
93457,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,CPT11,40
93457,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,000,,CPT11,40
93457,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,CPT11,40
93457,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,CPT11,40
93457,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,2,0,000,,CPT11,40
93457,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,CPT11,40
93457,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,0,000,,CPT11,40
93457,RUC,"Hypodermic, IV",SC082,"syringe 12ml, coronary control",item,7,1,0,000,,CPT11,40
93457,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,0,000,,CPT11,40
93457,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,CPT11,40
93457,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,000,,CPT11,40
93457,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,CPT11,40
93457,RUC,"Accessory, Procedure",SD180,manifold (for angiography),item,6.682,1,0,000,,CPT11,40
93457,RUC,"Accessory, Procedure",SD210,"transducer, pressure monitoring (for angiography)",item,9.52,1,0,000,,CPT11,40
93457,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,CPT11,40
93457,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,1,0,000,,CPT11,40
93457,RUC,"Accessory, Procedure",SD211,"tubing, pressure injection line (angiography)",item,3.17,1,0,000,,CPT11,40
93457,RUC,"Accessory, Procedure",SD212,"tubing, sterile, connecting (fluid administration)",item,1.95,1,0,000,,CPT11,40
93457,RUC,"Accessory, Procedure",SD213,"tubing, sterile, non-vented (fluid administration)",item,0.949,1,0,000,,CPT11,40
93457,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,2,0,000,,CPT11,40
93458,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,2,0,000,,CPT11,40
93458,RUC,"Accessory, Procedure",SD140,"bag system, 1000ml (for angiography waste fluids)",item,19,2,0,000,,CPT11,40
93458,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,CPT11,40
93458,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT11,40
93458,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,3.3,0,000,,CPT11,40
93458,RUC,"Accessory, Procedure",SD156,"catheter, Swan Ganz",item,65,0,0,000,,CPT11,40
93458,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,CPT11,40
93458,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT11,40
93458,RUC,"Pharmacy, Rx",SH026,Conray Inj (iothalamate 43%),ml,0.087,60,0,000,,CPT11,40
93458,RUC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,1,0,000,,CPT11,40
93458,RUC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,CPT11,40
93458,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT11,40
93458,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,2,0,000,,CPT11,40
93458,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,CPT11,40
93458,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,CPT11,40
93458,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,000,,CPT11,40
93458,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,CPT11,40
93458,RUC,"Accessory, Procedure",SD169,"forceps, Kelly",item,2.335,1,0,000,,CPT11,40
93458,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,CPT11,40
93458,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,CPT11,40
93458,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,CPT11,40
93458,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT11,40
93458,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,CPT11,40
93458,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,CPT11,40
93458,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,000,,CPT11,40
93458,RUC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,000,,CPT11,40
93458,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,000,,CPT11,40
93458,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,CPT11,40
93458,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT11,40
93458,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT11,40
93458,RUC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,0,000,,CPT11,40
93458,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,CPT11,40
93458,RUC,"Hypodermic, IV",SC076,"needle, arterial, percutaneous",item,3.15,1,0,000,,CPT11,40
93458,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT11,40
93458,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,CPT11,40
93458,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,000,,CPT11,40
93458,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,CPT11,40
93458,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,CPT11,40
93458,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,2,0,000,,CPT11,40
93458,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,CPT11,40
93458,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,0,000,,CPT11,40
93458,RUC,"Hypodermic, IV",SC082,"syringe 12ml, coronary control",item,7,1,0,000,,CPT11,40
93458,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,0,000,,CPT11,40
93458,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,CPT11,40
93458,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,000,,CPT11,40
93458,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,CPT11,40
93458,RUC,"Accessory, Procedure",SD180,manifold (for angiography),item,6.682,1,0,000,,CPT11,40
93458,RUC,"Accessory, Procedure",SD210,"transducer, pressure monitoring (for angiography)",item,9.52,1,0,000,,CPT11,40
93458,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,CPT11,40
93458,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,1,0,000,,CPT11,40
93458,RUC,"Accessory, Procedure",SD211,"tubing, pressure injection line (angiography)",item,3.17,1,0,000,,CPT11,40
93458,RUC,"Accessory, Procedure",SD212,"tubing, sterile, connecting (fluid administration)",item,1.95,1,0,000,,CPT11,40
93458,RUC,"Accessory, Procedure",SD213,"tubing, sterile, non-vented (fluid administration)",item,0.949,1,0,000,,CPT11,40
93458,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,0,000,,CPT11,40
93459,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,2,0,000,,CPT11,40
93459,RUC,"Accessory, Procedure",SD140,"bag system, 1000ml (for angiography waste fluids)",item,19,2,0,000,,CPT11,40
93459,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,CPT11,40
93459,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT11,40
93459,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,5.3,0,000,,CPT11,40
93459,RUC,"Accessory, Procedure",SD156,"catheter, Swan Ganz",item,65,0,0,000,,CPT11,40
93459,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,CPT11,40
93459,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT11,40
93459,RUC,"Pharmacy, Rx",SH026,Conray Inj (iothalamate 43%),ml,0.087,60,0,000,,CPT11,40
93459,RUC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,1,0,000,,CPT11,40
93459,RUC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,CPT11,40
93459,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT11,40
93459,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,2,0,000,,CPT11,40
93459,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,CPT11,40
93459,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,CPT11,40
93459,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,000,,CPT11,40
93459,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,CPT11,40
93459,RUC,"Accessory, Procedure",SD169,"forceps, Kelly",item,2.335,1,0,000,,CPT11,40
93459,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,CPT11,40
93459,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,CPT11,40
93459,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,CPT11,40
93459,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT11,40
93459,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,CPT11,40
93459,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,CPT11,40
93459,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,000,,CPT11,40
93459,RUC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,000,,CPT11,40
93459,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,000,,CPT11,40
93459,RUC,"Accessory, Procedure",SD180,manifold (for angiography),item,6.682,1,0,000,,CPT11,40
93459,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,CPT11,40
93459,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT11,40
93459,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT11,40
93459,RUC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,0,000,,CPT11,40
93459,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,CPT11,40
93459,RUC,"Hypodermic, IV",SC076,"needle, arterial, percutaneous",item,3.15,1,0,000,,CPT11,40
93459,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT11,40
93459,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,CPT11,40
93459,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,000,,CPT11,40
93459,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,CPT11,40
93459,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,CPT11,40
93459,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,2,0,000,,CPT11,40
93459,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,CPT11,40
93459,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,0,000,,CPT11,40
93459,RUC,"Hypodermic, IV",SC082,"syringe 12ml, coronary control",item,7,1,0,000,,CPT11,40
93459,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,0,000,,CPT11,40
93459,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,CPT11,40
93459,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,000,,CPT11,40
93459,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,CPT11,40
93459,RUC,"Accessory, Procedure",SD210,"transducer, pressure monitoring (for angiography)",item,9.52,1,0,000,,CPT11,40
93459,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,CPT11,40
93459,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,1,0,000,,CPT11,40
93459,RUC,"Accessory, Procedure",SD211,"tubing, pressure injection line (angiography)",item,3.17,1,0,000,,CPT11,40
93459,RUC,"Accessory, Procedure",SD212,"tubing, sterile, connecting (fluid administration)",item,1.95,1,0,000,,CPT11,40
93459,RUC,"Accessory, Procedure",SD213,"tubing, sterile, non-vented (fluid administration)",item,0.949,1,0,000,,CPT11,40
93459,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,0,000,,CPT11,40
93460,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,2,0,000,,CPT11,40
93460,RUC,"Accessory, Procedure",SD140,"bag system, 1000ml (for angiography waste fluids)",item,19,2,0,000,,CPT11,40
93460,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,CPT11,40
93460,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT11,40
93460,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,3.3,0,000,,CPT11,40
93460,RUC,"Accessory, Procedure",SD156,"catheter, Swan Ganz",item,65,1,0,000,,CPT11,40
93460,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,CPT11,40
93460,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT11,40
93460,RUC,"Pharmacy, Rx",SH026,Conray Inj (iothalamate 43%),ml,0.087,60,0,000,,CPT11,40
93460,RUC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,1,0,000,,CPT11,40
93460,RUC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,CPT11,40
93460,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT11,40
93460,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,2,0,000,,CPT11,40
93460,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,CPT11,40
93460,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,CPT11,40
93460,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,000,,CPT11,40
93460,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,CPT11,40
93460,RUC,"Accessory, Procedure",SD169,"forceps, Kelly",item,2.335,1,0,000,,CPT11,40
93460,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,CPT11,40
93460,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,CPT11,40
93460,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,CPT11,40
93460,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT11,40
93460,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,CPT11,40
93460,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,CPT11,40
93460,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,000,,CPT11,40
93460,RUC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,000,,CPT11,40
93460,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,000,,CPT11,40
93460,RUC,"Accessory, Procedure",SD180,manifold (for angiography),item,6.682,1,0,000,,CPT11,40
93460,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,CPT11,40
93460,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT11,40
93460,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT11,40
93460,RUC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,0,000,,CPT11,40
93460,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,CPT11,40
93460,RUC,"Hypodermic, IV",SC076,"needle, arterial, percutaneous",item,3.15,1,0,000,,CPT11,40
93460,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT11,40
93460,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,CPT11,40
93460,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,000,,CPT11,40
93460,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,CPT11,40
93460,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,CPT11,40
93460,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,2,0,000,,CPT11,40
93460,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,CPT11,40
93460,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,0,000,,CPT11,40
93460,RUC,"Hypodermic, IV",SC082,"syringe 12ml, coronary control",item,7,1,0,000,,CPT11,40
93460,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,0,000,,CPT11,40
93460,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,CPT11,40
93460,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,000,,CPT11,40
93460,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,CPT11,40
93460,RUC,"Accessory, Procedure",SD210,"transducer, pressure monitoring (for angiography)",item,9.52,1,0,000,,CPT11,40
93460,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,CPT11,40
93460,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,1,0,000,,CPT11,40
93460,RUC,"Accessory, Procedure",SD211,"tubing, pressure injection line (angiography)",item,3.17,1,0,000,,CPT11,40
93460,RUC,"Accessory, Procedure",SD212,"tubing, sterile, connecting (fluid administration)",item,1.95,1,0,000,,CPT11,40
93460,RUC,"Accessory, Procedure",SD213,"tubing, sterile, non-vented (fluid administration)",item,0.949,1,0,000,,CPT11,40
93460,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,2,0,000,,CPT11,40
93461,RUC,"Wound Care, Dressings",SG009,"applicator, sponge-tipped",item,0.139,2,0,000,,CPT11,40
93461,RUC,"Accessory, Procedure",SD140,"bag system, 1000ml (for angiography waste fluids)",item,19,2,0,000,,CPT11,40
93461,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,60,0,000,,CPT11,40
93461,RUC,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,,CPT11,40
93461,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,5.3,0,000,,CPT11,40
93461,RUC,"Accessory, Procedure",SD156,"catheter, Swan Ganz",item,65,1,0,000,,CPT11,40
93461,RUC,"Hypodermic, IV",SC010,"closed flush system, angiography",item,11.883,1,0,000,,CPT11,40
93461,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,000,,CPT11,40
93461,RUC,"Pharmacy, Rx",SH026,Conray Inj (iothalamate 43%),ml,0.087,60,0,000,,CPT11,40
93461,RUC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,1,0,000,,CPT11,40
93461,RUC,Lab,SL156,"cup, sterile, 12-16 oz",item,0.76,1,0,000,,CPT11,40
93461,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,CPT11,40
93461,RUC,"Gown, Drape",SB008,"drape, sterile, c-arm, fluoro",item,4.504,2,0,000,,CPT11,40
93461,RUC,"Gown, Drape",SB009,"drape, sterile, femoral",item,15.949,1,0,000,,CPT11,40
93461,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,,CPT11,40
93461,RUC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,2,0,000,,CPT11,40
93461,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,000,,CPT11,40
93461,RUC,"Accessory, Procedure",SD169,"forceps, Kelly",item,2.335,1,0,000,,CPT11,40
93461,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,CPT11,40
93461,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,3,0,000,,CPT11,40
93461,RUC,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,,CPT11,40
93461,RUC,"Accessory, Procedure",SD090,"guidewire, STIFF",item,23.9,1,0,000,,CPT11,40
93461,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,5,0,000,,CPT11,40
93461,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,CPT11,40
93461,RUC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,000,,CPT11,40
93461,RUC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,000,,CPT11,40
93461,RUC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,000,,CPT11,40
93461,RUC,"Accessory, Procedure",SD180,manifold (for angiography),item,6.682,1,0,000,,CPT11,40
93461,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,CPT11,40
93461,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,CPT11,40
93461,RUC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,CPT11,40
93461,RUC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,0,000,,CPT11,40
93461,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,CPT11,40
93461,RUC,"Hypodermic, IV",SC076,"needle, arterial, percutaneous",item,3.15,1,0,000,,CPT11,40
93461,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,CPT11,40
93461,RUC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,CPT11,40
93461,RUC,Infection Control,SM023,scrub brush (impregnated),item,0.599,1,0,000,,CPT11,40
93461,RUC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,CPT11,40
93461,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,2,0,000,,CPT11,40
93461,RUC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,2,0,000,,CPT11,40
93461,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,0,000,,CPT11,40
93461,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,0,000,,CPT11,40
93461,RUC,"Hypodermic, IV",SC082,"syringe 12ml, coronary control",item,7,1,0,000,,CPT11,40
93461,RUC,"Hypodermic, IV",SC060,"syringe, pressure (radiology)",item,8.179,1,0,000,,CPT11,40
93461,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,CPT11,40
93461,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,000,,CPT11,40
93461,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,,CPT11,40
93461,RUC,"Accessory, Procedure",SD210,"transducer, pressure monitoring (for angiography)",item,9.52,1,0,000,,CPT11,40
93461,RUC,"Kit, Pack, Tray",SA067,"tray, shave prep",tray,1.812,1,0,000,,CPT11,40
93461,RUC,"Accessory, Procedure",SD131,"tubing, pressure",item,3.42,1,0,000,,CPT11,40
93461,RUC,"Accessory, Procedure",SD211,"tubing, pressure injection line (angiography)",item,3.17,1,0,000,,CPT11,40
93461,RUC,"Accessory, Procedure",SD212,"tubing, sterile, connecting (fluid administration)",item,1.95,1,0,000,,CPT11,40
93461,RUC,"Accessory, Procedure",SD213,"tubing, sterile, non-vented (fluid administration)",item,0.949,1,0,000,,CPT11,40
93461,RUC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,2,0,000,,CPT11,40
93503,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,CPT08,rv
93505,PEAC,"Pharmacy, NonRx",SJ079,"basin, sterile 500cc",item,3,1,0,000,,Apr07,R
93505,PEAC,"Accessory, Procedure",SD169,"forceps, Kelly",item,2.335,1,0,000,,Apr07,R
93505,PEAC,"Accessory, Procedure",SD136,vascular sheath,item,20.5,1,0,000,,Apr07,R
93505,PEAC,"Accessory, Procedure",SD171,"guidewire bowl w-lid, sterile",item,3,1,0,000,,Apr07,R
93505,PEAC,"Accessory, Procedure",SD208,"towel clamp, plastic",item,0.556,4,0,000,,Apr07,R
93505,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,000,,Apr07,R
93505,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,30,0,000,,Apr07,R
93505,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,Apr07,R
93505,PEAC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,000,,Apr07,R
93505,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,Apr07,R
93505,PEAC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,1,0,000,,Apr07,R
93505,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,,Apr07,R
93505,PEAC,Infection Control,SM023,scrub brush (impregnated),item,0.599,2,0,000,,Apr07,R
93505,PEAC,Infection Control,SM016,"eye shield, splash protection",item,1.471,2,0,000,,Apr07,R
93505,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,000,,Apr07,R
93505,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,Apr07,R
93505,PEAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,0,000,,Apr07,R
93505,PEAC,"Hypodermic, IV",SC076,"needle, arterial, percutaneous",item,3.15,1,0,000,,Apr07,R
93505,PEAC,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,0,000,,Apr07,R
93505,PEAC,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,,Apr07,R
93505,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,Apr07,R
93505,PEAC,"Hypodermic, IV",SC026,"needle, 15-16g",item,0.232,1,0,000,,Apr07,R
93505,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,,Apr07,R
93505,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,4,0,000,,Apr07,R
93505,PEAC,"Gown, Drape",SB020,"drape-towel, sterile OR blue (2 pk uou)",item,1.657,4,0,000,,Apr07,R
93505,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Apr07,R
93505,PEAC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,10,0,000,,Apr07,R
93505,PEAC,"Gown, Drape",SB040,"slippers, paper",pair,0.201,1,0,000,,Apr07,R
93505,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,0,000,,Apr07,R
93561,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Feb05,
93562,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Feb05,
93566,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,ZZZ,,CPT11,40
93566,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,ZZZ,,CPT11,40
93566,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,ZZZ,,CPT11,40
93566,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,ZZZ,,CPT11,40
93566,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,ZZZ,,CPT11,40
93567,RUC,"Hypodermic, IV",SC008,"catheter, angiographic, pig-tail",item,19.75,1,0,ZZZ,,CPT11,40
93567,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,ZZZ,,CPT11,40
93567,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,ZZZ,,CPT11,40
93567,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,ZZZ,,CPT11,40
93567,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,ZZZ,,CPT11,40
93568,RUC,"Hypodermic, IV",SC098,"catheter, angiographic, Berman",item,,1,0,ZZZ,,CPT11,40
93568,RUC,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,0,ZZZ,,CPT11,40
93568,RUC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,4,0,ZZZ,,CPT11,40
93568,RUC,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,ZZZ,,CPT11,40
93568,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,ZZZ,,CPT11,40
93571,CMS,NO DETAILS,SX001,ACTIVE,na,,,,ZZZ,,,
93572,CMS,NO DETAILS,SX001,ACTIVE,na,,,,ZZZ,,,
93580,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93581,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93600,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93602,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93603,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93609,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,Jan04,20
93610,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93612,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93613,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
93615,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93616,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93618,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93619,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93620,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93621,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
93622,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
93623,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
93624,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93631,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93640,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93641,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93642,PEAC,"Accessory, Procedure",SD106,"pad, cardioversion R2 (2 pack)",item,29.75,1,,000,,,
93642,PEAC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,,000,,,
93642,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
93642,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,4,,000,,,
93650,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93651,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93652,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,,
93660,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,12,0,000,,Mar04,L
93660,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,000,,Mar04,L
93660,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,000,,Mar04,L
93660,PEAC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,,Mar04,L
93660,PEAC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,0,000,,Mar04,L
93660,PEAC,"Kit, Pack, Tray",SA019,"kit, iv starter",kit,1.368,1,0,000,,Mar04,L
93662,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
93668,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,3,,XXX,,,
93668,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,,XXX,,,
93668,RUC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
93668,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
93668,RUC,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,1,,XXX,,,
93701,RUC,"Accessory, Procedure",SD116,"sensors, bioimpendance (4 pack uou)",item,9.95,1,,XXX,,,
93701,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,,
93720,CMS,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,XXX,,CPT11,
93720,CMS,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,2,,XXX,,CPT11,
93720,CMS,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,CPT11,
93720,CMS,"Accessory, Procedure",SD102,noseclips,item,0.718,1,,XXX,,CPT11,
93720,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,CPT11,
93720,CMS,"Pharmacy, Rx",SH042,inhalant,gm,0.788,0.25,,XXX,,CPT11,
93720,CMS,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,,XXX,,CPT11,
93720,CMS,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,66,,XXX,,CPT11,
93720,CMS,"Accessory, Procedure",SD075,"filter, pulmonary function filter",item,1.44,1,,XXX,,CPT11,
93721,CMS,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,CPT11,
93721,CMS,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,2,,XXX,,CPT11,
93721,CMS,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,XXX,,CPT11,
93721,PEAC,"Accessory, Procedure",SD075,"filter, pulmonary function filter",item,1.44,1,,XXX,,Mar03,12
93721,PEAC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,66,,XXX,,Mar03,12
93721,PEAC,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,,XXX,,Mar03,12
93721,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,,XXX,,Mar03,12
93721,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,Mar03,12
93721,PEAC,"Pharmacy, Rx",SH042,inhalant,gm,0.788,0.25,,XXX,,Mar03,12
93722,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
93724,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,5,0,000,,Jan04,20
93724,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,Jan04,20
93724,PEAC,"Office Supply, Grocery",SK060,"paper, recording, roll (per foot)",foot,0.087,4,0,000,,Jan04,20
93724,PEAC,"Pharmacy, NonRx",SJ019,electrode adhesive disk,item,0.08,5,0,000,,Jan04,20
93724,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,000,,Jan04,20
93740,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
93745,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
93750,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT10,7
93770,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
93784,CMS,"Office Supply, Grocery",SK095,"battery, AA",item,0.45,3,0,XXX,,Mar04,O
93786,RUC,"Office Supply, Grocery",SK095,"battery, AA",item,0.45,3,0,XXX,,Mar04,O
93788,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT11,
93790,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,20
93797,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,,Jan04,20
93798,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,10,0,000,,Jan04,20
93798,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,0,000,,Jan04,20
93798,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,0,000,,Jan04,20
93799,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
93875,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
93875,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93875,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
93875,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
93875,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93875,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,3,,XXX,,,
93875,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93875,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,40,,XXX,,,
93880,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
93880,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93880,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
93880,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
93880,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93880,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,3,,XXX,,,
93880,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,XXX,,,
93880,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93880,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
93880,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,,
93882,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
93882,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93882,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
93882,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
93882,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93882,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
93882,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,XXX,,,
93882,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93882,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
93882,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,40,,XXX,,,
93886,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
93886,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93886,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
93886,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
93886,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93886,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,3,,XXX,,,
93886,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,XXX,,,
93886,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93886,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
93886,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,,
93888,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
93888,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93888,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
93888,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
93888,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93888,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
93888,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,XXX,,,
93888,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93888,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
93888,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,40,,XXX,,,
93890,RUC,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,0,XXX,,,
93890,RUC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,0,XXX,,,
93890,RUC,"Accessory, Procedure",SD170,"gas, 5% CO2 - balance air",liter,0.13,55,0,XXX,,,
93890,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,,
93890,RUC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,1,0,XXX,,,
93890,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
93890,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,,
93890,RUC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,0,XXX,,,
93890,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,,
93890,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,XXX,,,
93890,RUC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,8,0,XXX,,,
93892,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,,
93892,RUC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,1,0,XXX,,,
93892,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
93892,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,,
93892,RUC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,0,XXX,,,
93892,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,,
93892,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,40,0,XXX,,,
93893,RUC,"Accessory, Procedure",SD124,"tourniquet, non-latex 1in x 18in",item,0.226,1,0,XXX,,,
93893,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,,
93893,RUC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,0,XXX,,,
93893,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,,
93893,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,6,0,XXX,,,
93893,RUC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,1,0,XXX,,,
93893,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
93893,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,,
93893,RUC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,0,XXX,,,
93893,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,,
93893,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,40,0,XXX,,,
93893,RUC,"Pharmacy, Rx",SH004,albumin saline,ml,0.08,30,0,XXX,,,
93893,RUC,"Pharmacy, Rx",SH065,sodium chloride 0.9% flush syringe,item,0.811,1,0,XXX,,,
93893,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,,
93893,RUC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,6,0,XXX,,,
93893,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,XXX,,,
93922,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,CPT11,41
93922,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,0,XXX,,CPT11,41
93922,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,20,0,XXX,,CPT11,41
93922,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,3,0,XXX,,CPT11,41
93922,RUC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,0,XXX,,CPT11,41
93923,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,CPT11,41
93923,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,0,XXX,,CPT11,41
93923,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,30,0,XXX,,CPT11,41
93923,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,4,0,XXX,,CPT11,41
93923,RUC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,0,XXX,,CPT11,41
93924,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,CPT11,41
93924,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,0,XXX,,CPT11,41
93924,RUC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,40,0,XXX,,CPT11,41
93924,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,4,0,XXX,,CPT11,41
93924,RUC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,0,XXX,,CPT11,41
93925,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
93925,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93925,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
93925,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
93925,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93925,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,3,,XXX,,,
93925,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,XXX,,,
93925,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93925,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
93925,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,50,,XXX,,,
93926,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
93926,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93926,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
93926,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
93926,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93926,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
93926,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,XXX,,,
93926,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93926,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
93926,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,30,,XXX,,,
93930,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
93930,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93930,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
93930,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
93930,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93930,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,3,,XXX,,,
93930,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,XXX,,,
93930,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93930,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
93930,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,40,,XXX,,,
93931,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
93931,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93931,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
93931,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
93931,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93931,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
93931,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,XXX,,,
93931,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93931,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
93931,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,30,,XXX,,,
93965,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93965,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
93965,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
93965,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93965,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,3,,XXX,,,
93965,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93965,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,30,,XXX,,,
93970,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
93970,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93970,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
93970,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
93970,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93970,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,3,,XXX,,,
93970,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,XXX,,,
93970,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93970,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
93970,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,,
93971,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
93971,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,,
93971,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
93971,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
93971,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93971,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
93971,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,XXX,,,
93971,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93971,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
93971,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,40,,XXX,,,
93975,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
93975,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93975,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
93975,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
93975,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93975,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,3,,XXX,,,
93975,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,XXX,,,
93975,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93975,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
93975,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,,
93976,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
93976,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93976,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
93976,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
93976,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93976,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
93976,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,XXX,,,
93976,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93976,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
93976,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,40,,XXX,,,
93978,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
93978,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93978,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
93978,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
93978,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93978,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,3,,XXX,,,
93978,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,XXX,,,
93978,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93978,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
93978,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,,XXX,,,
93979,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
93979,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93979,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
93979,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
93979,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93979,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
93979,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,XXX,,,
93979,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93979,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
93979,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,40,,XXX,,,
93980,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,0,XXX,,Mar04,V
93980,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Mar04,V
93980,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Mar04,V
93980,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Mar04,V
93980,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Mar04,V
93980,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,XXX,,Mar04,V
93980,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,Mar04,V
93980,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,XXX,,Mar04,V
93980,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Mar04,V
93980,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,XXX,,Mar04,V
93981,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,0,XXX,,Mar04,V
93981,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,0,XXX,,Mar04,V
93981,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Mar04,V
93981,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Mar04,V
93981,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,XXX,,Mar04,V
93981,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,XXX,,Mar04,V
93981,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,Mar04,V
93981,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,0,XXX,,Mar04,V
93981,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Mar04,V
93981,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,XXX,,Mar04,V
93982,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,CPT08,24
93982,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,CPT08,24
93982,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,3,,XXX,,CPT08,24
93982,RUC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,1,,XXX,,CPT08,24
93982,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,1,,XXX,,CPT08,24
93990,PEAC,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,,,
93990,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
93990,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
93990,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
93990,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
93990,PEAC,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,,,
93990,PEAC,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,2,,XXX,,,
93990,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
93990,PEAC,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,,,
93990,PEAC,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,30,,XXX,,,
94002,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT07,
94003,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT07,
94004,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT07,
94005,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT07,
94010,PEAC,"Accessory, Procedure",SD075,"filter, pulmonary function filter",item,1.44,1,,XXX,,,
94010,PEAC,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,,XXX,,,
94010,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,,XXX,,,
94010,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,,XXX,,,
94011,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT10,21
94012,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT10,21
94013,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT10,21
94014,PEAC,"Accessory, Procedure",SD075,"filter, pulmonary function filter",item,1.44,1,0,XXX,,Feb05,
94014,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,0,XXX,,Feb05,
94014,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,0,XXX,,Feb05,
94014,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,Feb05,Feb05,
94014,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Feb05,
94015,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,Feb05,Feb05,
94015,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,0,XXX,,Feb05,
94015,PEAC,"Accessory, Procedure",SD075,"filter, pulmonary function filter",item,1.44,1,0,XXX,,Feb05,
94015,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,0,XXX,,Feb05,
94015,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Feb05,
94016,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
94060,PEAC,"Accessory, Procedure",SD075,"filter, pulmonary function filter",item,1.44,1,,XXX,,,
94060,PEAC,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,,XXX,,,
94060,PEAC,"Accessory, Procedure",SD101,nebulizer mouthpiece with tubing,item,1.654,1,,XXX,,,
94060,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,,XXX,,,
94060,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
94060,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,,,
94070,PEAC,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,0,XXX,,Mar04,G
94070,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,0,XXX,,Mar04,G
94150,CPEP,"Accessory, Procedure",SD075,"filter, pulmonary function filter",item,1.44,1,,XXX,,,
94150,CPEP,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,,XXX,,,
94150,CPEP,"Accessory, Procedure",SD102,noseclips,item,0.718,1,,XXX,,,
94150,CPEP,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,,XXX,,,
94200,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Feb05,
94200,PEAC,"Accessory, Procedure",SD075,"filter, pulmonary function filter",item,1.44,1,0,XXX,,Feb05,
94200,PEAC,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,0,XXX,,Feb05,
94200,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,0,XXX,,Feb05,
94200,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,0,XXX,,Feb05,
94240,PEAC,"Accessory, Procedure",SD075,"filter, pulmonary function filter",item,1.44,1,,XXX,,,
94240,PEAC,"Accessory, Procedure",SD079,"gas, helium",cu ft,0.25,1,,XXX,,,
94240,PEAC,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,,XXX,,,
94240,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,,XXX,,,
94240,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,Feb05,,
94240,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
94240,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,,XXX,,,
94240,PEAC,"Pharmacy, NonRx",SJ012,Cetacaine spray (56gm size bottle),gm,0.939,1,,XXX,,,
94250,PEAC,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,0,XXX,,Feb05,
94250,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,0,XXX,Feb05,Feb05,
94250,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,Feb05,Feb05,
94250,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,Feb05,Feb05,
94250,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,Feb05,Feb05,
94260,PEAC,"Accessory, Procedure",SD075,"filter, pulmonary function filter",item,1.44,1,,XXX,,,
94260,PEAC,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,,XXX,,,
94260,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,,XXX,,,
94260,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,,
94260,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
94260,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,,XXX,,,
94350,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,Feb05,
94350,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Feb05,
94350,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Feb05,
94350,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,0,XXX,,Feb05,
94350,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Feb05,
94360,PEAC,"Accessory, Procedure",SD075,"filter, pulmonary function filter",item,1.44,1,,XXX,,,
94360,PEAC,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,,XXX,,,
94360,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,,XXX,,,
94360,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,,
94360,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,,XXX,,,
94370,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,Feb05,
94370,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Feb05,
94370,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Feb05,
94370,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,0,XXX,,Feb05,
94370,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Feb05,
94375,PEAC,"Accessory, Procedure",SD075,"filter, pulmonary function filter",item,1.44,1,,XXX,,,
94375,PEAC,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,,XXX,,,
94375,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,,XXX,,,
94375,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,,
94375,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
94375,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,,XXX,,,
94400,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Feb05,
94400,PEAC,"Accessory, Procedure",SD170,"gas, 5% CO2 - balance air",liter,0.13,1,0,XXX,,Feb05,
94400,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,Feb05,
94400,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Feb05,
94400,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Feb05,
94400,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,0,XXX,,Feb05,
94450,PEAC,"Accessory, Procedure",SD085,"gas, test mixture",liter,0.072,1,,XXX,,Mar03,12
94450,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,,XXX,,Mar03,12
94450,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,Mar03,12
94450,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,Mar03,12
94450,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,3,,XXX,,Mar03,12
94450,PEAC,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,XXX,,Mar03,12
94450,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,Mar03,12
94452,RUC,"Accessory, Procedure",SD085,"gas, test mixture",liter,0.072,225,0,XXX,,,
94452,RUC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,0,XXX,,,
94452,RUC,"Accessory, Procedure",SD105,oxygen mask (1) and tubing (7ft),item,0.963,1,0,XXX,,,
94453,RUC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,150,0,XXX,,,
94453,RUC,"Accessory, Procedure",SD085,"gas, test mixture",liter,0.072,375,0,XXX,,,
94453,RUC,"Accessory, Procedure",SD100,nasal cannula,item,0.732,1,0,XXX,,,
94453,RUC,"Accessory, Procedure",SD105,oxygen mask (1) and tubing (7ft),item,0.963,1,0,XXX,,,
94620,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,10,0,XXX,,Feb05,
94620,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,0,XXX,,Feb05,
94620,PEAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,0,XXX,,Feb05,
94620,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,5,0,XXX,,Feb05,
94621,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,10,,XXX,,,
94621,PEAC,"Accessory, Procedure",SD075,"filter, pulmonary function filter",item,1.44,1,,XXX,,,
94621,PEAC,"Accessory, Procedure",SD085,"gas, test mixture",liter,0.072,150,,XXX,,,
94621,PEAC,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,,XXX,,,
94621,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,,XXX,,,
94621,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,,
94621,PEAC,Lab,SL048,desiccant-absorber,item,0.158,1,,XXX,,,
94621,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,,XXX,,,
94621,PEAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
94621,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,15,,XXX,,,
94621,PEAC,"Pharmacy, NonRx",SJ057,thermometer (single use),item,0.106,1,,XXX,,,
94621,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
94640,PEAC,"Accessory, Procedure",SD101,nebulizer mouthpiece with tubing,item,1.654,1,,XXX,,,
94640,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
94640,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
94642,CPEP,"Accessory, Procedure",SD101,nebulizer mouthpiece with tubing,item,1.654,1,,XXX,,,
94642,CPEP,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
94642,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
94642,CPEP,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,,
94642,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
94642,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,,XXX,,,
94644,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,CPT07,
94644,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,CPT07,
94644,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,CPT07,
94644,RUC,"Accessory, Procedure",SD077,"gas, air",cu ft,0.025,19,0,XXX,,CPT07,
94644,RUC,Lab,SL107,phosphate buffered saline solution,ml,0.041,2,0,XXX,,CPT07,
94644,RUC,"Kit, Pack, Tray",SA098,"kit, nebulizer, w-tubing and aerosole mask (Hope)",kit,19.64,1,,XXX,,,
94645,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,CPT07,
94645,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,CPT07,
94645,RUC,"Accessory, Procedure",SD077,"gas, air",cu ft,0.025,19,0,XXX,,CPT07,
94645,RUC,Lab,SL107,phosphate buffered saline solution,ml,0.041,2,0,XXX,,CPT07,
94660,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Feb05,
94660,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Feb05,
94662,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
94664,PEAC,"Accessory, Procedure",SD101,nebulizer mouthpiece with tubing,item,1.654,1,0,XXX,,,
94664,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,,
94664,PEAC,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,0,XXX,,,
94664,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,,
94667,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Feb05,
94668,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Feb05,
94680,PEAC,"Accessory, Procedure",SD085,"gas, test mixture",liter,0.072,150,0,XXX,,Feb05,
94680,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,0,XXX,,Feb05,
94680,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,Feb05,
94680,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,XXX,,Feb05,
94680,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,0,XXX,,Feb05,
94680,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Feb05,
94680,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Feb05,
94681,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,0,XXX,,Feb05,
94681,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Feb05,
94681,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,0,XXX,,Feb05,
94681,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,XXX,,Feb05,
94681,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,Feb05,
94681,PEAC,"Accessory, Procedure",SD085,"gas, test mixture",liter,0.072,150,0,XXX,,Feb05,
94681,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,Feb05,
94690,PEAC,"Accessory, Procedure",SD085,"gas, test mixture",liter,0.072,150,0,XXX,,Feb05,
94690,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,0,XXX,,Feb05,
94690,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,Feb05,
94690,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,XXX,,Feb05,
94690,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,0,XXX,,Feb05,
94690,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,5,0,XXX,,Feb05,
94690,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,5,0,XXX,,Feb05,
94690,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Feb05,
94720,PEAC,"Accessory, Procedure",SD075,"filter, pulmonary function filter",item,1.44,1,,XXX,,,
94720,PEAC,"Accessory, Procedure",SD085,"gas, test mixture",liter,0.072,75,,XXX,,,
94720,PEAC,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,,XXX,,,
94720,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,,XXX,,,
94720,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,,
94720,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,,XXX,,,
94725,PEAC,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,0,XXX,,Feb05,
94725,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,0,XXX,,Feb05,
94725,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Feb05,
94725,PEAC,"Accessory, Procedure",SD085,"gas, test mixture",liter,0.072,150,0,XXX,,Feb05,
94725,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,Feb05,
94725,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,0,XXX,,Feb05,
94750,PEAC,"Accessory, Procedure",SD016,"catheter, balloon, esophageal (pressure monitoring)",item,34.25,1,0,XXX,,Feb05,
94750,PEAC,"Accessory, Procedure",SD075,"filter, pulmonary function filter",item,1.44,1,0,XXX,,Feb05,
94750,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Feb05,
94750,PEAC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,150,0,XXX,,Feb05,
94750,PEAC,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,0,XXX,,Feb05,
94750,PEAC,"Accessory, Procedure",SD102,noseclips,item,0.718,1,0,XXX,,Feb05,
94750,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,XXX,,Feb05,
94750,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,0,XXX,,Feb05,
94760,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,CPT10,58
94760,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,1,0,XXX,,CPT10,58
94761,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,CPT10,58
94761,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,1,0,XXX,,CPT10,58
94762,PEAC,"Accessory, Procedure",SD104,oximetry sensor wrap,item,0.5,1,0,XXX,,CPT10,58
94762,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,CPT10,58
94762,PEAC,"Wound Care, Dressings",SG006,"adhesive remover, pad (acetone)",item,0.035,1,0,XXX,,CPT10,58
94762,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,0,XXX,,CPT10,58
94770,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Apr08,ss
94772,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
94774,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT07,
94775,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT07,
94776,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT07,
94777,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT07,
94799,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
95004,RUC,"Hypodermic, IV",SC023,multi-tine device,item,0.233,0.125,,XXX,,CPT08,rv
95004,RUC,Lab,SL027,color coded cap and vial (for antigen),item,0.564,1,,XXX,,CPT08,rv
95004,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,0.05,,XXX,,CPT08,rv
95004,RUC,"Pharmacy, Rx",SH004,albumin saline,ml,0.08,1,,XXX,,CPT08,rv
95004,RUC,"Pharmacy, Rx",SH006,"antigen, mite",ml,4.1,1,,XXX,,CPT08,rv
95004,RUC,"Pharmacy, Rx",SH072,triamcinolone acetonide 0.1% cream,gm,0.052,0.125,,XXX,,CPT08,rv
95004,RUC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,0.025,,XXX,,CPT08,rv
95010,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,0.14,,XXX,,,
95010,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,0.14,,XXX,,,
95010,PEAC,"Hypodermic, IV",SC023,multi-tine device,item,0.233,1,,XXX,,,
95010,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,XXX,,,
95010,PEAC,Lab,SL027,color coded cap and vial (for antigen),item,0.564,1,,XXX,,,
95010,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,0.14,,XXX,,,
95010,PEAC,"Pharmacy, Rx",SH004,albumin saline,ml,0.08,5,,XXX,,,
95010,PEAC,"Pharmacy, Rx",SH008,"antigen, single",ml,5.18,1,,XXX,,,
95010,PEAC,"Pharmacy, Rx",SH072,triamcinolone acetonide 0.1% cream,gm,0.052,0.14,,XXX,,,
95010,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,0.286,,XXX,,,
95012,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,0,XXX,,CPT07,
95012,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,CPT07,
95012,RUC,Infection Control,SM028,"filter, mouthpiece (NIOX)",item,4.6,1,0,XXX,,CPT07,
95015,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,0.1,,XXX,,,
95015,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,4,,XXX,,,
95015,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,0.07,,XXX,,,
95015,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0.07,,XXX,,,
95015,PEAC,Lab,SL027,color coded cap and vial (for antigen),item,0.564,1,,XXX,,,
95015,PEAC,Lab,SL085,label for microscope slides,item,0.026,1,,XXX,,,
95015,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,0.14,,XXX,,,
95015,PEAC,"Pharmacy, Rx",SH004,albumin saline,ml,0.08,1,,XXX,,,
95015,PEAC,"Pharmacy, Rx",SH072,triamcinolone acetonide 0.1% cream,gm,0.052,0.02,,XXX,,,
95015,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,0.5,,XXX,,,
95015,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,0.14,,XXX,,,
95015,CMS,"Pharmacy, Rx",SH009,"antigen, venom",ml,16.67,0.3,,XXX,,CPT11,
95024,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,0.08,,XXX,,CPT08,rv
95024,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0.083,,XXX,,CPT08,rv
95024,RUC,Lab,SL027,color coded cap and vial (for antigen),item,0.564,1,,XXX,,CPT08,rv
95024,RUC,Lab,SL085,label for microscope slides,item,0.026,1,,XXX,,CPT08,rv
95024,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,0.17,,XXX,,CPT08,rv
95024,RUC,"Pharmacy, Rx",SH004,albumin saline,ml,0.08,1,,XXX,,CPT08,rv
95024,RUC,"Pharmacy, Rx",SH006,"antigen, mite",ml,4.1,1,,XXX,,CPT08,rv
95024,RUC,"Pharmacy, Rx",SH072,triamcinolone acetonide 0.1% cream,gm,0.052,0.125,,XXX,,CPT08,rv
95024,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,0.167,,XXX,,CPT08,rv
95027,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,0.022,,XXX,,CPT08,rv
95027,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0.022,,XXX,,CPT08,rv
95027,RUC,Lab,SL027,color coded cap and vial (for antigen),item,0.564,1,,XXX,,CPT08,rv
95027,RUC,Lab,SL085,label for microscope slides,item,0.026,1,,XXX,,CPT08,rv
95027,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,0.17,,XXX,,CPT08,rv
95027,RUC,"Pharmacy, Rx",SH004,albumin saline,ml,0.08,0.5,,XXX,,CPT08,rv
95027,RUC,"Pharmacy, Rx",SH006,"antigen, mite",ml,4.1,0.33,,XXX,,CPT08,rv
95027,RUC,"Pharmacy, Rx",SH072,triamcinolone acetonide 0.1% cream,gm,0.052,0.125,,XXX,,CPT08,rv
95027,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,0.17,,XXX,,CPT08,rv
95028,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,XXX,,,
95028,PEAC,"Pharmacy, Rx",SH006,"antigen, mite",ml,4.1,1,,XXX,,,
95044,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,0.028,0,XXX,,Jan04,23
95044,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,0.278,0,XXX,,Jan04,23
95044,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0.028,0,XXX,,Jan04,23
95044,PEAC,Lab,SL001,acetone,ml,0.014,0.028,0,XXX,,Jan04,23
95044,PEAC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,0.83,0,XXX,,Jan04,23
95044,PEAC,Lab,SL109,"pipette, transfer 23ml",item,0.338,0.278,0,XXX,,Jan04,23
95044,PEAC,"Office Supply, Grocery",SK019,"diluent, olive oil",ml,0.005,0.033,0,XXX,,Jan04,23
95044,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.028,0,XXX,,Jan04,23
95044,PEAC,"Office Supply, Grocery",SK074,"skin marking pen, fluorescent (Spotlighter)",item,1,0.028,0,XXX,,Jan04,23
95044,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,0.028,0,XXX,,Jan04,23
95044,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,0.000833333,0,XXX,,Jan04,23
95044,PEAC,"Pharmacy, NonRx",SJ002,"allergen patch test card, T.R.U.E. (24 test card)",item,55.4,0.028,0,XXX,,Jan04,23
95044,PEAC,"Pharmacy, NonRx",SJ003,"allergen patch test cell, Finn Chambers (10 cell card)",item,13,0.028,0,XXX,,Jan04,23
95044,PEAC,"Pharmacy, NonRx",SJ004,"allergen patch test cell, Finn Chambers (5 cell card)",item,8.6,0.028,0,XXX,,Jan04,23
95044,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,0.278,0,XXX,,Jan04,23
95044,PEAC,"Pharmacy, Rx",SH008,"antigen, single",ml,5.18,0.056,0,XXX,,Jan04,23
95044,PEAC,"Wound Care, Dressings",SG004,adhesive liquid (Mastisol) (0.67ml uou),item,2.166,0.028,0,XXX,,Jan04,23
95044,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,0.028,0,XXX,,Jan04,23
95044,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,0.028,0,XXX,,Jan04,23
95044,PEAC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,0.83,0,XXX,,Jan04,23
95052,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,0.028,0,XXX,,Jan04,23
95052,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,0.278,0,XXX,,Jan04,23
95052,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0.056,0,XXX,,Jan04,23
95052,PEAC,Lab,SL001,acetone,ml,0.014,0.028,0,XXX,,Jan04,23
95052,PEAC,Lab,SL037,"cup, medicine (1oz size)",item,0.009,0.83,0,XXX,,Jan04,23
95052,PEAC,Lab,SL109,"pipette, transfer 23ml",item,0.338,0.278,0,XXX,,Jan04,23
95052,PEAC,"Office Supply, Grocery",SK019,"diluent, olive oil",ml,0.005,0.033,0,XXX,,Jan04,23
95052,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.028,0,XXX,,Jan04,23
95052,PEAC,"Office Supply, Grocery",SK074,"skin marking pen, fluorescent (Spotlighter)",item,1,0.028,0,XXX,,Jan04,23
95052,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,0.028,0,XXX,,Jan04,23
95052,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,0.000833333,0,XXX,,Jan04,23
95052,PEAC,"Pharmacy, NonRx",SJ002,"allergen patch test card, T.R.U.E. (24 test card)",item,55.4,0.028,0,XXX,,Jan04,23
95052,PEAC,"Pharmacy, NonRx",SJ003,"allergen patch test cell, Finn Chambers (10 cell card)",item,13,0.028,0,XXX,,Jan04,23
95052,PEAC,"Pharmacy, NonRx",SJ004,"allergen patch test cell, Finn Chambers (5 cell card)",item,8.6,0.028,0,XXX,,Jan04,23
95052,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,0.278,0,XXX,,Jan04,23
95052,PEAC,"Pharmacy, Rx",SH008,"antigen, single",ml,5.18,0.056,0,XXX,,Jan04,23
95052,PEAC,"Wound Care, Dressings",SG004,adhesive liquid (Mastisol) (0.67ml uou),item,2.166,0.028,0,XXX,,Jan04,23
95052,PEAC,"Wound Care, Dressings",SG005,"adhesive remover, liquid (Detachol) (0.67ml uou)",item,2.344,0.028,0,XXX,,Jan04,23
95052,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,0.028,0,XXX,,Jan04,23
95052,PEAC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,0.83,0,XXX,,Jan04,23
95056,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,23
95056,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,Jan04,23
95056,PEAC,"Office Supply, Grocery",SK074,"skin marking pen, fluorescent (Spotlighter)",item,1,1,0,XXX,,Jan04,23
95056,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,XXX,,Jan04,23
95060,DEL?,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,Feb05,??
95060,DEL?,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,Feb05,??
95060,DEL?,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,XXX,,Feb05,??
95060,DEL?,"Pharmacy, Rx",SH006,"antigen, mite",ml,4.1,1,,XXX,,Feb05,??
95060,DEL?,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,Feb05,??
95060,DEL?,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,XXX,,Feb05,??
95060,DEL?,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,Feb05,??
95060,DEL?,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,Feb05,??
95060,DEL?,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,Feb05,??
95060,DEL?,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,Feb05,??
95060,DEL?,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,Feb05,??
95065,DEL?,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,Feb05,??
95065,DEL?,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,Feb05,??
95065,DEL?,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,XXX,,Feb05,??
95065,DEL?,"Pharmacy, Rx",SH006,"antigen, mite",ml,4.1,1,,XXX,,Feb05,??
95065,DEL?,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,Feb05,??
95065,DEL?,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,XXX,,Feb05,??
95065,DEL?,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,Feb05,??
95065,DEL?,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,Feb05,??
95065,DEL?,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,Feb05,??
95065,DEL?,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,Feb05,??
95065,DEL?,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,Feb05,??
95070,PEAC,"Accessory, Procedure",SD077,"gas, air",cu ft,0.025,32,0,XXX,,Mar04,G
95070,PEAC,"Accessory, Procedure",SD101,nebulizer mouthpiece with tubing,item,1.654,1,0,XXX,,Mar04,G
95070,PEAC,"Accessory, Procedure",SD184,nebulizer medication cup,item,0.14,1,0,XXX,,Mar04,G
95070,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Mar04,G
95070,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,0,XXX,,Mar04,G
95070,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Mar04,G
95070,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,2,0,XXX,,Mar04,G
95070,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,8,0,XXX,,Mar04,G
95070,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,0,XXX,,Mar04,G
95070,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Mar04,G
95070,PEAC,"Pharmacy, Rx",SH077,albuterol inhal soln (3ml vial),item,0.436,1,0,XXX,,Mar04,G
95070,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,8,0,XXX,,Mar04,G
95071,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Feb05,S
95071,PEAC,"Pharmacy, Rx",SH006,"antigen, mite",ml,4.1,1,0,XXX,,Feb05,S
95071,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,XXX,,Feb05,S
95071,PEAC,"Accessory, Procedure",SD101,nebulizer mouthpiece with tubing,item,1.654,1,0,XXX,,Feb05,S
95071,PEAC,"Accessory, Procedure",SD184,nebulizer medication cup,item,0.14,1,0,XXX,,Feb05,S
95071,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,8,0,XXX,,Feb05,S
95071,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,XXX,,Feb05,S
95071,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,0,XXX,,Feb05,S
95071,PEAC,"Accessory, Procedure",SD077,"gas, air",cu ft,0.025,32,0,XXX,,Feb05,S
95071,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,8,0,XXX,,Feb05,S
95071,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,2,0,XXX,,Feb05,S
95075,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Feb05,S
95075,PEAC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,1,0,XXX,,Feb05,S
95115,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
95115,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,000,,,
95115,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
95115,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,000,,,
95117,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
95117,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,000,,,
95117,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,000,,,
95117,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,,000,,,
95120,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
95125,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
95130,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
95131,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
95132,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
95133,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
95134,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
95144,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,0.2,,000,,,
95144,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,000,,,
95144,PEAC,Lab,SL027,color coded cap and vial (for antigen),item,0.564,1,,000,,,
95144,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,0.1,,000,,,
95144,PEAC,"Pharmacy, Rx",SH007,"antigen, multi (pollen, mite, mold, cat)",ml,6.7,1,,000,,,
95145,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
95145,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,000,,,
95145,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
95145,CMS,"Pharmacy, Rx",SH009,"antigen, venom",ml,16.67,1,,000,,CPT11,
95146,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
95146,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,2,,000,,,
95146,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,000,,,
95146,CMS,"Pharmacy, Rx",SH009,"antigen, venom",ml,16.67,2,,000,,CPT11,
95147,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
95147,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,000,,,
95147,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
95147,CMS,"Pharmacy, Rx",SH010,"antigen, venom, tri-vespid",ml,30.22,1,,000,,CPT11,
95148,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
95148,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,2,,000,,,
95148,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
95148,CMS,"Pharmacy, Rx",SH009,"antigen, venom",ml,16.67,1,,000,,CPT11,
95148,CMS,"Pharmacy, Rx",SH010,"antigen, venom, tri-vespid",ml,30.22,1,,000,,CPT11,
95149,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
95149,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,3,,000,,,
95149,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
95149,CMS,"Pharmacy, Rx",SH009,"antigen, venom",ml,16.67,2,,000,,CPT11,
95149,CMS,"Pharmacy, Rx",SH010,"antigen, venom, tri-vespid",ml,30.22,1,,000,,CPT11,
95165,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,0.2,,000,,,
95165,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,000,,,
95165,PEAC,Lab,SL027,color coded cap and vial (for antigen),item,0.564,1,,000,,,
95165,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,0.1,,000,,,
95165,PEAC,"Pharmacy, Rx",SH007,"antigen, multi (pollen, mite, mold, cat)",ml,6.7,1,,000,,,
95170,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
95170,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,000,,,
95170,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
95170,PEAC,"Pharmacy, Rx",SH008,"antigen, single",ml,5.18,1,,000,,,
95180,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,000,,Mar03,5
95180,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,000,,Mar03,5
95180,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,10,0,000,,Mar03,5
95180,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,4,0,000,,Mar03,5
95180,PEAC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,20,0,000,,Mar03,5
95180,PEAC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,15,0,000,,Mar03,5
95180,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,0,000,,Mar03,5
95180,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,2,0,000,,Mar03,5
95199,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,000,,,
95250,PEAC,"Accessory, Procedure",SD114,"sensor, glucose monitoring (interstitial)",item,29.5,1,0,XXX,,Mar04,O
95250,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Mar04,O
95250,PEAC,"Kit, Pack, Tray",SA057,"pack, shower protection for insulin pump",pack,0.616,1,0,XXX,,Mar04,O
95250,PEAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,25,0,XXX,,Mar04,O
95250,PEAC,"Office Supply, Grocery",SK095,"battery, AA",item,0.45,4,0,XXX,,Mar04,O
95250,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Mar04,O
95250,PEAC,"Wound Care, Dressings",SG036,"dressing, 4in x 4.75in (Polyskin)",item,1.335,1,0,XXX,,Mar04,O
95250,PEAC,"Wound Care, Dressings",SG045,"dressing, OpSite IV 3000",item,0.603,1,0,XXX,,Mar04,O
95250,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,XXX,,Mar04,O
95251,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
95800,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,CPT11,42
95800,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,,XXX,,CPT11,42
95800,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,,XXX,,CPT11,42
95800,RUC,"Accessory, Procedure",SD263,WatchPAT pneumo-opt slp probes,item,73.42,1,,XXX,,CPT11,42
95801,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,CPT11,42
95801,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,,XXX,,CPT11,42
95801,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,,XXX,,CPT11,42
95801,RUC,"Accessory, Procedure",SD112,"sensor, airflow cannula (adult)",item,3,1,,XXX,,CPT11,42
95803,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,CPT11,42
95803,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,3,,XXX,,CPT11,42
95803,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,,XXX,,CPT11,42
95805,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,1,,XXX,,CPT11,42
95805,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,,XXX,,CPT11,42
95805,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,,XXX,,CPT11,42
95805,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,XXX,,CPT11,42
95805,RUC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,,XXX,,CPT11,42
95805,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,,CPT11,42
95805,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,2,,XXX,,CPT11,42
95805,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,CPT11,42
95805,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,6,,XXX,,CPT11,42
95805,RUC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,4,,XXX,,CPT11,42
95805,RUC,"Pharmacy, NonRx",SJ023,electrode skin prep tape (One-Step),inch,0.097,24,,XXX,,CPT11,42
95805,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,12,,XXX,,CPT11,42
95805,RUC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,,XXX,,CPT11,42
95805,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,CPT11,42
95805,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,CPT11,42
95806,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Jan04,18
95806,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,18
95806,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,1,0,XXX,,Jan04,18
95806,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,,Jan04,18
95806,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,5,0,XXX,,Jan04,18
95806,PEAC,"Wound Care, Dressings",SG078,"tape, surgical occlusive 1in (Blenderm)",inch,0.007,72,0,XXX,,Jan04,18
95806,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,CPT11,42
95806,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,,XXX,,CPT11,42
95806,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,,XXX,,CPT11,42
95806,RUC,"Accessory, Procedure",SD112,"sensor, airflow cannula (adult)",item,3,1,,XXX,,CPT11,42
95807,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,1,,XXX,,CPT11,42
95807,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,,XXX,,CPT11,42
95807,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,,XXX,,CPT11,42
95807,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,CPT11,42
95807,RUC,"Accessory, Procedure",SD112,"sensor, airflow cannula (adult)",item,3,1,,XXX,,CPT11,42
95808,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,1,,XXX,,CPT11,42
95808,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,3,,XXX,,CPT11,42
95808,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,,XXX,,CPT11,42
95808,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,XXX,,CPT11,42
95808,RUC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,,XXX,,CPT11,42
95808,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,,CPT11,42
95808,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,2,,XXX,,CPT11,42
95808,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,CPT11,42
95808,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,6,,XXX,,CPT11,42
95808,RUC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,4,,XXX,,CPT11,42
95808,RUC,"Pharmacy, NonRx",SJ023,electrode skin prep tape (One-Step),inch,0.097,24,,XXX,,CPT11,42
95808,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,12,,XXX,,CPT11,42
95808,RUC,"Accessory, Procedure",SD104,oximetry sensor wrap,item,0.5,1,,XXX,,CPT11,42
95808,RUC,"Accessory, Procedure",SD112,"sensor, airflow cannula (adult)",item,3,1,,XXX,,CPT11,42
95808,RUC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,,XXX,,CPT11,42
95808,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,CPT11,42
95808,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,CPT11,42
95810,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,1,,XXX,,CPT11,42
95810,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,,XXX,,CPT11,42
95810,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,,XXX,,CPT11,42
95810,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,XXX,,CPT11,42
95810,RUC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,,XXX,,CPT11,42
95810,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,,CPT11,42
95810,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,2,,XXX,,CPT11,42
95810,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,CPT11,42
95810,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,9,,XXX,,CPT11,42
95810,RUC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,4,,XXX,,CPT11,42
95810,RUC,"Pharmacy, NonRx",SJ023,electrode skin prep tape (One-Step),inch,0.097,36,,XXX,,CPT11,42
95810,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,18,,XXX,,CPT11,42
95810,RUC,"Accessory, Procedure",SD104,oximetry sensor wrap,item,0.5,1,,XXX,,CPT11,42
95810,RUC,"Accessory, Procedure",SD112,"sensor, airflow cannula (adult)",item,3,1,,XXX,,CPT11,42
95810,RUC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,,XXX,,CPT11,42
95810,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,CPT11,42
95810,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,CPT11,42
95811,RUC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,1,,XXX,,CPT11,42
95811,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,,XXX,,CPT11,42
95811,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,,XXX,,CPT11,42
95811,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,,XXX,,CPT11,42
95811,RUC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,,XXX,,CPT11,42
95811,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,,CPT11,42
95811,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,2,,XXX,,CPT11,42
95811,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,CPT11,42
95811,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,9,,XXX,,CPT11,42
95811,RUC,"Pharmacy, NonRx",SJ021,electrode conductive paste,oz,1.072,4,,XXX,,CPT11,42
95811,RUC,"Pharmacy, NonRx",SJ023,electrode skin prep tape (One-Step),inch,0.097,36,,XXX,,CPT11,42
95811,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,18,,XXX,,CPT11,42
95811,RUC,"Accessory, Procedure",SD104,oximetry sensor wrap,item,0.5,1,,XXX,,CPT11,42
95811,RUC,"Accessory, Procedure",SD112,"sensor, airflow cannula (adult)",item,3,1,,XXX,,CPT11,42
95811,RUC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,,XXX,,CPT11,42
95811,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,XXX,,CPT11,42
95811,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,CPT11,42
95812,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,2,0,XXX,,Feb05,
95812,PEAC,"Accessory, Procedure",SD054,"electrode, EEG, tin cup (12 pack uou)",item,18,2,0,XXX,,Feb05,
95812,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Feb05,
95812,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Feb05,
95812,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Feb05,
95812,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,XXX,,Feb05,
95812,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,XXX,,Feb05,
95812,PEAC,Lab,SL001,acetone,ml,0.014,15,0,XXX,,Feb05,
95812,PEAC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,0,XXX,,Feb05,
95812,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Feb05,
95812,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,0.1,0,XXX,,Feb05,
95812,PEAC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,0,XXX,,Feb05,
95812,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,0,XXX,,Feb05,
95812,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,100,0,XXX,,Feb05,
95812,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,XXX,,Feb05,
95812,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Feb05,
95812,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,0,XXX,,Feb05,
95812,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,1,0,XXX,,Feb05,
95812,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,42,0,XXX,,Feb05,
95813,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,2,0,XXX,,Feb05,
95813,PEAC,"Accessory, Procedure",SD054,"electrode, EEG, tin cup (12 pack uou)",item,18,2,0,XXX,,Feb05,
95813,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Feb05,
95813,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Feb05,
95813,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Feb05,
95813,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,XXX,,Feb05,
95813,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,XXX,,Feb05,
95813,PEAC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,0,XXX,,Feb05,
95813,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Feb05,
95813,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,0.1,0,XXX,,Feb05,
95813,PEAC,Lab,SL001,acetone,ml,0.014,15,0,XXX,,Feb05,
95813,PEAC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,0,XXX,,Feb05,
95813,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,0,XXX,,Feb05,
95813,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,100,0,XXX,Feb05,Feb05,
95813,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,XXX,Feb05,Feb05,
95813,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Feb05,
95813,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,0,XXX,,Feb05,
95813,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,1,0,XXX,,Feb05,
95813,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,42,0,XXX,,Feb05,
95816,PEAC,"Accessory, Procedure",SD054,"electrode, EEG, tin cup (12 pack uou)",item,18,2,0,XXX,,Feb05,
95816,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,2,0,XXX,,Feb05,
95816,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Feb05,
95816,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Feb05,
95816,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Feb05,
95816,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,XXX,,Feb05,
95816,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,XXX,,Feb05,
95816,PEAC,Lab,SL001,acetone,ml,0.014,15,0,XXX,,Feb05,
95816,PEAC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,0,XXX,,Feb05,
95816,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Feb05,
95816,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,0.1,0,XXX,,Feb05,
95816,PEAC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,0,XXX,,Feb05,
95816,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,0,XXX,,Feb05,
95816,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,100,0,XXX,Feb05,Feb05,
95816,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,XXX,Feb05,Feb05,
95816,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Feb05,
95816,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,0,XXX,,Feb05,
95816,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,1,0,XXX,,Feb05,
95816,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,42,0,XXX,,Feb05,
95819,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Feb05,
95819,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Feb05,
95819,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Feb05,
95819,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,XXX,,Feb05,
95819,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,XXX,,Feb05,
95819,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,2,0,XXX,,Feb05,
95819,PEAC,"Accessory, Procedure",SD054,"electrode, EEG, tin cup (12 pack uou)",item,18,2,0,XXX,,Feb05,
95819,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,0,XXX,,Feb05,
95819,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,1,0,XXX,,Feb05,
95819,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,Feb05,
95819,PEAC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,0,XXX,,Feb05,
95819,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,0,XXX,,Feb05,
95819,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,100,0,XXX,Feb05,Feb05,
95819,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,XXX,Feb05,Feb05,
95819,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Feb05,
95819,PEAC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,0,XXX,,Feb05,
95819,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Feb05,
95819,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,0.1,0,XXX,,Feb05,
95819,PEAC,Lab,SL001,acetone,ml,0.014,15,0,XXX,,Feb05,
95822,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,2,0,XXX,,Feb05,
95822,PEAC,"Accessory, Procedure",SD054,"electrode, EEG, tin cup (12 pack uou)",item,18,2,0,XXX,,Feb05,
95822,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Feb05,
95822,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Feb05,
95822,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Feb05,
95822,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,XXX,,Feb05,
95822,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,XXX,,Feb05,
95822,PEAC,Lab,SL001,acetone,ml,0.014,15,0,XXX,,Feb05,
95822,PEAC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,0,XXX,,Feb05,
95822,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Feb05,
95822,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,0.1,0,XXX,,Feb05,
95822,PEAC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,0,XXX,,Feb05,
95822,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,0,XXX,,Feb05,
95822,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,100,0,XXX,Feb05,Feb05,
95822,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,XXX,Feb05,Feb05,
95822,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Feb05,
95822,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,0,XXX,,Feb05,
95822,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,1,0,XXX,,Feb05,
95822,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,42,0,XXX,,Feb05,
95824,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
95827,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,2,0,XXX,,Jan04,18
95827,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,18
95827,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,18
95827,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,XXX,,Jan04,18
95827,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,XXX,,Jan04,18
95827,PEAC,Lab,SL001,acetone,ml,0.014,0.5,0,XXX,,Jan04,18
95827,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Jan04,18
95827,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,200,0,XXX,,Jan04,18
95827,PEAC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,0,XXX,,Jan04,18
95827,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,Jan04,18
95827,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,10,0,XXX,,Jan04,18
95827,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,XXX,,Jan04,18
95827,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,18
95827,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,0,XXX,,Jan04,18
95827,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,XXX,,Jan04,18
95827,PEAC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,XXX,,Jan04,18
95829,PEAC,"Accessory, Procedure",SD048,"electrode alligator clip, pair",pair,10.195,1,,XXX,,,
95829,PEAC,"Accessory, Procedure",SD058,"electrode, grid",item,475,1,,XXX,,,
95829,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,XXX,,,
95829,PEAC,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.2,,XXX,,,
95829,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,500,,XXX,,,
95829,PEAC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,,XXX,,,
95830,PEAC,"Accessory, Procedure",SD061,"electrode, sphenoidal",item,15.833,2,,XXX,,,
95830,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
95830,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,XXX,,,
95830,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,XXX,,,
95830,PEAC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,,XXX,,,
95830,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,,XXX,,,
95830,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,,
95830,PEAC,"Pharmacy, Rx",SH030,Emla cream,gm,2.089,5,,XXX,,,
95830,PEAC,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,4,,XXX,,,
95830,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,2,,XXX,,,
95830,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,XXX,,,
95830,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,XXX,,,
95831,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
95831,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95831,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95831,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
95832,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
95832,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95832,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
95833,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95833,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
95833,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95833,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95833,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
95834,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95834,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
95834,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95834,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95834,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
95851,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95851,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
95851,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95851,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95851,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
95852,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95852,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
95852,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95852,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
95857,CPEP,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,,
95857,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95857,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
95857,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95857,CPEP,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95857,CPEP,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,XXX,,,
95857,CPEP,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,XXX,,,
95857,CPEP,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,,XXX,,,
95857,CPEP,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,,XXX,,,
95857,CPEP,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95857,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
95857,CPEP,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,,XXX,,,
95857,CPEP,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,XXX,,,
95860,PEAC,"Accessory, Procedure",SD051,"electrode needle, monopolar EMG w-lead",item,3.03,1,,XXX,,,
95860,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,XXX,,,
95860,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95860,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
95860,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95860,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95860,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,3,,XXX,,,
95860,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95860,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
95860,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,6,,XXX,,,
95860,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,XXX,,,
95860,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
95861,PEAC,"Accessory, Procedure",SD049,"electrode needle, concentric EMG w-lead",item,8.693,1,,XXX,,,
95861,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,XXX,,,
95861,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95861,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
95861,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95861,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95861,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,5,,XXX,,,
95861,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95861,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,,
95861,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,6,,XXX,,,
95861,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,XXX,,,
95861,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
95863,PEAC,"Accessory, Procedure",SD049,"electrode needle, concentric EMG w-lead",item,8.693,1,,XXX,,,
95863,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,XXX,,,
95863,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95863,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
95863,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95863,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95863,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,5,,XXX,,,
95863,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95863,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,,
95863,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,9,,XXX,,,
95863,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,,XXX,,,
95863,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
95864,PEAC,"Accessory, Procedure",SD049,"electrode needle, concentric EMG w-lead",item,8.693,1,,XXX,,,
95864,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,XXX,,,
95864,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95864,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
95864,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95864,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95864,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95864,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,,
95864,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,12,,XXX,,,
95864,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,6,,XXX,,,
95864,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
95865,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,5,,XXX,,RUC05,
95865,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,RUC05,
95865,RUC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,,XXX,,RUC05,
95865,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,RUC05,
95865,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,XXX,,RUC05,
95865,RUC,"Accessory, Procedure",SD049,"electrode needle, concentric EMG w-lead",item,8.693,1,,XXX,,RUC05,
95865,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,RUC05,
95865,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,,XXX,,RUC05,
95865,RUC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,XXX,,RUC05,
95866,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,5,,XXX,,RUC05,
95866,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,RUC05,
95866,RUC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,,XXX,,RUC05,
95866,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,RUC05,
95866,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,XXX,,RUC05,
95866,RUC,"Accessory, Procedure",SD049,"electrode needle, concentric EMG w-lead",item,8.693,1,,XXX,,RUC05,
95866,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,RUC05,
95866,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,,XXX,,RUC05,
95866,RUC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,XXX,,RUC05,
95867,PEAC,"Accessory, Procedure",SD049,"electrode needle, concentric EMG w-lead",item,8.693,1,,XXX,,,
95867,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,XXX,,,
95867,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95867,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
95867,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95867,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95867,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,3,,XXX,,,
95867,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95867,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,,
95867,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,6,,XXX,,,
95867,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,XXX,,,
95867,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
95868,PEAC,"Accessory, Procedure",SD049,"electrode needle, concentric EMG w-lead",item,8.693,1,,XXX,,,
95868,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,XXX,,,
95868,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95868,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
95868,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95868,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95868,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,3,,XXX,,,
95868,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95868,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,,
95868,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,6,,XXX,,,
95868,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,XXX,,,
95868,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
95869,PEAC,"Accessory, Procedure",SD049,"electrode needle, concentric EMG w-lead",item,8.693,1,0,XXX,,Mar04,H
95869,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,0,XXX,,Mar04,H
95869,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Mar04,H
95869,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Mar04,H
95869,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,5,0,XXX,,Mar04,H
95869,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,Mar04,H
95869,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Mar04,H
95869,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,XXX,,Mar04,H
95869,PEAC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,XXX,,Mar04,H
95870,PEAC,"Accessory, Procedure",SD049,"electrode needle, concentric EMG w-lead",item,8.693,1,,XXX,,,
95870,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,XXX,,,
95870,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95870,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
95870,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95870,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95870,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,5,,XXX,,,
95870,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95870,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,,
95870,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,6,,XXX,,,
95870,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,,XXX,,,
95870,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
95872,PEAC,"Accessory, Procedure",SD051,"electrode needle, monopolar EMG w-lead",item,3.03,1,0,XXX,,Jan04,18
95872,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,18
95872,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,18
95872,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,3,0,XXX,,Jan04,18
95872,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,10,0,XXX,,Jan04,18
95872,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,0,XXX,,Jan04,18
95872,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,6,0,XXX,,Jan04,18
95872,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,4,0,XXX,,Jan04,18
95872,PEAC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,XXX,,Jan04,18
95873,RUC,"Accessory, Procedure",SD050,"electrode needle, injectable (Myoject)",item,20,1,,ZZZ,,RUC05,
95873,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,,ZZZ,,RUC05,
95873,RUC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,,ZZZ,,RUC05,
95873,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,5,,ZZZ,,RUC05,
95873,RUC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,ZZZ,,RUC05,
95873,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,ZZZ,,RUC05,
95874,RUC,"Accessory, Procedure",SD050,"electrode needle, injectable (Myoject)",item,20,1,,ZZZ,,RUC05,
95874,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,,ZZZ,,RUC05,
95874,RUC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,,ZZZ,,RUC05,
95874,RUC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,5,,ZZZ,,RUC05,
95874,RUC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,ZZZ,,RUC05,
95874,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,ZZZ,,RUC05,
95875,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95875,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,,,
95875,RUC,"Hypodermic, IV",SC012,heparin lock,item,0.917,1,,XXX,,,
95875,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,7,,XXX,,,
95875,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,XXX,,,
95875,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,,,
95875,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,7,,XXX,,,
95875,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
95875,RUC,Lab,SL085,label for microscope slides,item,0.026,14,,XXX,,,
95875,RUC,Lab,SL143,test tube,item,0.273,14,,XXX,,,
95875,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,,
95875,RUC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,XXX,,,
95875,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,,XXX,,,
95900,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,XXX,,,
95900,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95900,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
95900,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95900,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95900,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,,XXX,,,
95900,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,,XXX,,,
95900,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95900,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,100,,XXX,,,
95900,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,,XXX,,,
95900,PEAC,"Pharmacy, NonRx",SJ045,"sensor strip, skin temperature",item,0.975,1,,XXX,,,
95900,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
95900,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,XXX,,,
95900,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
95903,PEAC,"Accessory, Procedure",SD052,"electrode, bar-style (single)",item,0.24,1,,XXX,,,
95903,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,XXX,,,
95903,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95903,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
95903,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95903,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95903,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,,XXX,,,
95903,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,,XXX,,,
95903,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95903,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,100,,XXX,,,
95903,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,XXX,,,
95903,PEAC,"Pharmacy, NonRx",SJ045,"sensor strip, skin temperature",item,0.975,1,,XXX,,,
95903,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
95903,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,XXX,,,
95903,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
95904,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,XXX,,,
95904,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95904,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
95904,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95904,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95904,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,,XXX,,,
95904,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95904,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,100,,XXX,,,
95904,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,,XXX,,,
95904,PEAC,"Pharmacy, NonRx",SJ045,"sensor strip, skin temperature",item,0.975,1,,XXX,,,
95904,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
95904,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,XXX,,,
95904,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
95905,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,CPT10,22
95905,RUC,"Accessory, Procedure",SD223,"electrode, array, nerve, preconfigured,",item,45,1,0,XXX,,CPT10,22
95920,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,Jan04,18
95921,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,,XXX,,,
95921,PEAC,"Accessory, Procedure",SD099,"mouthpiece, respiratory",item,0.217,1,,XXX,,,
95921,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95921,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
95921,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95921,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95921,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95921,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
95921,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,6,,XXX,,,
95921,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,XXX,,,
95921,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
95922,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,,XXX,,,
95922,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95922,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
95922,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95922,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95922,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95922,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
95922,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,6,,XXX,,,
95922,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,XXX,,,
95922,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
95923,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,,XXX,,,
95923,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95923,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
95923,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95923,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95923,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95923,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
95923,PEAC,"Pharmacy, Rx",SH002,acetylcholine (for patient use),gm,0.4,50,,XXX,,,
95923,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,6,,XXX,,,
95923,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,XXX,,,
95923,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
95925,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,0,XXX,,Mar04,H
95925,PEAC,"Accessory, Procedure",SD166,"electrode, EGG (single)",item,2.917,4,0,XXX,,Mar04,H
95925,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Mar04,H
95925,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,XXX,,Mar04,H
95925,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,XXX,,Mar04,H
95925,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,0,XXX,,Mar04,H
95925,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Mar04,H
95925,PEAC,Lab,SL001,acetone,ml,0.014,15,0,XXX,,Mar04,H
95925,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Mar04,H
95925,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,6,0,XXX,,Mar04,H
95925,PEAC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,0,XXX,,Mar04,H
95925,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,Mar04,H
95925,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,10,0,XXX,,Mar04,H
95925,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar04,H
95925,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,XXX,,Mar04,H
95925,PEAC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,24,0,XXX,,Mar04,H
95926,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,0,XXX,,Mar04,H
95926,PEAC,"Accessory, Procedure",SD166,"electrode, EGG (single)",item,2.917,4,0,XXX,,Mar04,H
95926,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Mar04,H
95926,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,XXX,,Mar04,H
95926,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,XXX,,Mar04,H
95926,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,0,XXX,,Mar04,H
95926,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Mar04,H
95926,PEAC,Lab,SL001,acetone,ml,0.014,15,0,XXX,,Mar04,H
95926,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Mar04,H
95926,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,6,0,XXX,,Mar04,H
95926,PEAC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,0,XXX,,Mar04,H
95926,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,Mar04,H
95926,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,10,0,XXX,,Mar04,H
95926,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar04,H
95926,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,XXX,,Mar04,H
95926,PEAC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,24,0,XXX,,Mar04,H
95927,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,0,XXX,,Mar04,H
95927,PEAC,"Accessory, Procedure",SD166,"electrode, EGG (single)",item,2.917,4,0,XXX,,Mar04,H
95927,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Mar04,H
95927,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,XXX,,Mar04,H
95927,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,XXX,,Mar04,H
95927,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,0,XXX,,Mar04,H
95927,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Mar04,H
95927,PEAC,Lab,SL001,acetone,ml,0.014,15,0,XXX,,Mar04,H
95927,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Mar04,H
95927,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,6,0,XXX,,Mar04,H
95927,PEAC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,0,XXX,,Mar04,H
95927,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,Mar04,H
95927,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,10,0,XXX,,Mar04,H
95927,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar04,H
95927,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,XXX,,Mar04,H
95927,PEAC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,24,0,XXX,,Mar04,H
95928,RUC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,0,XXX,,,
95928,RUC,"Accessory, Procedure",SD062,"electrode, surface",item,0.883,8,0,XXX,,,
95928,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,,
95928,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
95928,RUC,"Office Supply, Grocery",SK021,emery board,item,0.083,1,0,XXX,,,
95928,RUC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,,
95928,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,15,0,XXX,,,
95928,RUC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,,
95928,RUC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,1,0,XXX,,,
95928,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,,
95928,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,1,0,XXX,,,
95928,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,48,0,XXX,,,
95929,RUC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,0,XXX,,,
95929,RUC,"Accessory, Procedure",SD062,"electrode, surface",item,0.883,8,0,XXX,,,
95929,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,,
95929,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
95929,RUC,"Office Supply, Grocery",SK021,emery board,item,0.083,1,0,XXX,,,
95929,RUC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,,
95929,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,15,0,XXX,,,
95929,RUC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,,
95929,RUC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,1,0,XXX,,,
95929,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,,
95929,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,1,0,XXX,,,
95929,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,48,0,XXX,,,
95930,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,0,XXX,,Mar04,H
95930,PEAC,"Accessory, Procedure",SD166,"electrode, EGG (single)",item,2.917,4,0,XXX,,Mar04,H
95930,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Mar04,H
95930,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,XXX,,Mar04,H
95930,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,XXX,,Mar04,H
95930,PEAC,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,0,XXX,,Mar04,H
95930,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Mar04,H
95930,PEAC,Lab,SL001,acetone,ml,0.014,15,0,XXX,,Mar04,H
95930,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Mar04,H
95930,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,6,0,XXX,,Mar04,H
95930,PEAC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,0,XXX,,Mar04,H
95930,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,Mar04,H
95930,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,10,0,XXX,,Mar04,H
95930,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar04,H
95930,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,XXX,,Mar04,H
95930,PEAC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,24,0,XXX,,Mar04,H
95933,PEAC,"Accessory, Procedure",SD052,"electrode, bar-style (single)",item,0.24,1,,XXX,,,
95933,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,XXX,,,
95933,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95933,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
95933,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,,XXX,,,
95933,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,,XXX,,,
95933,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95933,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,100,,XXX,,,
95933,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,,XXX,,,
95933,PEAC,"Pharmacy, NonRx",SJ045,"sensor strip, skin temperature",item,0.975,1,,XXX,,,
95933,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
95933,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,XXX,,,
95933,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,,XXX,,,
95934,PEAC,"Accessory, Procedure",SD052,"electrode, bar-style (single)",item,0.24,1,,XXX,,,
95934,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,XXX,,,
95934,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95934,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
95934,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,,XXX,,,
95934,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,,XXX,,,
95934,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95934,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,100,,XXX,,,
95934,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,,XXX,,,
95934,PEAC,"Pharmacy, NonRx",SJ045,"sensor strip, skin temperature",item,0.975,1,,XXX,,,
95934,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
95934,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,XXX,,,
95934,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,,XXX,,,
95936,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,Jan04,18
95936,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,Jan04,18
95936,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Jan04,18
95936,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Jan04,18
95936,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,Jan04,18
95936,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,18
95936,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,Jan04,18
95936,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,XXX,,Jan04,18
95937,PEAC,"Accessory, Procedure",SD052,"electrode, bar-style (single)",item,0.24,1,,XXX,,,
95937,PEAC,"Accessory, Procedure",SD059,"electrode, ground",item,0.445,1,,XXX,,,
95937,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,,
95937,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
95937,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,,XXX,,,
95937,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,1,,XXX,,,
95937,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95937,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,100,,XXX,,,
95937,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,1,,XXX,,,
95937,PEAC,"Pharmacy, NonRx",SJ045,"sensor strip, skin temperature",item,0.975,1,,XXX,,,
95937,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
95937,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,,XXX,,,
95937,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,36,,XXX,,,
95950,RUC,"Kit, Pack, Tray",SA002,"kit, ambulatory Holter",kit,4.449,1,0,XXX,,CPT11,75
95950,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,CPT11,75
95950,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,CPT11,75
95950,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,CPT11,75
95950,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,XXX,,CPT11,75
95950,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,2,0,XXX,,CPT11,75
95950,RUC,"Accessory, Procedure",SD054,"electrode, EEG, tin cup (12 pack uou)",item,18,1.5,0,XXX,,CPT11,75
95950,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,CPT11,75
95950,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,10,0,XXX,,CPT11,75
95950,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,CPT11,75
95950,RUC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,0,XXX,,CPT11,75
95950,RUC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,0,XXX,,CPT11,75
95950,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,15,0,XXX,,CPT11,75
95950,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,CPT11,75
95950,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,CPT11,75
95950,RUC,"Office Supply, Grocery",SK007,audio cassette tape 60 min,item,0.76,1,0,XXX,,CPT11,75
95950,RUC,Lab,SL001,acetone,ml,0.014,15,0,XXX,,CPT11,75
95950,RUC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,2,0,XXX,,CPT11,75
95950,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,XXX,,CPT11,75
95950,RUC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,CPT11,75
95950,RUC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,XXX,,CPT11,75
95950,RUC,"Office Supply, Grocery",SK011,"battery, AAA",item,0.485,4,0,XXX,,CPT11,75
95951,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
95953,RUC,"Kit, Pack, Tray",SA002,"kit, ambulatory Holter",kit,4.449,1,0,XXX,,CPT11,75
95953,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,CPT11,75
95953,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,CPT11,75
95953,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,CPT11,75
95953,RUC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,XXX,,CPT11,75
95953,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,2,0,XXX,,CPT11,75
95953,RUC,"Accessory, Procedure",SD054,"electrode, EEG, tin cup (12 pack uou)",item,18,2,0,XXX,,CPT11,75
95953,RUC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,20,0,XXX,,CPT11,75
95953,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,10,0,XXX,,CPT11,75
95953,RUC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,XXX,,CPT11,75
95953,RUC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,0,XXX,,CPT11,75
95953,RUC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,0,XXX,,CPT11,75
95953,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,15,0,XXX,,CPT11,75
95953,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,CPT11,75
95953,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,2,0,XXX,,CPT11,75
95953,RUC,Lab,SL001,acetone,ml,0.014,15,0,XXX,,CPT11,75
95953,RUC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,2,0,XXX,,CPT11,75
95953,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,XXX,,CPT11,75
95953,RUC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,CPT11,75
95953,RUC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,XXX,,CPT11,75
95954,PEAC,"Pharmacy, Rx",SH004,albumin saline,ml,0.08,1,0,XXX,,Feb05,
95954,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Feb05,
95954,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Feb05,
95954,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Feb05,
95954,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,XXX,,Feb05,
95954,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,2,0,XXX,,Feb05,
95954,PEAC,"Accessory, Procedure",SD054,"electrode, EEG, tin cup (12 pack uou)",item,18,2,0,XXX,,Feb05,
95954,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Feb05,
95954,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,XXX,,Feb05,
95954,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,Feb05,Feb05,
95954,PEAC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,0,XXX,,Feb05,
95954,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,0,XXX,,Feb05,
95954,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,100,0,XXX,,Feb05,
95954,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,15,0,XXX,,Feb05,
95954,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Feb05,
95954,PEAC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,0,XXX,,Feb05,
95954,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,XXX,,Feb05,
95954,PEAC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,Feb05,Feb05,
95954,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Feb05,
95954,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,XXX,,Feb05,
95954,PEAC,Lab,SL001,acetone,ml,0.014,15,0,XXX,,Feb05,
95955,CPEP,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
95955,CPEP,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,,,
95955,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
95955,CPEP,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
95955,CPEP,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,,XXX,,,
95955,CPEP,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,XXX,,,
95955,CPEP,Lab,SL001,acetone,ml,0.014,15,,XXX,,,
95955,CPEP,"Office Supply, Grocery",SK016,"computer media, optical disk 2.6gb",item,68.75,0.1,,XXX,,,
95955,CPEP,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,800,,XXX,,,
95955,CPEP,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,,XXX,,,
95955,CPEP,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
95955,CPEP,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,15,,XXX,,,
95955,CPEP,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
95955,CPEP,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
95955,CPEP,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,XXX,,,
95955,CPEP,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
95956,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,CPT11,75
95956,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,CPT11,75
95956,RUC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,CPT11,75
95956,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,XXX,,CPT11,75
95956,RUC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,2,0,XXX,,CPT11,75
95956,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,CPT11,75
95956,RUC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,10,0,XXX,,CPT11,75
95956,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,CPT11,75
95956,RUC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,0,XXX,,CPT11,75
95956,RUC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,0,XXX,,CPT11,75
95956,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,15,0,XXX,,CPT11,75
95956,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,CPT11,75
95956,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,2,0,XXX,,CPT11,75
95956,RUC,Lab,SL001,acetone,ml,0.014,15,0,XXX,,CPT11,75
95956,RUC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,2,0,XXX,,CPT11,75
95956,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,XXX,,CPT11,75
95956,RUC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,CPT11,75
95956,RUC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,XXX,,CPT11,75
95956,RUC,"Accessory, Procedure",SD265,Imaging compatible electrodes,item,6,24,0,XXX,,CPT11,75
95957,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,2,0,XXX,,Mar04,H
95957,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Mar04,H
95957,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Mar04,H
95957,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Mar04,H
95957,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Mar04,H
95957,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,XXX,,Mar04,H
95957,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,XXX,,Mar04,H
95957,PEAC,Lab,SL001,acetone,ml,0.014,15,0,XXX,,Mar04,H
95957,PEAC,"Office Supply, Grocery",SK015,"computer media, optical disk 128mb",item,12,5,0,XXX,,Mar04,H
95957,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Mar04,H
95957,PEAC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,0,XXX,,Mar04,H
95957,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,Mar04,H
95957,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,10,0,XXX,,Mar04,H
95957,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,XXX,,Mar04,H
95957,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar04,H
95957,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,20,0,XXX,,Mar04,H
95957,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,XXX,,Mar04,H
95957,PEAC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,XXX,,Mar04,H
95958,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,2,0,XXX,,Mar04,H
95958,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Mar04,H
95958,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Mar04,H
95958,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Mar04,H
95958,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Mar04,H
95958,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,XXX,,Mar04,H
95958,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,XXX,,Mar04,H
95958,PEAC,Lab,SL001,acetone,ml,0.014,15,0,XXX,,Mar04,H
95958,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Mar04,H
95958,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,200,0,XXX,,Mar04,H
95958,PEAC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,0,XXX,,Mar04,H
95958,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,Mar04,H
95958,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,10,0,XXX,,Mar04,H
95958,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,XXX,,Mar04,H
95958,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar04,H
95958,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,0,XXX,,Mar04,H
95958,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,XXX,,Mar04,H
95958,PEAC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,XXX,,Mar04,H
95961,PEAC,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,2,0,XXX,,Jan04,18
95961,PEAC,"Accessory, Procedure",SD165,"electrode, EEG (single)",item,1.638,2,0,XXX,,Jan04,18
95961,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,,Jan04,18
95961,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,Jan04,18
95961,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,Jan04,18
95961,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,Jan04,18
95961,PEAC,"Hypodermic, IV",SC034,"needle, blunt tip",item,0.33,1,0,XXX,,Jan04,18
95961,PEAC,"Hypodermic, IV",SC055,syringe 3ml,item,0.096,1,0,XXX,,Jan04,18
95961,PEAC,Lab,SL001,acetone,ml,0.014,0.5,0,XXX,,Jan04,18
95961,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Jan04,18
95961,PEAC,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,200,0,XXX,,Jan04,18
95961,PEAC,"Pharmacy, NonRx",SJ014,collodion (2oz uou),item,2.611,1,0,XXX,,Jan04,18
95961,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,1,0,XXX,,Jan04,18
95961,PEAC,"Pharmacy, NonRx",SJ022,electrode skin prep gel (NuPrep),ml,0.056,10,0,XXX,,Jan04,18
95961,PEAC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,XXX,,Jan04,18
95961,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Jan04,18
95961,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,0,XXX,,Jan04,18
95961,PEAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,XXX,,Jan04,18
95961,PEAC,"Wound Care, Dressings",SG077,"tape, porous-hypoallergenic 2in (Scanpore)",inch,0.017,6,0,XXX,,Jan04,18
95962,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,Jan04,18
95965,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
95966,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
95967,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,ZZZ,,,
95970,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Mar04,H
95971,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Mar04,H
95972,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Mar04,H
95973,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
95974,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Mar04,H
95975,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
95978,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
95979,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
95980,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT08,Q
95981,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT08,Q
95982,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT08,Q
95990,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
95990,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,XXX,,,
95990,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
95990,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,XXX,,,
95990,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,2,,XXX,,,
95990,RUC,"Kit, Pack, Tray",SA076,"kit, refill for implantable medication pump",item,28,1,0,XXX,,,
95990,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,XXX,,,
95990,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
95990,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,XXX,,,
95991,RUC,"Kit, Pack, Tray",SA076,"kit, refill for implantable medication pump",item,28,1,0,XXX,,,
95991,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
95991,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,XXX,,,
95991,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
95991,RUC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,2,,XXX,,,
95991,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,2,,XXX,,,
95991,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,XXX,,,
95991,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
95991,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,XXX,,,
95992,RUC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,XXX,,CPT09,30
95992,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,CPT09,30
95992,RUC,"Office Supply, Grocery",SK082,"towel, paper (Bounty) (per sheet)",item,0.007,2,0,XXX,,CPT09,30
95992,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,CPT09,30
95992,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,CPT09,30
95992,RUC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,1,0,XXX,,CPT09,30
95999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
96000,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
96001,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
96002,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
96003,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
96004,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
96020,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT07,
96040,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.33,0,XXX,,CPT07,
96101,HCPAC,"Office Supply, Grocery",SK067,"psych testing forms, average",item,2.3,0.1,0,XXX,,CPT06,
96101,HCPAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,3,0,XXX,,CPT06,
96101,HCPAC,"Office Supply, Grocery",SK110,"plates, Rorshcach",item,18,0.1,0,XXX,,CPT06,
96101,HCPAC,"Office Supply, Grocery",SK111,"plates, Thematic Apperception Test (TAT)",item,26.83,0.1,0,XXX,,CPT06,
96101,HCPAC,"Office Supply, Grocery",SK108,MCMI-III kit and manual,item,,0.1,0,XXX,,CPT06,
96102,HCPAC,"Office Supply, Grocery",SK067,"psych testing forms, average",item,2.3,0.33,0,XXX,,CPT06,
96102,HCPAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,8,0,XXX,,CPT06,
96102,HCPAC,"Office Supply, Grocery",SK110,"plates, Rorshcach",item,18,0.33,0,XXX,,CPT06,
96102,HCPAC,"Office Supply, Grocery",SK111,"plates, Thematic Apperception Test (TAT)",item,26.83,0.33,0,XXX,,CPT06,
96102,HCPAC,"Office Supply, Grocery",SK108,MCMI-III kit and manual,item,,0.33,0,XXX,,CPT06,
96103,HCPAC,"Office Supply, Grocery",SK111,"fee, licensing, computer, psychology",item,26.83,1,0,XXX,,Apr06,J
96103,HCPAC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,3,0,XXX,,CPT06,
96105,RUC,"Office Supply, Grocery",SK003,"aphasia assessment forms, average",item,2.84,1,0,XXX,,CPT11,76
96105,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,CPT11,76
96105,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,CPT11,76
96105,RUC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,XXX,,CPT11,76
96110,RUC,"Office Supply, Grocery",SK001,ages & stages questionnaire,item,0.4,1,0,XXX,,,
96111,RUC,"Office Supply, Grocery",SK088,Woodcock Johnson test record,item,2.44,1,0,XXX,,,
96116,HCPAC,"Office Supply, Grocery",SK003,"aphasia assessment forms, average",item,2.84,0.25,0,XXX,,CPT06,
96116,HCPAC,"Office Supply, Grocery",SK050,"neurobehavioral status forms, average",item,5.77,0.25,0,XXX,,CPT06,
96116,HCPAC,"Office Supply, Grocery",SK007,audio cassette tape 60 min,item,0.76,0.25,0,XXX,,CPT06,
96116,HCPAC,"Office Supply, Grocery",SK095,"battery, AA",item,0.45,0.25,0,XXX,,CPT06,
96118,HCPAC,"Office Supply, Grocery",SK003,"aphasia assessment forms, average",item,2.84,1,0,XXX,,CPT06,
96118,HCPAC,"Office Supply, Grocery",SK050,"neurobehavioral status forms, average",item,5.77,1,0,XXX,,CPT06,
96118,HCPAC,"Office Supply, Grocery",SK007,audio cassette tape 60 min,item,0.76,1,0,XXX,,CPT06,
96118,HCPAC,"Office Supply, Grocery",SK095,"battery, AA",item,0.45,1,0,XXX,,CPT06,
96119,HCPAC,"Office Supply, Grocery",SK003,"aphasia assessment forms, average",item,2.84,0.3,0,XXX,,CPT06,
96119,HCPAC,"Office Supply, Grocery",SK050,"neurobehavioral status forms, average",item,5.77,0.3,0,XXX,,CPT06,
96119,HCPAC,"Office Supply, Grocery",SK007,audio cassette tape 60 min,item,0.76,0.3,0,XXX,,CPT06,
96119,HCPAC,"Office Supply, Grocery",SK095,"battery, AA",item,0.45,0.3,0,XXX,,CPT06,
96120,HCPAC,"Office Supply, Grocery",SK111,"fee, licensing, computer, psychology",item,26.83,1,0,XXX,,Apr06,J
96120,HCPAC,"Office Supply, Grocery",SK007,audio cassette tape 60 min,item,0.76,0.3,0,XXX,,CPT06,
96120,HCPAC,"Office Supply, Grocery",SK095,"battery, AA",item,0.45,0.3,0,XXX,,CPT06,
96125,HCPAC,"Office Supply, Grocery",SK050,"neurobehavioral status forms, average",item,5.77,2,0,XXX,,CPT08,hp
96150,HCPAC,"Kit, Pack, Tray",SA018,"kit, interactive materials for behavioral assessment",kit,0.04,1,,XXX,,,
96150,HCPAC,"Kit, Pack, Tray",SA034,"kit, therapeutic toys-games (50% of the time)",kit,0.1,1,,XXX,,,
96150,HCPAC,"Office Supply, Grocery",SK006,assessment-monitoring instruments (50% use),item,0.065,1,,XXX,,,
96151,HCPAC,"Kit, Pack, Tray",SA018,"kit, interactive materials for behavioral assessment",kit,0.04,1,,XXX,,,
96151,HCPAC,"Kit, Pack, Tray",SA034,"kit, therapeutic toys-games (50% of the time)",kit,0.1,1,,XXX,,,
96151,HCPAC,"Office Supply, Grocery",SK006,assessment-monitoring instruments (50% use),item,0.065,1,,XXX,,,
96152,HCPAC,"Kit, Pack, Tray",SA018,"kit, interactive materials for behavioral assessment",kit,0.04,1,,XXX,,,
96152,HCPAC,"Kit, Pack, Tray",SA034,"kit, therapeutic toys-games (50% of the time)",kit,0.1,1,,XXX,,,
96152,HCPAC,"Office Supply, Grocery",SK006,assessment-monitoring instruments (50% use),item,0.065,1,,XXX,,,
96153,HCPAC,"Office Supply, Grocery",SK006,assessment-monitoring instruments (50% use),item,0.065,1,,XXX,,,
96154,HCPAC,"Kit, Pack, Tray",SA018,"kit, interactive materials for behavioral assessment",kit,0.04,1,,XXX,,,
96154,HCPAC,"Kit, Pack, Tray",SA034,"kit, therapeutic toys-games (50% of the time)",kit,0.1,1,,XXX,,,
96154,HCPAC,"Office Supply, Grocery",SK006,assessment-monitoring instruments (50% use),item,0.065,1,,XXX,,,
96155,HCPAC,"Office Supply, Grocery",SK006,assessment-monitoring instruments (50% use),item,0.065,1,,XXX,,,
96360,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,90760,CPT09,rn
96360,RUC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,90760,CPT09,rn
96360,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,XXX,90760,CPT09,rn
96360,RUC,"Wound Care, Dressings",SG014,"bandage, elastic, self-adherent wrap 1in (Coban)",item,1.307,1,,XXX,90760,CPT09,rn
96360,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,90760,CPT09,rn
96360,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,90760,CPT09,rn
96360,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,90760,CPT09,rn
96360,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,90760,CPT09,rn
96360,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,,XXX,90760,CPT09,rn
96360,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,90760,CPT09,rn
96360,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,90760,CPT09,rn
96361,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,90761,CPT09,rn
96365,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,90765,CPT09,rn
96365,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,90765,CPT09,rn
96365,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,90765,CPT09,rn
96365,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,90765,CPT09,rn
96365,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,90765,CPT09,rn
96365,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,90765,CPT09,rn
96365,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,,XXX,90765,CPT09,rn
96365,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,90765,CPT09,rn
96365,RUC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,90765,CPT09,rn
96365,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,XXX,90765,CPT09,rn
96365,RUC,"Wound Care, Dressings",SG014,"bandage, elastic, self-adherent wrap 1in (Coban)",item,1.307,1,,XXX,90765,CPT09,rn
96366,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,ZZZ,90766,CPT09,rn
96367,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,ZZZ,90767,CPT09,rn
96368,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,90768,CPT09,rn
96369,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,90769,CPT09,rn
96369,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,90769,CPT09,rn
96369,RUC,Lab,SL126,"sodium chloride, 99.0% min.",gm,0.039,1,,XXX,90769,CPT09,rn
96369,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,90769,CPT09,rn
96369,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,,XXX,90769,CPT09,rn
96369,RUC,"Hypodermic, IV",SC093,"IV infusion set, Sof-set (Minimed)",item,11.5,4,,XXX,90769,CPT09,rn
96369,RUC,"Hypodermic, IV",SC013,infusion pump cassette-reservoir,item,12.963,2,,XXX,90769,CPT09,rn
96369,RUC,"Hypodermic, IV",SC087,"tubing set, Y-type blood recipient",item,5.75,1,,XXX,90769,CPT09,rn
96369,RUC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,3,,XXX,90769,CPT09,rn
96369,RUC,"Pharmacy, Rx",SH030,Emla cream,gm,2.089,1,,XXX,90769,CPT09,rn
96369,RUC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,1,,XXX,90769,CPT09,rn
96369,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,XXX,90769,CPT09,rn
96369,RUC,"Wound Care, Dressings",SG075,"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)",item,1.741,4,,XXX,90769,CPT09,rn
96369,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,XXX,90769,CPT09,rn
96369,RUC,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,2,,XXX,90769,CPT09,rn
96369,RUC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,1,,XXX,90769,CPT09,rn
96369,RUC,"Office Supply, Grocery",SK040,graham crackers (one packet),item,0.697,1,,XXX,90769,CPT09,rn
96369,RUC,"Office Supply, Grocery",SK042,"juice, apple",oz,0.039,6,,XXX,90769,CPT09,rn
96369,RUC,"Office Supply, Grocery",SK095,"battery, AA",item,0.45,2,,XXX,90769,CPT09,rn
96369,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,10,,XXX,90769,CPT09,rn
96370,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,90770,CPT09,rn
96371,RUC,Lab,SL126,"sodium chloride, 99.0% min.",gm,0.039,1,,ZZZ,90771,CPT09,rn
96371,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,,ZZZ,90771,CPT09,rn
96371,RUC,"Hypodermic, IV",SC093,"IV infusion set, Sof-set (Minimed)",item,11.5,2,,ZZZ,90771,CPT09,rn
96371,RUC,"Hypodermic, IV",SC013,infusion pump cassette-reservoir,item,12.963,1,,ZZZ,90771,CPT09,rn
96371,RUC,"Hypodermic, IV",SC087,"tubing set, Y-type blood recipient",item,5.75,1,,ZZZ,90771,CPT09,rn
96371,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,ZZZ,90771,CPT09,rn
96371,RUC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,1,,ZZZ,90771,CPT09,rn
96371,RUC,"Pharmacy, Rx",SH030,Emla cream,gm,2.089,1,,ZZZ,90771,CPT09,rn
96371,RUC,"Hypodermic, IV",SC080,"needle, OSHA compliant (SafetyGlide)",item,0.454,1,,ZZZ,90771,CPT09,rn
96371,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,ZZZ,90771,CPT09,rn
96371,RUC,"Wound Care, Dressings",SG075,"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)",item,1.741,2,,ZZZ,90771,CPT09,rn
96371,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,,ZZZ,90771,CPT09,rn
96371,RUC,"Office Supply, Grocery",SK095,"battery, AA",item,0.45,1,,ZZZ,90771,CPT09,rn
96371,RUC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,10,,ZZZ,90771,CPT09,rn
96372,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,,XXX,90772,CPT09,rn
96372,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,XXX,90772,CPT09,rn
96372,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,90772,CPT09,rn
96372,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,90772,CPT09,rn
96372,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,90772,CPT09,rn
96372,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,90772,CPT09,rn
96373,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,90783,CPT09,rn
96373,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,90773,CPT09,rn
96373,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,0,XXX,90783,CPT09,rn
96373,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,90773,CPT09,rn
96373,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,90783,CPT09,rn
96373,RUC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,90773,CPT09,rn
96374,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,XXX,90774,CPT09,rn
96374,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,XXX,90774,CPT09,rn
96374,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,90774,CPT09,rn
96374,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,90774,CPT09,rn
96374,RUC,"Wound Care, Dressings",SG014,"bandage, elastic, self-adherent wrap 1in (Coban)",item,1.307,1,,XXX,90774,CPT09,rn
96374,RUC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,,XXX,90774,CPT09,rn
96374,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,90774,CPT09,rn
96374,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,90774,CPT09,rn
96374,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,90774,CPT09,rn
96374,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,,XXX,90774,CPT09,rn
96375,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,ZZZ,90775,CPT09,rn
96375,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,ZZZ,90775,CPT09,rn
96375,RUC,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,ZZZ,90775,CPT09,rn
96375,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,ZZZ,90775,CPT09,rn
96375,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,,ZZZ,90775,CPT09,rn
96376,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,ZZZ,90776,CPR09,rn
96379,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,90779,CPT09,rn
96401,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,,SEP04,
96401,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,,XXX,,SEP04,
96401,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,SEP04,
96401,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,SEP04,
96401,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,SEP04,
96401,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,SEP04,
96401,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,SEP04,
96401,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,XXX,,SEP04,
96401,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,SEP04,
96401,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,XXX,,SEP04,
96401,RUC,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,1,,XXX,,SEP04,
96402,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,SEP04,
96402,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,XXX,,SEP04,
96402,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,SEP04,
96402,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,SEP04,
96402,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,SEP04,
96402,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,SEP04,
96402,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,XXX,,SEP04,
96402,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,,XXX,,SEP04,
96402,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,,SEP04,
96402,RUC,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,1,,XXX,,SEP04,
96402,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,SEP04,
96405,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,000,,APR08,
96405,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,000,,APR08,
96405,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,6,0,000,,APR08,
96405,PEAC,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,25,0,000,,APR08,
96405,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,5,0,000,,APR08,
96405,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,3,0,000,,APR08,
96405,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,000,,APR08,
96405,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,6,0,000,,APR08,
96405,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,6,0,000,,APR08,
96405,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,50,0,000,,APR08,
96405,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,000,,APR08,
96405,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,000,,APR08,
96406,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,24,0,000,,APR08,
96406,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,000,,APR08,
96406,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,12,0,000,,APR08,
96406,PEAC,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,50,0,000,,APR08,
96406,PEAC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,10,0,000,,APR08,
96406,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,6,0,000,,APR08,
96406,PEAC,"Kit, Pack, Tray",SA041,"pack, basic injection",pack,11.67,1,0,000,,APR08,
96406,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,12,0,000,,APR08,
96406,PEAC,"Hypodermic, IV",SC031,"needle, 30g",item,0.344,12,0,000,,APR08,
96406,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,100,0,000,,APR08,
96406,PEAC,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,2,0,000,,APR08,
96406,PEAC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,000,,APR08,
96409,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,1,,XXX,,SEP04,
96409,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,3,,XXX,,SEP04,
96409,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,,SEP04,
96409,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,SEP04,
96409,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,XXX,,SEP04,
96409,RUC,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,2,,XXX,,SEP04,
96409,RUC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,,SEP04,
96409,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,XXX,,SEP04,
96409,RUC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,,SEP04,
96409,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,SEP04,
96409,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,SEP04,
96409,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,SEP04,
96409,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,XXX,,SEP04,
96409,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,SEP04,
96411,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,ZZZ,,SEP04,
96411,RUC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,ZZZ,,SEP04,
96411,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,ZZZ,,SEP04,
96411,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,1,,ZZZ,,SEP04,
96411,RUC,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,1,,ZZZ,,SEP04,
96411,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,,ZZZ,,SEP04,
96411,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,ZZZ,,SEP04,
96411,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,ZZZ,,SEP04,
96411,RUC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,ZZZ,,SEP04,
96413,RUC,"Hypodermic, IV",SC013,infusion pump cassette-reservoir,item,12.963,1,,XXX,,SEP04,
96413,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,3,,XXX,,SEP04,
96413,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,SEP04,
96413,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,SEP04,
96413,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,SEP04,
96413,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,SEP04,
96413,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,XXX,,SEP04,
96413,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,SEP04,
96413,RUC,Lab,SL126,"sodium chloride, 99.0% min.",gm,0.039,1,,XXX,,SEP04,
96413,RUC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,XXX,,SEP04,
96413,RUC,"Office Supply, Grocery",SK042,"juice, apple",oz,0.039,6,,XXX,,SEP04,
96413,RUC,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,2,,XXX,,SEP04,
96413,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,SEP04,
96413,RUC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,,SEP04,
96413,RUC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,,SEP04,
96413,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,1,,XXX,,SEP04,
96413,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,XXX,,SEP04,
96413,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,XXX,,SEP04,
96413,RUC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,1,,XXX,,SEP04,
96413,RUC,"Office Supply, Grocery",SK040,graham crackers (one packet),item,0.697,1,,XXX,,SEP04,
96415,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,ZZZ,,SEP04,
96415,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,1,,ZZZ,,SEP04,
96415,RUC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,1,,ZZZ,,SEP04,
96415,RUC,"Office Supply, Grocery",SK040,graham crackers (one packet),item,0.697,1,,ZZZ,,SEP04,
96415,RUC,"Office Supply, Grocery",SK042,"juice, apple",oz,0.039,6,,ZZZ,,SEP04,
96416,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,XXX,,SEP04,
96416,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,1,,XXX,,SEP04,
96416,RUC,"Office Supply, Grocery",SK010,"battery, 9 volt",item,1.794,2,,XXX,,SEP04,
96416,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,XXX,,SEP04,
96416,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,,XXX,,SEP04,
96416,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,XXX,,SEP04,
96416,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,3,,XXX,,SEP04,
96416,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,XXX,,SEP04,
96416,RUC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,1,,XXX,,SEP04,
96416,RUC,"Hypodermic, IV",SC013,infusion pump cassette-reservoir,item,12.963,1,,XXX,,SEP04,
96416,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,SEP04,
96416,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,SEP04,
96416,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,SEP04,
96416,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,XXX,,SEP04,
96416,RUC,Lab,SL126,"sodium chloride, 99.0% min.",gm,0.039,1,,XXX,,SEP04,
96416,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,2,,XXX,,SEP04,
96416,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,SEP04,
96417,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,ZZZ,,SEP04,
96417,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,ZZZ,,SEP04,
96417,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,2,,ZZZ,,SEP04,
96417,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,1,,ZZZ,,SEP04,
96417,RUC,Lab,SL126,"sodium chloride, 99.0% min.",gm,0.039,1,,ZZZ,,SEP04,
96417,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,ZZZ,,SEP04,
96417,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,ZZZ,,SEP04,
96417,RUC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,ZZZ,,SEP04,
96417,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,,ZZZ,,SEP04,
96417,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,ZZZ,,SEP04,
96417,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,,ZZZ,,SEP04,
96417,RUC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,ZZZ,,SEP04,
96417,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,ZZZ,,SEP04,
96420,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
96420,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,,,
96420,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,,
96420,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,,,
96420,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,4,0,XXX,,,
96420,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
96420,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
96420,PEAC,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,60,,XXX,,,
96420,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
96420,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
96422,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
96422,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,,,
96422,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,,
96422,PEAC,"Hypodermic, IV",SC013,infusion pump cassette-reservoir,item,12.963,1,,XXX,,,
96422,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,,,
96422,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,4,0,XXX,,,
96422,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
96422,PEAC,Lab,SL126,"sodium chloride, 99.0% min.",gm,0.039,1,,XXX,,,
96422,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
96422,PEAC,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,60,,XXX,,,
96422,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
96422,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
96423,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
96425,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
96425,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,2,,XXX,,,
96425,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
96425,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,,
96425,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,3,0,XXX,,,
96425,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
96425,PEAC,Lab,SL126,"sodium chloride, 99.0% min.",gm,0.039,1,,XXX,,,
96425,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,XXX,,,
96425,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,,XXX,,,
96425,PEAC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,XXX,,,
96425,PEAC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,1,,XXX,,,
96425,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
96425,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,XXX,,,
96425,PEAC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,XXX,,,
96440,PEAC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,0,000,,JAN08,
96440,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,,JAN08,
96440,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,000,,JAN08,
96440,PEAC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,000,,JAN08,
96440,PEAC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,0,000,,JAN08,
96440,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,0,000,,JAN08,
96440,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,0,000,,JAN08,
96440,PEAC,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,0,000,,JAN08,
96440,PEAC,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,0,000,,JAN08,
96440,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,000,,JAN08,
96440,PEAC,"Hypodermic, IV",SC013,infusion pump cassette-reservoir,item,12.963,1,0,000,,JAN08,
96440,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,000,,JAN08,
96440,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,000,,JAN08,
96440,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,000,,JAN08,
96440,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,000,,JAN08,
96440,PEAC,"Accessory, Procedure",SD093,HEPA filter,item,4.962,1,0,000,,JAN08,
96440,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,,JAN08,
96440,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,000,,JAN08,
96440,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,JAN08,
96440,PEAC,"Kit, Pack, Tray",SA077,"kit, pleural catheter insertion",kit,329,1,0,000,,JAN08,
96440,PEAC,"Cutters, Closures, Cautery",SF040,"suture, vicryl, 3-0 to 6-0, p, ps",item,7.852,1,0,000,,JAN08,
96440,PEAC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,000,,JAN08,
96440,PEAC,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,,JAN08,
96440,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,,JAN08,
96440,PEAC,"Kit, Pack, Tray",SA016,"kit, guidewire introducer (Micro-Stick)",kit,23,1,0,000,,JAN08,
96440,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,32,0,000,,JAN08,
96440,PEAC,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,0,000,,JAN08,
96440,PEAC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,1,0,000,,JAN08,
96440,PEAC,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,0,000,,JAN08,
96440,PEAC,"Accessory, Procedure",SD144,"canister, vacuum, pleural (w-drainage line)",item,31,2,0,000,,JAN08,
96440,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,000,,JAN08,
96446,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,CPT11,23
96446,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,,CPT11,23
96446,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,000,,CPT11,23
96446,RUC,"Hypodermic, IV",SC013,infusion pump cassette-reservoir,item,12.963,1,,000,,CPT11,23
96446,RUC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,000,,CPT11,23
96446,RUC,"Hypodermic, IV",SC039,"needle, Huber point",item,3.328,1,,000,,CPT11,23
96446,RUC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,000,,CPT11,23
96446,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,,000,,CPT11,23
96446,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,,000,,CPT11,23
96446,RUC,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,2,,000,,CPT11,23
96446,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,,CPT11,23
96446,RUC,"Office Supply, Grocery",SK040,graham crackers (one packet),item,0.697,1,,000,,CPT11,23
96446,RUC,"Office Supply, Grocery",SK042,"juice, apple",oz,0.039,6,,000,,CPT11,23
96446,RUC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,1,,000,,CPT11,23
96446,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,,000,,CPT11,23
96446,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,000,,CPT11,23
96446,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,1,,000,,CPT11,23
96446,RUC,"Pharmacy, NonRx",SJ081,"swab, patient prep, 1.5 ml  (chloraprep)",item,1.04,1,,000,,CPT11,23
96446,RUC,"Wound Care, Dressings",SG053,"gauze, sterile 2in x 2in",item,0.057,1,,000,,CPT11,23
96446,RUC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,,000,,CPT11,23
96446,RUC,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,2,,000,,CPT11,23
96446,RUC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,1,,000,,CPT11,23
96450,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,0,000,,SEP07,
96450,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,000,,SEP07,
96450,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,SEP07,
96450,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,3,0,000,,SEP07,
96450,PEAC,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,1,0,000,,SEP07,
96450,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,,SEP07,
96450,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,000,,SEP07,
96450,PEAC,"Office Supply, Grocery",SK040,graham crackers (one packet),item,0.697,1,0,000,,SEP07,
96450,PEAC,"Office Supply, Grocery",SK042,"juice, apple",oz,0.039,6,0,000,,SEP07,
96450,PEAC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,1,0,000,,SEP07,
96450,PEAC,"Kit, Pack, Tray",SA065,"tray, lumbar puncture",tray,18.552,1,0,000,,SEP07,
96450,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,000,,SEP07,
96450,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,000,,SEP07,
96521,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,RUC05,
96521,RUC,"Hypodermic, IV",SC013,infusion pump cassette-reservoir,item,12.963,1,,XXX,,RUC05,
96521,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,RUC05,
96521,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,,XXX,,RUC05,
96521,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,RUC05,
96521,RUC,"Office Supply, Grocery",SK010,"battery, 9 volt",item,1.794,2,,XXX,,RUC05,
96521,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,XXX,,RUC05,
96521,RUC,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,2,,XXX,,RUC05,
96521,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,RUC05,
96521,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,XXX,,RUC05,
96521,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,RUC05,
96522,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,RUC05,
96522,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,RUC05,
96522,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,XXX,,RUC05,
96522,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,,XXX,,RUC05,
96522,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,RUC05,
96522,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,3,,XXX,,RUC05,
96522,RUC,"Hypodermic, IV",SC054,syringe 30 ml,item,0.63,1,,XXX,,RUC05,
96522,RUC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,,XXX,,RUC05,
96522,RUC,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,XXX,,RUC05,
96522,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,RUC05,
96522,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,RUC05,
96522,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,RUC05,
96522,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,XXX,,RUC05,
96523,RUC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,1,,XXX,,RUC05,
96523,RUC,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,1,,XXX,,RUC05,
96523,RUC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,2,,XXX,,RUC05,
96523,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,RUC05,
96523,RUC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,RUC05,
96523,RUC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,XXX,,RUC05,
96523,RUC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,RUC05,
96523,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,,RUC05,
96523,RUC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,RUC05,
96523,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,RUC05,
96523,RUC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,,XXX,,RUC05,
96523,RUC,"Pharmacy, Rx",SH068,sodium chloride 0.9% inj bacteriostatic (30ml uou),item,0.7,1,,XXX,,RUC05,
96542,PEAC,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,3,0,XXX,,SEP07,
96542,PEAC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,XXX,,SEP07,
96542,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,XXX,,SEP07,
96542,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,SEP07,
96542,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,0,XXX,,SEP07,
96542,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,3,0,XXX,,SEP07,
96542,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,0,XXX,,SEP07,
96542,PEAC,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,2,0,XXX,,SEP07,
96542,PEAC,"Hypodermic, IV",SC039,"needle, Huber point",item,3.328,1,0,XXX,,SEP07,
96542,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,SEP07,
96542,PEAC,"Office Supply, Grocery",SK040,graham crackers (one packet),item,0.697,1,0,XXX,,SEP07,
96542,PEAC,"Office Supply, Grocery",SK042,"juice, apple",oz,0.039,6,0,XXX,,SEP07,
96542,PEAC,"Office Supply, Grocery",SK018,"cup, drinking",item,0.025,1,0,XXX,,SEP07,
96542,PEAC,"Hypodermic, IV",SC049,"stop cock, 3-way",item,1.175,1,0,XXX,,SEP07,
96542,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,0,XXX,,SEP07,
96542,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,3,0,XXX,,SEP07,
96549,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
96567,RUC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,0.5,,XXX,,,
96567,RUC,"Pharmacy, Rx",SH092,LMX 4% anesthetic cream,gm,1.6,30,,XXX,,,
96567,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,,
96567,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,XXX,,,
96567,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
96567,RUC,"Office Supply, Grocery",SK041,ice (per cup),item,0.05,1,,XXX,,,
96567,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
96567,RUC,"Pharmacy, NonRx",SJ027,"goggles, uv-blocking",item,2.3,3,,XXX,,,
96567,RUC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,,XXX,,,
96567,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,,
96567,RUC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,4,,XXX,,,
96567,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,XXX,,,
96570,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
96571,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
96900,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,Sep04,
96900,PEAC,"Office Supply, Grocery",SK045,lip screen,item,1.44,1,0,XXX,,Sep04,
96900,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,Sep04,
96900,PEAC,"Office Supply, Grocery",SK078,sunscreen lotion (spf15),oz,0.599,1,0,XXX,,Sep04,
96900,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,XXX,,Sep04,
96902,PEAC,Lab,SL030,"cover slip, glass",item,0.079,1,0,XXX,,Jan04,23
96902,PEAC,Lab,SL036,"cup, biopsy-specimen sterile 4oz",item,0.173,1,0,XXX,,Jan04,23
96902,PEAC,Lab,SL085,label for microscope slides,item,0.026,1,0,XXX,,Jan04,23
96902,PEAC,Lab,SL095,mounting media (Histomount),ml,0.035,1,0,XXX,,Jan04,23
96902,PEAC,Lab,SL122,"slide, microscope",item,0.055,1,0,XXX,,Jan04,23
96904,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT07,
96904,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,0,XXX,,CPT07,
96904,RUC,Infection Control,SM012,disinfectant spray (Transeptic),ml,0.028,1,0,XXX,,CPT07,
96904,RUC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,36,0,XXX,,CPT07,
96904,RUC,"Office Supply, Grocery",SK013,"computer media, dvd",item,3.832,1,0,XXX,,CPT07,
96904,RUC,"Gown, Drape",,"underwear, disposable",item,,1,0,XXX,,CPT07,
96904,RUC,"Gown, Drape",SB050,"bolster covers, disposable",item,0.06,3,0,XXX,,CPT07,
96910,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
96910,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,,XXX,,,
96910,PEAC,"Gown, Drape",SB021,"gloves, cotton",pair,0.975,1,,XXX,,,
96910,PEAC,"Gown, Drape",SB038,safety glasses,item,2.902,0.1,,XXX,,,
96910,PEAC,"Gown, Drape",SB040,"slippers, paper",pair,0.201,1,,XXX,,,
96910,PEAC,"Gown, Drape",SB043,"towel, professional 13in x 18in",item,0.04,2,,XXX,,,
96910,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,XXX,,,
96910,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
96910,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,XXX,,,
96910,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,,XXX,,,
96910,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
96910,PEAC,Lab,SL087,lens paper,item,0.027,2,,XXX,,,
96910,PEAC,"Office Supply, Grocery",SK045,lip screen,item,1.44,0.04,,XXX,,,
96910,PEAC,"Office Supply, Grocery",SK078,sunscreen lotion (spf15),oz,0.599,2,,XXX,,,
96910,PEAC,"Office Supply, Grocery",SK082,"towel, paper (Bounty) (per sheet)",item,0.007,6,,XXX,,,
96910,PEAC,"Pharmacy, NonRx",SJ006,anthralin ointment,gm,2.75,3,,XXX,,,
96910,PEAC,"Pharmacy, NonRx",SJ013,coal tar soln,ml,0.024,240,,XXX,,,
96910,PEAC,"Pharmacy, NonRx",SJ026,Eucerin cream,oz,0.954,4,,XXX,,,
96910,PEAC,"Pharmacy, NonRx",SJ027,"goggles, uv-blocking",item,2.3,0.3,,XXX,,,
96910,PEAC,"Pharmacy, NonRx",SJ035,mineral oil,ml,0.011,100,,XXX,,,
96910,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,,
96910,PEAC,"Pharmacy, NonRx",SJ064,zinc oxide ointment,oz,0.95,1,,XXX,,,
96910,PEAC,"Pharmacy, Rx",SH072,triamcinolone acetonide 0.1% cream,gm,0.052,30,,XXX,,,
96910,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,,
96910,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,,XXX,,,
96910,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,XXX,,,
96912,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
96912,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,,XXX,,,
96912,PEAC,"Gown, Drape",SB021,"gloves, cotton",pair,0.975,1,,XXX,,,
96912,PEAC,"Gown, Drape",SB038,safety glasses,item,2.902,0.1,,XXX,,,
96912,PEAC,"Gown, Drape",SB040,"slippers, paper",pair,0.201,1,,XXX,,,
96912,PEAC,"Gown, Drape",SB043,"towel, professional 13in x 18in",item,0.04,2,,XXX,,,
96912,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,XXX,,,
96912,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
96912,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,XXX,,,
96912,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,4,,XXX,,,
96912,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
96912,PEAC,Lab,SL087,lens paper,item,0.027,2,,XXX,,,
96912,PEAC,"Office Supply, Grocery",SK045,lip screen,item,1.44,0.04,,XXX,,,
96912,PEAC,"Office Supply, Grocery",SK078,sunscreen lotion (spf15),oz,0.599,2,,XXX,,,
96912,PEAC,"Office Supply, Grocery",SK082,"towel, paper (Bounty) (per sheet)",item,0.007,8,,XXX,,,
96912,PEAC,"Pharmacy, NonRx",SJ006,anthralin ointment,gm,2.75,3,,XXX,,,
96912,PEAC,"Pharmacy, NonRx",SJ026,Eucerin cream,oz,0.954,4,,XXX,,,
96912,PEAC,"Pharmacy, NonRx",SJ027,"goggles, uv-blocking",item,2.3,0.3,,XXX,,,
96912,PEAC,"Pharmacy, NonRx",SJ034,methoxsalen 10mg (Oxsoralen),item,6.156,3,,XXX,,,
96912,PEAC,"Pharmacy, NonRx",SJ035,mineral oil,ml,0.011,100,,XXX,,,
96912,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,,
96912,PEAC,"Pharmacy, NonRx",SJ064,zinc oxide ointment,oz,0.95,1,,XXX,,,
96912,PEAC,"Pharmacy, Rx",SH072,triamcinolone acetonide 0.1% cream,gm,0.052,30,,XXX,,,
96912,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,XXX,,,
96912,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,,XXX,,,
96912,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,XXX,,,
96913,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,,,
96913,PEAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,,XXX,,,
96913,PEAC,"Gown, Drape",SB021,"gloves, cotton",pair,0.975,2,,XXX,,,
96913,PEAC,"Gown, Drape",SB038,safety glasses,item,2.902,0.1,,XXX,,,
96913,PEAC,"Gown, Drape",SB040,"slippers, paper",pair,0.201,1,,XXX,,,
96913,PEAC,"Gown, Drape",SB043,"towel, professional 13in x 18in",item,0.04,6,,XXX,,,
96913,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,4,,XXX,,,
96913,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,,XXX,,,
96913,PEAC,Infection Control,SM015,enzymatic detergent,oz,0.229,2,,XXX,,,
96913,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,8,,XXX,,,
96913,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,2,,XXX,,,
96913,PEAC,Lab,SL087,lens paper,item,0.027,2,,XXX,,,
96913,PEAC,"Office Supply, Grocery",SK045,lip screen,item,1.44,0.04,,XXX,,,
96913,PEAC,"Office Supply, Grocery",SK078,sunscreen lotion (spf15),oz,0.599,2,,XXX,,,
96913,PEAC,"Office Supply, Grocery",SK082,"towel, paper (Bounty) (per sheet)",item,0.007,24,,XXX,,,
96913,PEAC,"Pharmacy, NonRx",SJ006,anthralin ointment,gm,2.75,6,,XXX,,,
96913,PEAC,"Pharmacy, NonRx",SJ013,coal tar soln,ml,0.024,480,,XXX,,,
96913,PEAC,"Pharmacy, NonRx",SJ026,Eucerin cream,oz,0.954,4,,XXX,,,
96913,PEAC,"Pharmacy, NonRx",SJ027,"goggles, uv-blocking",item,2.3,0.3,,XXX,,,
96913,PEAC,"Pharmacy, NonRx",SJ035,mineral oil,ml,0.011,300,,XXX,,,
96913,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,12,,XXX,,,
96913,PEAC,"Pharmacy, NonRx",SJ064,zinc oxide ointment,oz,0.95,1,,XXX,,,
96913,PEAC,"Pharmacy, Rx",SH072,triamcinolone acetonide 0.1% cream,gm,0.052,60,,XXX,,,
96913,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,6,,XXX,,,
96913,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,2,,XXX,,,
96913,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,,XXX,,,
96913,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,XXX,,,
96920,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
96920,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,,000,,,
96920,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
96920,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
96920,RUC,"Gown, Drape",SB038,safety glasses,item,2.902,2,,000,,,
96920,RUC,"Gown, Drape",SB043,"towel, professional 13in x 18in",item,0.04,1,,000,,,
96920,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
96920,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,3,,000,,,
96920,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
96920,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,000,,,
96920,RUC,"Office Supply, Grocery",SK078,sunscreen lotion (spf15),oz,0.599,1,,000,,,
96920,RUC,"Office Supply, Grocery",SK082,"towel, paper (Bounty) (per sheet)",item,0.007,6,,000,,,
96920,RUC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,30,,000,,,
96920,RUC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,0.5,,000,,,
96920,RUC,"Pharmacy, NonRx",SJ026,Eucerin cream,oz,0.954,1,,000,,,
96920,RUC,"Pharmacy, NonRx",SJ027,"goggles, uv-blocking",item,2.3,1,,000,,,
96920,RUC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,,000,,,
96920,RUC,"Pharmacy, NonRx",SJ035,mineral oil,ml,0.011,100,,000,,,
96920,RUC,"Pharmacy, NonRx",SJ038,petroleum jelly,oz,0.281,1,,000,,,
96920,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,6,,000,,,
96920,RUC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,6,,000,,,
96920,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
96920,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,,
96920,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
96921,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
96921,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,,000,,,
96921,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
96921,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
96921,RUC,"Gown, Drape",SB038,safety glasses,item,2.902,2,,000,,,
96921,RUC,"Gown, Drape",SB043,"towel, professional 13in x 18in",item,0.04,1,,000,,,
96921,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
96921,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,3,,000,,,
96921,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
96921,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,000,,,
96921,RUC,"Office Supply, Grocery",SK078,sunscreen lotion (spf15),oz,0.599,1,,000,,,
96921,RUC,"Office Supply, Grocery",SK082,"towel, paper (Bounty) (per sheet)",item,0.007,6,,000,,,
96921,RUC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,30,,000,,,
96921,RUC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,0.5,,000,,,
96921,RUC,"Pharmacy, NonRx",SJ026,Eucerin cream,oz,0.954,1,,000,,,
96921,RUC,"Pharmacy, NonRx",SJ027,"goggles, uv-blocking",item,2.3,1,,000,,,
96921,RUC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,,000,,,
96921,RUC,"Pharmacy, NonRx",SJ035,mineral oil,ml,0.011,100,,000,,,
96921,RUC,"Pharmacy, NonRx",SJ038,petroleum jelly,oz,0.281,1,,000,,,
96921,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,6,,000,,,
96921,RUC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,6,,000,,,
96921,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
96921,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,,
96921,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
96922,RUC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,000,,,
96922,RUC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,,000,,,
96922,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
96922,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,,,
96922,RUC,"Gown, Drape",SB038,safety glasses,item,2.902,2,,000,,,
96922,RUC,"Gown, Drape",SB043,"towel, professional 13in x 18in",item,0.04,1,,000,,,
96922,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
96922,RUC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,3,,000,,,
96922,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
96922,RUC,"Office Supply, Grocery",SK075,"skin marking pen, sterile (Skin Skribe)",item,1.048,1,,000,,,
96922,RUC,"Office Supply, Grocery",SK078,sunscreen lotion (spf15),oz,0.599,1,,000,,,
96922,RUC,"Office Supply, Grocery",SK082,"towel, paper (Bounty) (per sheet)",item,0.007,6,,000,,,
96922,RUC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,30,,000,,,
96922,RUC,"Pharmacy, NonRx",SJ008,bacitracin oint (15gm uou),item,1.417,0.5,,000,,,
96922,RUC,"Pharmacy, NonRx",SJ026,Eucerin cream,oz,0.954,1,,000,,,
96922,RUC,"Pharmacy, NonRx",SJ027,"goggles, uv-blocking",item,2.3,1,,000,,,
96922,RUC,"Pharmacy, NonRx",SJ029,"ice pack, instant",item,1.06,1,,000,,,
96922,RUC,"Pharmacy, NonRx",SJ035,mineral oil,ml,0.011,100,,000,,,
96922,RUC,"Pharmacy, NonRx",SJ038,petroleum jelly,oz,0.281,1,,000,,,
96922,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,6,,000,,,
96922,RUC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,6,,000,,,
96922,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,000,,,
96922,RUC,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,1,,000,,,
96922,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,000,,,
96999,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
97001,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
97002,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
97003,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,2,,XXX,,,
97003,PEAC,Infection Control,SM020,"lotion, antibacterial",oz,0.3,0.25,,XXX,,,
97003,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,1,,XXX,,,
97003,PEAC,"Wound Care, Dressings",SG030,"cotton balls, non-sterile",item,0.004,3,,XXX,,,
97004,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,,XXX,,,
97004,PEAC,Infection Control,SM024,"soap, liquid, antibacterial",oz,0.203,0.5,,XXX,,,
97004,PEAC,"Office Supply, Grocery",SK021,emery board,item,0.083,1,,XXX,,,
97004,PEAC,"Office Supply, Grocery",SK049,nail polish,item,1.99,1,,XXX,,,
97004,PEAC,"Office Supply, Grocery",SK053,"pad, nail polish remover",item,0.044,2,,XXX,,,
97004,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,1,,XXX,,,
97005,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
97006,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
97010,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
97012,PEAC,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,1,,XXX,,,
97014,PEAC,"Accessory, Procedure",SD055,"electrode, electrical stimulation",item,1.312,2,,XXX,,,
97014,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
97014,PEAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
97014,PEAC,"Pharmacy, NonRx",SJ024,electrolyte coupling gel,ml,0.016,1,,XXX,,,
97014,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
97014,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
97016,PEAC,"Wound Care, Dressings",SG027,"cast, stockinette 4in",yd,0.459,1,,XXX,,,
97018,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0.5,,XXX,,,
97018,PEAC,"Office Supply, Grocery",SK061,paraffin for therapy bath,lb,3.198,0.25,,XXX,,,
97018,PEAC,"Office Supply, Grocery",SK066,plastic wrap,foot,0.012,1.5,,XXX,,,
97022,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
97022,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
97022,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,XXX,,,
97022,PEAC,Infection Control,SM026,whirlpool antiseptic (80gm pack) (Chlorazene),item,1.689,1,,XXX,,,
97022,PEAC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,,XXX,,,
97022,PEAC,"Wound Care, Dressings",SG017,"bandage, Kling, non-sterile 2in",item,0.363,1,,XXX,,,
97022,PEAC,"Wound Care, Dressings",SG027,"cast, stockinette 4in",yd,0.459,1,,XXX,,,
97022,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,5,,XXX,,,
97022,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,,XXX,,,
97024,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
97026,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
97028,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
97032,PEAC,"Accessory, Procedure",SD055,"electrode, electrical stimulation",item,1.312,2,,XXX,,,
97032,PEAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
97032,PEAC,"Pharmacy, NonRx",SJ020,electrode conductive gel,ml,0.016,5,,XXX,,,
97032,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
97032,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,XXX,,,
97032,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
97033,PEAC,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,XXX,,,
97033,PEAC,"Kit, Pack, Tray",SA014,"kit, electrode, iontophoresis",kit,11.992,1,,XXX,,,
97033,PEAC,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
97033,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
97033,PEAC,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,,XXX,,,
97033,PEAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
97034,PEAC,Infection Control,SM026,whirlpool antiseptic (80gm pack) (Chlorazene),item,1.689,1,,XXX,,,
97035,PEAC,"Pharmacy, NonRx",SJ024,electrolyte coupling gel,ml,0.016,1,,XXX,,,
97036,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
97036,PEAC,Infection Control,SM026,whirlpool antiseptic (80gm pack) (Chlorazene),item,1.689,1,,XXX,,,
97039,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
97110,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0.5,,XXX,,,
97110,PEAC,"Pharmacy, NonRx",SJ056,Thera-bands (6in width),foot,0.602,1.5,,XXX,,,
97112,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0.5,,XXX,,,
97112,PEAC,"Pharmacy, NonRx",SJ056,Thera-bands (6in width),foot,0.602,1.5,,XXX,,,
97113,PEAC,"Gown, Drape",SB041,"swimsuit, female for hydrotherapy",item,6.874,1,,XXX,,,
97113,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0.5,,XXX,,,
97113,PEAC,Lab,SL032,culture media,ml,0.013,10,,XXX,,,
97113,PEAC,Lab,SL033,culture swab system (Culturette),item,0.865,1,,XXX,,,
97116,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,,XXX,,,
97116,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0.5,,XXX,,,
97124,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0.5,,XXX,,,
97124,PEAC,"Office Supply, Grocery",SK046,"lotion, massage, unscented",oz,0.158,0.5,,XXX,,,
97139,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0.5,,XXX,,,
97139,PEAC,"Pharmacy, NonRx",SJ056,Thera-bands (6in width),foot,0.602,1.5,,XXX,,,
97140,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0.5,,XXX,,,
97140,PEAC,"Office Supply, Grocery",SK046,"lotion, massage, unscented",oz,0.158,0.5,,XXX,,,
97150,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
97150,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
97150,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
97150,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
97150,PEAC,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,1,,XXX,,,
97150,PEAC,"Pharmacy, NonRx",SJ056,Thera-bands (6in width),foot,0.602,3,,XXX,,,
97530,PEAC,"Kit, Pack, Tray",SA040,"kit, woodworking",kit,12.99,0.25,,XXX,,,
97532,HCPAC,"Kit, Pack, Tray",SA001,"kit, activity-crafts",kit,2.25,1,,XXX,,,
97533,HCPAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
97533,HCPAC,"Kit, Pack, Tray",SA028,"kit, sensory integration",kit,2.08,1,,XXX,,,
97533,HCPAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,,XXX,,,
97535,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,2,,XXX,,,
97535,PEAC,"Kit, Pack, Tray",SA007,"kit, cooking activity ingredients (mac-cheese)",kit,1.11,1,,XXX,,,
97535,PEAC,"Office Supply, Grocery",SK009,bath soap (one bar uou),item,0.686,0.5,,XXX,,,
97535,PEAC,"Office Supply, Grocery",SK080,toothbrush,item,0.805,1,,XXX,,,
97535,PEAC,"Office Supply, Grocery",SK081,toothpaste,oz,0.498,0.25,,XXX,,,
97537,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
97542,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
97545,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
97546,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,ZZZ,,,
97597,RUC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,CPT11,82
97597,RUC,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,XXX,,CPT11,82
97597,RUC,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,XXX,,CPT11,82
97597,RUC,"Gown, Drape",SB012,"drape, sterile, for Mayo stand",item,1.688,1,0,XXX,,CPT11,82
97597,RUC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,XXX,,CPT11,82
97597,RUC,"Pharmacy, NonRx",SJ009,"basin, irrigation",item,1.542,1,0,XXX,,CPT11,82
97597,RUC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,2,0,XXX,,CPT11,82
97597,RUC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,CPT11,82
97597,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,0,XXX,,CPT11,82
97597,RUC,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,0,XXX,,CPT11,82
97597,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,XXX,,CPT11,82
97597,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,2,0,XXX,,CPT11,82
97597,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,2,0,XXX,,CPT11,82
97597,RUC,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,1,0,XXX,,CPT11,82
97597,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,XXX,,CPT11,82
97597,RUC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,1,0,XXX,,CPT11,82
97597,RUC,"Wound Care, Dressings",SG052,"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)",inch,0.003,72,0,XXX,,CPT11,82
97597,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,XXX,,CPT11,82
97597,RUC,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,XXX,,CPT11,82
97598,RUC,"Gown, Drape",SB042,"towel, non-sterile",item,0.391,1,0,ZZZ,,CPT11,82
97598,RUC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,0,ZZZ,,CPT11,82
97598,RUC,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,ZZZ,,CPT11,82
97598,RUC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,ZZZ,,CPT11,82
97598,RUC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,1,0,ZZZ,,CPT11,82
97598,RUC,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,2,0,ZZZ,,CPT11,82
97598,RUC,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,1,0,ZZZ,,CPT11,82
97598,RUC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,12,0,ZZZ,,CPT11,82
97602,HCPAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,,XXX,,,
97602,HCPAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,,,
97602,HCPAC,"Gown, Drape",SB026,"gown, patient",item,0.533,2,,XXX,,,
97602,HCPAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,XXX,,,
97602,HCPAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
97602,HCPAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
97602,HCPAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
97602,HCPAC,"Wound Care, Dressings",SG012,"bandage, elastic wrap 4in (Ace)",item,1.179,1,,XXX,,,
97602,HCPAC,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,1,,XXX,,,
97602,HCPAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,,XXX,,,
97602,HCPAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
97605,HCPAC,"Accessory, Procedure",SD143,"canister set, drainage, negative pressure (VAC)",item,29.355,0,0,XXX,,,
97605,HCPAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,0,XXX,,,
97605,HCPAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,,
97605,HCPAC,"Gown, Drape",SB026,"gown, patient",item,0.533,2,0,XXX,,,
97605,HCPAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,XXX,,,
97605,HCPAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,,
97605,HCPAC,"Gown, Drape",SB037,pillow case,item,0.307,1,0,XXX,,,
97605,HCPAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,,
97605,HCPAC,Infection Control,SM020,"lotion, antibacterial",oz,0.3,1,0,XXX,,,
97605,HCPAC,"Kit, Pack, Tray",SA029,"kit, sharp debridement",kit,4.114,0,0,XXX,,,
97605,HCPAC,"Wound Care, Dressings",SG040,"dressing, 5in x 9in (Adaptic)",item,2.318,0,0,XXX,,,
97605,HCPAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,XXX,,,
97605,HCPAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,,
97605,HCPAC,"Wound Care, Dressings",SG084,"dressing, micro-porous (VersaFoam)",item,9.227,0,0,XXX,,,
97606,HCPAC,"Accessory, Procedure",SD143,"canister set, drainage, negative pressure (VAC)",item,29.355,0,0,XXX,,,
97606,HCPAC,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,1,0,XXX,,,
97606,HCPAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,XXX,,,
97606,HCPAC,"Gown, Drape",SB026,"gown, patient",item,0.533,2,0,XXX,,,
97606,HCPAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,0,XXX,,,
97606,HCPAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,,
97606,HCPAC,"Gown, Drape",SB037,pillow case,item,0.307,1,0,XXX,,,
97606,HCPAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,,,
97606,HCPAC,Infection Control,SM020,"lotion, antibacterial",oz,0.3,1,0,XXX,,,
97606,HCPAC,"Wound Care, Dressings",SG040,"dressing, 5in x 9in (Adaptic)",item,2.318,0,0,XXX,,,
97606,HCPAC,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,1,0,XXX,,,
97606,HCPAC,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,XXX,,,
97606,HCPAC,"Wound Care, Dressings",SG084,"dressing, micro-porous (VersaFoam)",item,9.227,0,0,XXX,,,
97750,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
97755,HCPAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,0.2,,XXX,,,
97755,HCPAC,"Office Supply, Grocery",SK020,drinking straw,item,0.01,0.3,,XXX,,,
97755,HCPAC,"Office Supply, Grocery",SK039,"foam 3in, therapy positioning (per 1 sq in)",item,0.012,6,,XXX,,,
97755,HCPAC,"Office Supply, Grocery",SK084,"Velcro, standard",foot,0.372,0.2,,XXX,,,
97755,HCPAC,"Office Supply, Grocery",SK085,"Velcro, strong (Poly-Lock)",foot,2.82,0.2,,XXX,,,
97755,HCPAC,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,24,,XXX,,,
97760,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,97504,,
97760,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0.5,,XXX,97504,,
97760,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,128,,XXX,97504,,
97760,PEAC,"Pharmacy, Rx",SH035,fluori-methane (cold spray),ml,0.422,7.5,,XXX,97504,,
97760,PEAC,"Wound Care, Dressings",SG002,"adhesive bonder, orthotic",oz,0.375,0.5,,XXX,97504,,
97761,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,0.5,,XXX,97520,,
97761,PEAC,"Wound Care, Dressings",SG027,"cast, stockinette 4in",yd,0.459,1,,XXX,97520,,
97761,PEAC,"Wound Care, Dressings",SG058,moleskin 9in width,foot,3.459,0.33,,XXX,97520,,
97762,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,97703,,
97762,PEAC,"Office Supply, Grocery",SK071,"rubber bands, non-sterile",item,0.02,6,,XXX,97703,,
97762,PEAC,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,128,,XXX,97703,,
97762,PEAC,"Pharmacy, NonRx",SJ047,splint straps 1in,item,1.299,1,,XXX,97703,,
97762,PEAC,"Pharmacy, NonRx",SJ048,splint straps 2in,item,1.525,2,,XXX,97703,,
97762,PEAC,"Pharmacy, Rx",SH035,fluori-methane (cold spray),ml,0.422,7.5,,XXX,97703,,
97762,PEAC,"Wound Care, Dressings",SG002,"adhesive bonder, orthotic",oz,0.375,0.5,,XXX,97703,,
97762,PEAC,"Wound Care, Dressings",SG027,"cast, stockinette 4in",yd,0.459,0.5,,XXX,97703,,
97762,PEAC,"Wound Care, Dressings",SG058,moleskin 9in width,foot,3.459,1,,XXX,97703,,
97762,PEAC,"Wound Care, Dressings",SG060,outrigger line,yd,0.091,50,,XXX,97703,,
97762,PEAC,"Wound Care, Dressings",SG061,outrigger post,item,0.399,4,,XXX,97703,,
97780,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
97781,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
97799,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
97802,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.25,0,XXX,,CPT09,rv
97802,RUC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,0.25,0,XXX,,CPT09,rv
97802,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,0,XXX,,CPT09,rv
97803,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.25,0,XXX,,CPT09,rv
97803,RUC,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,0.25,0,XXX,,CPT09,rv
97803,RUC,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,0,XXX,,CPT09,rv
97804,HCPAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.1,0,XXX,,PFS09,rv
97804,CMS,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,0.25,0,XXX,,PFS09,rv
97804,CMS,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,0,XXX,,PFS09,rv
97810,HCPAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,,,
97810,HCPAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,,
97810,HCPAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,,,
97810,HCPAC,"Gown, Drape",SB037,pillow case,item,0.307,1,0,XXX,,,
97810,HCPAC,"Hypodermic, IV",SC075,"needle, acupuncture",item,0.094,12,0,XXX,,,
97810,HCPAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,,
97811,HCPAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,ZZZ,,,
97811,HCPAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,ZZZ,,,
97811,HCPAC,"Hypodermic, IV",SC075,"needle, acupuncture",item,0.094,12,0,ZZZ,,,
97811,HCPAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,ZZZ,,,
97813,HCPAC,"Hypodermic, IV",SC075,"needle, acupuncture",item,0.094,12,0,XXX,,,
97813,HCPAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
97813,HCPAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,,
97814,HCPAC,"Hypodermic, IV",SC075,"needle, acupuncture",item,0.094,12,0,ZZZ,,,
97814,HCPAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,ZZZ,,,
97814,HCPAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,ZZZ,,,
98925,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
98925,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
98925,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,000,,,
98926,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
98926,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
98926,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,000,,,
98927,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
98927,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
98927,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,000,,,
98928,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
98928,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
98928,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,000,,,
98929,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,000,,,
98929,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
98929,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,,000,,,
98940,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
98940,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
98941,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
98941,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
98942,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,,,
98942,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
98943,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
98943,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
98960,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.25,,XXX,,RUC05,
98961,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.25,,XXX,,RUC05,
98962,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.25,,XXX,,RUC05,
98966,HCPAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT08,HP
98967,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT08,T
98968,HCPAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT08,HP
98969,HCPAC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT08,U
99000,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
99001,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
99002,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
99024,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
99026,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
99027,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
99050,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
99056,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
99058,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
99070,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
99071,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
99075,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
99078,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
99080,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
99082,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
99090,RUC,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
99091,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
99100,CMS,NO DETAILS,SX002,BUNDLED,na,,,,ZZZ,,,
99116,CMS,NO DETAILS,SX002,BUNDLED,na,,,,ZZZ,,,
99135,CMS,NO DETAILS,SX002,BUNDLED,na,,,,ZZZ,,,
99140,CMS,NO DETAILS,SX002,BUNDLED,na,,,,ZZZ,,,
99143,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,XXX,,RUC05,
99144,RUC,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,XXX,,RUC05,
99145,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
99148,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,RUC05,
99149,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,RUC05,
99150,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,RUC05,
99170,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,000,,Jan04,17
99170,PEAC,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,,Jan04,17
99170,PEAC,"Office Supply, Grocery",SK029,"film, instant (Polaroid) (per exposure)",item,1.825,4,0,000,,Jan04,17
99170,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,0,000,,Jan04,17
99172,RUC,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
99173,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Jan04,14
99174,PEAC,"Office Supply, Grocery",SK058,"paper, photo printing (8.5 x 11)",item,0.45,1,,XXX,,APR08,54
99174,PEAC,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,1,0,XXX,,APR08,54
99174,PEAC,"Office Supply, Grocery",SK110,"fee, image analysis",item,18,1,0,XXX,,APR08,54
99175,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,0,XXX,,Jan04,14
99175,PEAC,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,1,0,XXX,,Jan04,14
99175,PEAC,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,0,XXX,,Jan04,14
99175,PEAC,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,0,XXX,,Jan04,14
99175,PEAC,"Pharmacy, NonRx",SJ030,ipecac syrup (1oz uou),item,1.885,1,0,XXX,,Jan04,14
99183,PEAC,"Accessory, Procedure",SD077,"gas, air",cu ft,0.025,187,0,XXX,,,
99183,PEAC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,180,0,XXX,,,
99183,PEAC,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,1,0,XXX,,,
99183,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,2,0,XXX,,,
99183,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,XXX,,,
99183,PEAC,"Pharmacy, NonRx",SJ016,denture cup,item,0.183,1,0,XXX,,,
99183,PEAC,"Pharmacy, NonRx",SJ063,urinal,item,2.8967,1,0,XXX,,,
99185,DEL?,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,90780,,
99185,DEL?,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,90780,,
99185,DEL?,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,90780,,
99185,DEL?,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,90780,,
99185,DEL?,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,90780,,
99185,DEL?,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,90780,,
99185,DEL?,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,90780,,
99185,DEL?,"Hypodermic, IV",SC013,infusion pump cassette-reservoir,item,12.963,1,,XXX,90780,,
99185,DEL?,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,90780,,
99185,DEL?,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,90780,,
99185,DEL?,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,XXX,90780,,
99185,DEL?,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,90780,,
99185,DEL?,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,90780,,
99186,DEL?,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,XXX,90780,,
99186,DEL?,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,90780,,
99186,DEL?,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,XXX,90780,,
99186,DEL?,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,XXX,90780,,
99186,DEL?,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,90780,,
99186,DEL?,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,90780,,
99186,DEL?,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,90780,,
99186,DEL?,"Hypodermic, IV",SC013,infusion pump cassette-reservoir,item,12.963,1,,XXX,90780,,
99186,DEL?,"Hypodermic, IV",SC018,iv infusion set,item,1.112,1,,XXX,90780,,
99186,DEL?,"Hypodermic, IV",SC030,"needle, 19-25g, butterfly",item,0.798,1,,XXX,90780,,
99186,DEL?,"Hypodermic, IV",SC052,syringe 1ml,item,0.14,1,,XXX,90780,,
99186,DEL?,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,90780,,
99186,DEL?,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,90780,,
99190,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
99191,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
99192,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
99195,PEAC,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,,XXX,,,
99195,PEAC,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,,,
99195,PEAC,"Hypodermic, IV",SC004,blood collection bag,item,5.15,1,,XXX,,,
99195,PEAC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,,,
99195,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,3,,XXX,,,
99195,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,3,,XXX,,,
99195,PEAC,"Wound Care, Dressings",SG014,"bandage, elastic, self-adherent wrap 1in (Coban)",item,1.307,1,,XXX,,,
99195,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,,XXX,,,
99195,PEAC,"Wound Care, Dressings",SG037,"dressing, 4in x 4.75in (Tegaderm)",item,1.771,1,,XXX,,,
99195,PEAC,"Wound Care, Dressings",SG049,"eye shield, non-fog",item,0.52,1,,XXX,,,
99195,PEAC,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,1,,XXX,,,
99199,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
99201,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,,,
99202,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,,,
99203,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,,,
99204,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,,,
99205,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,,,
99211,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,,,
99212,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,,,
99213,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,,,
99214,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,,,
99215,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,,,
99217,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99218,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99219,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99220,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99221,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99222,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99223,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99231,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99232,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99233,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99234,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99235,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99236,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99238,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99239,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99241,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,,,
99242,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,,,
99243,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,,,
99244,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,,,
99245,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,,,
99251,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99252,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99253,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99254,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99255,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99281,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99282,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99283,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99284,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99285,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99288,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99291,PEAC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,120,0,XXX,,Mar03,20
99291,PEAC,"Hypodermic, IV",SC001,angiocatheter 14g-24g,item,1.505,1,0,XXX,,Mar03,20
99291,PEAC,"Hypodermic, IV",SC018,iv infusion set,item,1.112,2,0,XXX,,Mar03,20
99291,PEAC,"Hypodermic, IV",SC058,"syringe w-needle, OSHA compliant (SafetyGlide)",item,0.435,1,0,XXX,,Mar03,20
99291,PEAC,Infection Control,SM016,"eye shield, splash protection",item,1.471,1,0,XXX,,Mar03,20
99291,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99291,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,2,0,XXX,,Mar03,20
99291,PEAC,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,30,0,XXX,,Mar03,20
99291,PEAC,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,XXX,,Mar03,20
99292,PEAC,"Accessory, Procedure",SD084,"gas, oxygen",liter,0.003,60,0,ZZZ,,Mar03,20
99292,PEAC,"Pharmacy, Rx",SH067,sodium chloride 0.9% inj (250-1000ml uou),item,1.708,1,0,ZZZ,,Mar03,20
99304,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,RUC05,
99305,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,RUC05,
99306,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,RUC05,
99307,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,RUC05,
99308,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,RUC05,
99309,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,RUC05,
99310,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,RUC05,
99315,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,M
99316,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar04,M
99318,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,RUC05,
99324,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,RUC05,
99324,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,RUC05,
99324,RUC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,RUC05,
99324,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,RUC05,
99324,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,RUC05,
99324,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,RUC05,
99325,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,RUC05,
99325,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,RUC05,
99325,RUC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,RUC05,
99325,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,RUC05,
99325,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,RUC05,
99325,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,RUC05,
99326,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,RUC05,
99326,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,RUC05,
99326,RUC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,RUC05,
99326,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,RUC05,
99326,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,RUC05,
99326,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,RUC05,
99327,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,RUC05,
99327,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,RUC05,
99327,RUC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,RUC05,
99327,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,RUC05,
99327,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,RUC05,
99327,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,RUC05,
99328,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,RUC05,
99328,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,RUC05,
99328,RUC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,RUC05,
99328,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,RUC05,
99328,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,RUC05,
99328,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,RUC05,
99334,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,RUC05,
99334,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,RUC05,
99334,RUC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,RUC05,
99334,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,RUC05,
99334,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,RUC05,
99334,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,RUC05,
99335,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,RUC05,
99335,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,RUC05,
99335,RUC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,RUC05,
99335,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,RUC05,
99335,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,RUC05,
99335,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,RUC05,
99336,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,RUC05,
99336,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,RUC05,
99336,RUC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,RUC05,
99336,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,RUC05,
99336,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,RUC05,
99336,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,RUC05,
99337,RUC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,RUC05,
99337,RUC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,RUC05,
99337,RUC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,RUC05,
99337,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,RUC05,
99337,RUC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,RUC05,
99337,RUC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,RUC05,
99339,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,RUC05,
99340,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,RUC05,
99341,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,Mar03,20
99341,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar03,20
99341,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,Mar03,20
99341,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,Mar03,20
99341,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Mar03,20
99341,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,Mar03,20
99342,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,Mar03,20
99342,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar03,20
99342,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,Mar03,20
99342,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,Mar03,20
99342,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,Mar03,20
99342,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Mar03,20
99343,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,Mar03,20
99343,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar03,20
99343,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,Mar03,20
99343,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,Mar03,20
99343,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,Mar03,20
99343,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Mar03,20
99344,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,Mar03,20
99344,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar03,20
99344,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,Mar03,20
99344,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,Mar03,20
99344,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,Mar03,20
99344,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Mar03,20
99345,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,Mar03,20
99345,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar03,20
99345,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,Mar03,20
99345,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,Mar03,20
99345,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,Mar03,20
99345,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Mar03,20
99347,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,Mar03,20
99347,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar03,20
99347,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,Mar03,20
99347,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,Mar03,20
99347,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,Mar03,20
99347,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Mar03,20
99348,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,Mar03,20
99348,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar03,20
99348,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,Mar03,20
99348,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,Mar03,20
99348,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,Mar03,20
99348,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Mar03,20
99349,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,Mar03,20
99349,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar03,20
99349,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,Mar03,20
99349,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,Mar03,20
99349,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,Mar03,20
99349,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Mar03,20
99350,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,Mar03,20
99350,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,XXX,,Mar03,20
99350,PEAC,Infection Control,SM025,"specula tips, otoscope",item,0.03,1,0,XXX,,Mar03,20
99350,PEAC,"Pharmacy, NonRx",SJ061,tongue depressor,item,0.012,1,0,XXX,,Mar03,20
99350,PEAC,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,0,XXX,,Mar03,20
99350,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,0,XXX,,Mar03,20
99354,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,Mar03,20
99355,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,Mar03,20
99356,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,Mar03,20
99357,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,Mar03,20
99358,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,Mar03,20
99359,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,Mar03,20
99360,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99363,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,CPT07,
99364,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT07,
99366,HCPAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.33,,XXX,,CPT08,HP
99367,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT08,T
99368,HCPAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT08,HP
99374,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99375,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99377,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99378,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99379,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99380,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99381,PEAC,"Gown, Drape",SB032,"liner, baby scale",item,0.074,1,0,XXX,,Mar03,20
99381,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99381,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Mar03,20
99382,PEAC,"Gown, Drape",SB032,"liner, baby scale",item,0.074,1,0,XXX,,Mar03,20
99382,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99382,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Mar03,20
99383,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99384,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99385,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99386,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99387,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99391,PEAC,"Gown, Drape",SB032,"liner, baby scale",item,0.074,1,0,XXX,,Mar03,20
99391,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99391,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Mar03,20
99392,PEAC,"Gown, Drape",SB032,"liner, baby scale",item,0.074,1,0,XXX,,Mar03,20
99392,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99392,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,,Mar03,20
99393,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99394,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99395,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99396,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99397,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99401,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99402,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99403,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99404,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99406,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,CPT08,V
99407,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,CPT08,V
99408,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,CPT08,W
99409,RUC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,CPT08,W
99411,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99411,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,Mar03,20
99412,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,,Mar03,20
99412,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,Mar03,20
99420,PEAC,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,Mar03,20
99429,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
99441,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT08,U
99442,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT08,U
99443,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT08,U
99444,RUC,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,CPT08,U
99450,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99455,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99456,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,Mar03,20
99460,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,99431,Mar03,rn
99461,PEAC,"Gown, Drape",SB032,"liner, baby scale",item,0.074,1,0,XXX,99432,Mar03,rn
99461,PEAC,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,0,XXX,99432,Mar03,rn
99461,PEAC,"Office Supply, Grocery",SK048,"measuring tape, paper",item,0.041,1,0,XXX,99432,Mar03,rn
99462,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,99433,Mar03,rn
99463,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,99435,Mar03,rn
99464,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,99436,Mar03,rn
99465,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,99440,Mar03,rn
99466,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,99289,Mar03,20
99467,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,99290,Mar03,20
99468,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,99295,Mar03,rn
99469,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,99296,Mar03,rn
99471,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,99293,Mar03,rn
99472,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,99294,Mar03,rn
99475,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT09,31
99476,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT09,31
99477,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CPT08,S
99478,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,99298,Mar03,rn
99479,PEAC,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,99299,Mar03,rn
99480,RUC,NO DETAILS,SX007,NO SUPPLIES,na,,0,,XXX,99300,RUC05,rn
99499,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
99500,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
99501,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
99502,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
99503,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
99504,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
99505,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
99506,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
99507,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
99509,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
99510,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
99511,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
99512,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
99600,CMS,NO DETAILS,SX009,NOT VALID,na,,,,XXX,,,
A4890,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D0150,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D0240,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D0250,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D0260,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D0270,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D0272,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D0274,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D0277,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D0460,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D0472,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D0473,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D0474,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D0480,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D0502,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D0999,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D1510,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D1515,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D1520,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D1525,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D1550,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D2970,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D2999,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D3460,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D3999,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D4260,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D4263,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D4264,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D4268,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D4270,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D4271,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D4273,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D4355,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D4381,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D5911,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D5912,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D5951,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D5983,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D5984,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D5985,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D5987,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D6920,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D7111,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D7140,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D7210,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D7220,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D7230,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D7240,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D7241,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D7250,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D7260,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D7261,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D7291,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D7940,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D9110,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D9230,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D9248,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D9630,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,XXX,,,
D9930,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D9940,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D9950,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D9951,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
D9952,CMS,NO DETAILS,SX010,RESTRICTED,na,,,,YYY,,,
G0001,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0008,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0009,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0010,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0027,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0030,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0031,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0032,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0033,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0034,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0035,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0036,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0037,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0038,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0039,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0040,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0041,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0042,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0043,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0044,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0045,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0046,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0047,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0101,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,99212,,
G0102,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0103,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0104,CMS WALK: BOTH SITES,"Accessory, Procedure",SD040,"cytology, brush",item,0.2,1,,000,45330,,
G0104,CMS WALK: BOTH SITES,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,45330,,
G0104,CMS WALK: BOTH SITES,"Gown, Drape",SB004,"cover, thermometer probe",item,0.038,1,,000,45330,,
G0104,CMS WALK: BOTH SITES,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,000,45330,,
G0104,CMS WALK: BOTH SITES,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,5,,000,45330,,
G0104,CMS WALK: BOTH SITES,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,45330,,
G0104,CMS WALK: BOTH SITES,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,3,,000,45330,,
G0104,CMS WALK: BOTH SITES,"Gown, Drape",SB033,"mask, surgical",item,0.196,3,,000,45330,,
G0104,CMS WALK: BOTH SITES,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,45330,,
G0104,CMS WALK: BOTH SITES,"Gown, Drape",SB037,pillow case,item,0.307,1,,000,45330,,
G0104,CMS WALK: BOTH SITES,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,45330,,
G0104,CMS WALK: BOTH SITES,Infection Control,SM010,"cleaning brush, endoscope",item,4.992,1,,000,45330,,
G0104,CMS WALK: BOTH SITES,Infection Control,SM015,enzymatic detergent,oz,0.229,1,,000,45330,,
G0104,CMS WALK: BOTH SITES,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,6.4,,000,45330,,
G0104,CMS WALK: BOTH SITES,Infection Control,SM019,"glutaraldehyde test strips (Cidex, Metrex)",item,1.012,1,,000,45330,,
G0104,CMS WALK: BOTH SITES,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,000,45330,,
G0104,CMS WALK: BOTH SITES,"Office Supply, Grocery",SK087,"water, distilled",oz,0.013,6,,000,45330,,
G0104,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ001,alcohol isopropyl 70%,ml,0.002,3,,000,45330,,
G0104,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,45330,,
G0104,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ032,lubricating jelly (K-Y) (5gm uou),item,0.066,4,,000,45330,,
G0104,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,3,,000,45330,,
G0104,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,10,,000,45330,,
G0105,CMS WALK: BOTH SITES,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,1,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,6,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,45380,,
G0105,CMS WALK: BOTH SITES,NO DETAILS,SX007,NO SUPPLIES,na,,,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,45380,,
G0105,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG076,"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)",item,3.422,1,,000,45380,,
G0106,CMS WALK: BOTH SITES,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,74280,,
G0106,CMS WALK: BOTH SITES,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,74280,,
G0106,CMS WALK: BOTH SITES,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,74280,,
G0106,CMS WALK: BOTH SITES,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,74280,,
G0106,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA004,"kit, barium with insufflator",kit,32.985,1,,XXX,74280,,
G0106,CMS WALK: BOTH SITES,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,8,,XXX,74280,,
G0106,CMS WALK: BOTH SITES,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,9,,XXX,74280,,
G0106,CMS WALK: BOTH SITES,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,XXX,74280,,
G0106,CMS WALK: BOTH SITES,"Pharmacy, Rx",SH016,barium suspension (Polibar),ml,0.018,,,XXX,74280,,
G0107,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0108,CMS,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,0.5,0,XXX,G0420,CPT11,
G0108,CMS,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.5,0,XXX,G0420,CPT11,
G0108,CMS,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,4,0,XXX,G0420,CPT11,
G0109,CMS,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,0.25,0,XXX,G0420,CPT11,
G0109,CMS,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.1,0,XXX,G0420,CPT11,
G0109,CMS,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,0,XXX,G0420,CPT11,
G0117,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,1,0,XXX,92012,Apr06,J
G0117,CMS X-WALK,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,92012,,
G0117,CMS X-WALK,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,,XXX,92012,,
G0118,PERC,"Kit, Pack, Tray",SA082,"pack, ophthalmology visit (w-dilation)",pack,1.997,1,0,XXX,92012,Apr06,J
G0118,CMS X-WALK,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,92012,,
G0118,CMS X-WALK,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,3,,XXX,92012,,
G0120,CMS WALK: BOTH SITES,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,74280,,
G0120,CMS WALK: BOTH SITES,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,74280,,
G0120,CMS WALK: BOTH SITES,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,74280,,
G0120,CMS WALK: BOTH SITES,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,74280,,
G0120,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA004,"kit, barium with insufflator",kit,32.985,1,,XXX,74280,,
G0120,CMS WALK: BOTH SITES,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,8,,XXX,74280,,
G0120,CMS WALK: BOTH SITES,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,9,,XXX,74280,,
G0120,CMS WALK: BOTH SITES,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,XXX,74280,,
G0120,CMS WALK: BOTH SITES,"Pharmacy, Rx",SH016,barium suspension (Polibar),ml,0.018,,,XXX,74280,,
G0121,CMS WALK: BOTH SITES,"Accessory, Procedure",SD009,"canister, suction",item,3.908,1,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Accessory, Procedure",SD031,"catheter, suction",item,0.62,1,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,4,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Accessory, Procedure",SD134,"tubing, suction, non-latex (6ft) with Yankauer tip (1)",item,2.961,1,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Cutters, Closures, Cautery",SF021,"cautery, patient ground pad w-cord",item,3.07,1,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,6,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,2,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,3,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,2,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Hypodermic, IV",SC056,syringe 50-60ml,item,0.881,1,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,45380,,
G0121,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG076,"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)",item,3.422,1,,000,45380,,
G0122,CMS WALK: BOTH SITES,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,74280,,
G0122,CMS WALK: BOTH SITES,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,74280,,
G0122,CMS WALK: BOTH SITES,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,74280,,
G0122,CMS WALK: BOTH SITES,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,1,,XXX,74280,,
G0122,CMS WALK: BOTH SITES,"Kit, Pack, Tray",SA004,"kit, barium with insufflator",kit,32.985,1,,XXX,74280,,
G0122,CMS WALK: BOTH SITES,"Office Supply, Grocery",SK033,"film, x-ray 10in x 12in",item,0.623,8,,XXX,74280,,
G0122,CMS WALK: BOTH SITES,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,9,,XXX,74280,,
G0122,CMS WALK: BOTH SITES,"Office Supply, Grocery",SK093,x-ray ID card (flashcard),item,0.062,1,,XXX,74280,,
G0122,CMS WALK: BOTH SITES,"Pharmacy, Rx",SH016,barium suspension (Polibar),ml,0.018,,,XXX,74280,,
G0123,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0124,CMS WALK: BOTH SITES,"Accessory, Procedure",SD040,"cytology, brush",item,0.2,1,,XXX,88151,,
G0124,CMS WALK: BOTH SITES,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,88151,,
G0124,CMS WALK: BOTH SITES,Lab,SL026,clearing agent (Histo-clear),ml,0.008,4,,XXX,88151,,
G0124,CMS WALK: BOTH SITES,Lab,SL030,"cover slip, glass",item,0.079,1,,XXX,88151,,
G0124,CMS WALK: BOTH SITES,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,XXX,88151,,
G0124,CMS WALK: BOTH SITES,Lab,SL071,fixative spray,ml,0.047,1,,XXX,88151,,
G0124,CMS WALK: BOTH SITES,Lab,SL085,label for microscope slides,item,0.026,1,,XXX,88151,,
G0124,CMS WALK: BOTH SITES,Lab,SL095,mounting media (Histomount),ml,0.035,0.6,,XXX,88151,,
G0124,CMS WALK: BOTH SITES,Lab,SL122,"slide, microscope",item,0.055,1,,XXX,88151,,
G0124,CMS WALK: BOTH SITES,Lab,SL137,"stain, PAP EA-50",ml,0.035,3,,XXX,88151,,
G0125,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0127,PEAC,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,2,,000,,,
G0127,PEAC,"Cutters, Closures, Cautery",SF009,"blade, surgical chisel 81-86 (Beaver)",item,3.301,1,,000,,,
G0127,PEAC,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,000,,,
G0127,PEAC,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,000,,,
G0127,PEAC,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,000,,,
G0127,PEAC,"Gown, Drape",SB040,"slippers, paper",pair,0.201,1,,000,,,
G0127,PEAC,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,,000,,,
G0127,PEAC,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,000,,,
G0127,PEAC,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,,,
G0127,PEAC,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,000,,,
G0127,PEAC,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,2,,000,,,
G0128,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CORF,99
G0130,PEAC,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,,,
G0130,PEAC,"Gown, Drape",SB037,pillow case,item,0.307,1,0,XXX,,,
G0130,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0141,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0143,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0144,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0145,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0147,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0148,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0166,CMS,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,3,,XXX,,,
G0166,CMS,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
G0166,CMS,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
G0166,CMS,"Gown, Drape",SB037,pillow case,item,0.307,1,,XXX,,,
G0166,CMS,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,4,,XXX,,,
G0166,CMS,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
G0166,CMS,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,XXX,,,
G0167,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
G0168,CMS,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,,000,12001,,
G0168,CMS,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,000,12001,,
G0168,CMS,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,000,12001,,
G0168,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,4,2,000,12001,,
G0168,CMS,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,000,12001,,
G0168,CMS,"Gown, Drape",SB026,"gown, patient",item,0.533,1,1,000,12001,,
G0168,CMS,"Gown, Drape",SB033,"mask, surgical",item,0.196,1,,000,12001,,
G0168,CMS,"Gown, Drape",SB036,"paper, exam table",foot,0.014,14,7,000,12001,,
G0168,CMS,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,,000,12001,,
G0168,CMS,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,20,10,000,12001,,
G0168,CMS,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,,000,12001,,
G0168,CMS,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,000,12001,,
G0168,CMS,"Pharmacy, Rx",SH047,lidocaine 1%-2% inj (Xylocaine),ml,0.035,20,,000,12001,,
G0168,CMS,"Wound Care, Dressings",SG007,"adhesive, skin (Dermabond)",item,30.068,1,,000,,,
G0168,CMS,"Wound Care, Dressings",SG035,"dressing, 3in x 4in (Telfa, Release)",item,0.144,1,1,000,12001,,
G0168,CMS,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,6,,000,12001,,
G0168,CMS,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,2,000,12001,,
G0173,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0175,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0176,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0177,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0179,CMS X-WALK,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,99375,,
G0180,CMS X-WALK,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,99375,,
G0181,CMS X-WALK,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,99375,,
G0182,CMS X-WALK,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,99378,,
G0186,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,YYY,,,
G0202,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0204,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0206,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0210,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0211,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0212,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0213,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0214,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0215,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0216,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0217,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0218,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0219,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
G0220,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0221,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0222,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0223,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0224,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0225,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0226,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0227,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0228,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0229,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0230,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0231,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0232,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0233,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0234,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0235,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
G0236,CMS,NO DETAILS,SX001,ACTIVE,na,,,,ZZZ,,,
G0237,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
G0238,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
G0239,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,,,,
G0242,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0243,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0244,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0245,CMS,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,99202,,
G0246,CMS,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,99212,,
G0247,CMS,"Cutters, Closures, Cautery",SF007,"blade, surgical (Bard-Parker)",item,0.535,2,,ZZZ,11040,,
G0247,CMS,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,,ZZZ,11040,,
G0247,CMS,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,,ZZZ,11040,,
G0247,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,,ZZZ,11040,,
G0247,CMS,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,,ZZZ,11040,,
G0247,CMS,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,ZZZ,11040,,
G0247,CMS,"Gown, Drape",SB040,"slippers, paper",pair,0.201,1,,ZZZ,11040,,
G0247,CMS,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,1,,ZZZ,11040,,
G0247,CMS,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,ZZZ,11040,,
G0247,CMS,"Pharmacy, NonRx",SJ028,hydrogen peroxide,ml,0.003,10,,ZZZ,11040,,
G0247,CMS,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,,ZZZ,11040,,
G0247,CMS,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,2,,ZZZ,11040,,
G0247,CMS,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,,ZZZ,11040,,
G0247,CMS,"Pharmacy, Rx",SH075,"water, sterile inj",ml,0.029,30,,ZZZ,11040,,
G0247,CMS,"Wound Care, Dressings",SG001,"adherent, pre-tape spray",oz,0.761,1,,ZZZ,11040,,
G0247,CMS,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,ZZZ,11040,,
G0247,CMS,"Wound Care, Dressings",SG018,"bandage, Kling, non-sterile 3in",item,0.506,1,,ZZZ,11040,,
G0247,CMS,"Wound Care, Dressings",SG051,"gauze, non-sterile 4in x 4in",item,0.035,2,,ZZZ,11040,,
G0247,CMS,"Wound Care, Dressings",SG052,"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)",inch,0.003,72,,ZZZ,11040,,
G0247,CMS,"Wound Care, Dressings",SG054,"gauze, sterile 3in x 3in",item,0.093,2,,ZZZ,11040,,
G0248,CMS,"Hypodermic, IV",SC021,lancet,item,0.038,4,,XXX,,,
G0248,CMS,"Office Supply, Grocery",SK011,"battery, AAA",item,0.485,3,,XXX,,,
G0248,CMS,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,,,
G0248,CMS,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,,
G0248,CMS,"Pharmacy, NonRx",SJ055,"test strip, INR",item,21.875,4,,XXX,,,
G0249,CMS,"Hypodermic, IV",SC021,lancet,item,0.038,4,,XXX,,,
G0249,CMS,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,4,,XXX,,,
G0249,CMS,"Pharmacy, NonRx",SJ055,"test strip, INR",item,21.875,4,,XXX,,,
G0250,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
G0251,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0252,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
G0253,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0254,CMS,NO DETAILS,SX003,CARRIER PRICED,na,,,,XXX,,,
G0255,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
G0257,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0259,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0260,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0263,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0264,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0265,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0266,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0267,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0268,CMS,"Cutters, Closures, Cautery",SF023,curette for ear cerumen,item,0.919,2,,000,,,
G0268,CMS,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,2,,000,,,
G0268,CMS,"Hypodermic, IV",SC053,syringe 20ml,item,0.558,1,,000,,,
G0268,CMS,Infection Control,SM025,"specula tips, otoscope",item,0.03,2,,000,,,
G0268,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,000,,,
G0268,CMS,"Pharmacy, NonRx",SJ010,"basin, emesis",item,0.216,1,,000,,,
G0268,CMS,"Wound Care, Dressings",SG008,"applicator, cotton-tipped, non-sterile 6in",item,0.007,2,,000,,,
G0269,CMS,NO DETAILS,SX002,BUNDLED,na,,,,XXX,,,
G0270,CMS,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.33,,XXX,97803,,
G0270,CMS,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,XXX,97803,PFS07,
G0270,CMS,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,,XXX,97803,PFS07,
G0270,CMS,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,0,XXX,97803,PFS07,
G0271,CMS,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.1,,XXX,97804,,
G0271,CMS,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,XXX,97804,PFS07,
G0271,CMS,"Office Supply, Grocery",SK014,"computer media, floppy disk 1.44mb",item,0.224,1,,XXX,97804,PFS07,
G0271,CMS,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,0,XXX,97804,PFS07,
G0275,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
G0278,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
G0281,CMS,"Accessory, Procedure",SD055,"electrode, electrical stimulation",item,1.312,2,,XXX,,,
G0281,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
G0281,CMS,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
G0281,CMS,"Pharmacy, NonRx",SJ024,electrolyte coupling gel,ml,0.016,1,,XXX,,,
G0281,CMS,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
G0281,CMS,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
G0282,CMS,"Accessory, Procedure",SD055,"electrode, electrical stimulation",item,1.312,2,,XXX,,,
G0282,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
G0282,CMS,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
G0282,CMS,"Pharmacy, NonRx",SJ024,electrolyte coupling gel,ml,0.016,1,,XXX,,,
G0282,CMS,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
G0282,CMS,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
G0283,CMS,"Accessory, Procedure",SD055,"electrode, electrical stimulation",item,1.312,2,,XXX,,,
G0283,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,1,,XXX,,,
G0283,CMS,"Office Supply, Grocery",SK068,razor,item,0.389,1,,XXX,,,
G0283,CMS,"Pharmacy, NonRx",SJ024,electrolyte coupling gel,ml,0.016,1,,XXX,,,
G0283,CMS,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,,XXX,,,
G0283,CMS,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,,XXX,,,
G0288,CMS,NO DETAILS,SX001,ACTIVE,na,,,,XXX,,,
G0289,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,ZZZ,,,
G0290,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0291,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0292,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0293,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0294,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0295,CMS,NO DETAILS,SX008,NONCOVERED,na,,,,XXX,,,
G0329,CMS,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,,XXX,,,
G0329,CMS,"Gown, Drape",SB049,"condom, Diapulse, Asepticap",item,0.69,1,,XXX,,,
G0329,CMS,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,,,
G0341,CMS WALK: BOTH SITES,"Hypodermic, IV",SC057,syringe 5-6ml,item,0.15,1,0,000,36481,,
G0341,CMS WALK: BOTH SITES,"Pharmacy, Rx",SH039,"heparin 1,000 units-ml inj",ml,0.193,1,0,000,36481,,
G0341,CMS,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,1,0,000,36481,,
G0341,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,000,36481,,
G0341,CMS WALK: BOTH SITES,"Wound Care, Dressings",SG021,"bandage, strip 0.75in x 3in (Bandaid)",item,0.043,1,0,000,36481,,
G0341,CMS WALK: BOTH SITES,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,000,36481,,
G0341,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,1,0,000,36481,,
G0341,CMS WALK: BOTH SITES,"Hypodermic, IV",SC039,"needle, Huber point",item,3.328,1,0,000,36481,,
G0341,CMS WALK: BOTH SITES,"Hypodermic, IV",SC029,"needle, 18-27g",item,0.089,1,0,000,36481,,
G0341,CMS WALK: BOTH SITES,"Hypodermic, IV",SC019,iv tubing (extension),foot,0.53,1,0,000,36481,,
G0341,CMS WALK: BOTH SITES,"Pharmacy, NonRx",SJ043,povidone swabsticks (3 pack uou),item,0.409,1,0,000,36481,,
G0342,CMS,"Kit, Pack, Tray",SA052,"pack, post-op incision care (staple)",pack,5.056,,1,090,47563,,
G0342,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
G0343,CMS,"Pharmacy, NonRx",SJ046,silver nitrate applicator,item,0.07,,3,090,47420,,
G0343,CMS,"Wound Care, Dressings",SG074,steri-strip (6 strip uou),item,1.116,,3,090,47420,,
G0343,CMS,"Wound Care, Dressings",SG056,"gauze, sterile 4in x 4in (10 pack uou)",item,0.798,,3,090,47420,,
G0343,CMS,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,,18,090,47420,,
G0343,CMS,"Pharmacy, Rx",SH074,"water, sterile for irrigation (250-1000ml uou)",item,2.09,,0.5,090,47420,,
G0343,CMS,"Kit, Pack, Tray",SA031,"kit, suture removal",kit,1.054,,1,090,47420,,
G0343,CMS,"Hypodermic, IV",SC051,syringe 10-12ml,item,0.184,,1,090,47420,,
G0343,CMS,"Gown, Drape",SB027,"gown, staff, impervious",item,1.186,,6,090,47420,,
G0343,CMS,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,,6,090,47420,,
G0343,CMS,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,,3,090,47420,,
G0343,CMS,"Wound Care, Dressings",SG039,"dressing, 5in x 9in (ABD-Combine)",item,0.273,,3,090,47420,,
G0343,PERC,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,,Apr06,J
G0364,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
G0365,CMS X-WALK,"Gown, Drape",SB005,"cover-condom, transducer or ultrasound probe",item,0.35,1,,XXX,93971,,
G0365,CMS X-WALK,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,2,,XXX,93971,,
G0365,CMS X-WALK,Infection Control,SM018,"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)",oz,0.165,0.34,,XXX,93971,,
G0365,CMS X-WALK,Infection Control,SM022,"sanitizing cloth-wipe (surface, instruments, equipment)",item,0.046,2,,XXX,93971,,
G0365,CMS X-WALK,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,,XXX,93971,,
G0365,CMS X-WALK,"Office Supply, Grocery",SK022,"film, 8inx10in (ultrasound, MRI)",item,0.92,2,,XXX,93971,,
G0365,CMS X-WALK,"Office Supply, Grocery",SK034,"film, x-ray 14in x 17in",item,1.17,1,,XXX,93971,,
G0365,CMS X-WALK,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,93971,,
G0365,CMS X-WALK,"Office Supply, Grocery",SK086,"video tape, VHS",item,2.049,1,,XXX,93971,,
G0365,CMS X-WALK,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,40,,XXX,93971,,
G0389,CMS,Infection Control,SM021,sanitizing cloth-wipe (patient),item,0.037,2,0,XXX,76775,CPT07,
G0389,CMS,"Pharmacy, NonRx",SJ062,ultrasound transmission gel,ml,0.013,60,0,XXX,76775,CPT07,
G0389,CMS,"Office Supply, Grocery",SK091,x-ray envelope,item,0.153,1,0,XXX,76775,CPT07,
G0389,CMS,Infection Control,SM013,"disinfectant, surface (Envirocide, Sanizide)",oz,0.163,0.33,0,XXX,76775,CPT07,
G0389,CMS,"Gown, Drape",SB044,underpad 2ft x 3ft (Chux),item,0.23,1,0,XXX,76775,CPT07,
G0389,CMS,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,0,XXX,76775,CPT07,
G0389,CMS,"Gown, Drape",SB026,"gown, patient",item,0.533,1,0,XXX,76775,CPT07,
G0389,CMS,"Gown, Drape",SB022,"gloves, non-sterile",pair,0.084,2,0,XXX,76775,CPT07,
G0389,CMS,"Gown, Drape",SB006,"drape, non-sterile, sheet 40in x 60in",item,0.222,1,0,XXX,76775,CPT07,
G0389,CMS,"Office Supply, Grocery",SK098,"film, x-ray, laser print",item,1.437,3,0,XXX,76775,CPT07,
G0392,CMS,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,35475,CPT07,
G0392,CMS,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,1,0,000,35475,CPT07,
G0392,CMS,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,35475,CPT07,
G0392,CMS,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,35475,CPT07,
G0392,CMS,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,35475,CPT07,
G0392,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,35475,CPT07,
G0392,CMS,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,35475,CPT07,
G0392,CMS,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,2,0,000,35475,CPT07,
G0392,CMS,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,2,0,000,35475,CPT07,
G0392,CMS,"Accessory, Procedure",SD152,"catheter, balloon, PTA",item,243.5,2,0,000,35475,CPT07,
G0392,CMS,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,35475,CPT07,
G0392,CMS,"Accessory, Procedure",SD149,"catheter, balloon inflation device",item,24.9,1,0,000,35475,CPT07,
G0392,CMS,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,4,0,000,35475,CPT07,
G0392,CMS,"Accessory, Procedure",SD174,"guidewire, steerable (Hi-Torque)",item,90,1,0,000,35475,CPT07,
G0392,CMS,"Accessory, Procedure",SD176,"guidewire, torque",item,41,1,0,000,35475,CPT07,
G0392,CMS,"Accessory, Procedure",SD207,suture device for vessel closure (Perclose A-T),item,225,1,0,000,35475,CPT07,
G0392,CMS,"Gown, Drape",SB001,"cap, surgical",item,0.209,2,0,000,35475,CPT07,
G0392,CMS,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,35475,CPT07,
G0392,CMS,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,35475,CPT07,
G0393,CMS,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,2,0,000,35476,CPT07,
G0393,CMS,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,35476,CPT07,
G0393,CMS,"Wound Care, Dressings",SG079,"tape, surgical paper 1in (Micropore)",inch,0.002,6,0,000,35476,CPT07,
G0393,CMS,"Pharmacy, NonRx",SJ041,povidone soln (Betadine),ml,0.008,10,0,000,35476,CPT07,
G0393,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,35476,CPT07,
G0393,CMS,"Kit, Pack, Tray",SA044,"pack, conscious sedation",pack,17.311,1,0,000,35476,CPT07,
G0393,CMS,"Gown, Drape",SB039,"shoe covers, surgical",pair,0.338,3,0,000,35476,CPT07,
G0393,CMS,"Gown, Drape",SB034,"mask, surgical, with face shield",item,1.199,3,0,000,35476,CPT07,
G0393,CMS,"Gown, Drape",SB028,"gown, surgical, sterile",item,4.671,2,0,000,35476,CPT07,
G0393,CMS,"Gown, Drape",SB014,"drape, sterile, three-quarter sheet",item,3.83,1,0,000,35476,CPT07,
G0393,CMS,"Gown, Drape",SB011,"drape, sterile, fenestrated 16in x 29in",item,0.557,1,0,000,35476,CPT07,
G0393,CMS,"Gown, Drape",SB001,"cap, surgical",item,0.209,3,0,000,35476,CPT07,
G0393,CMS,"Accessory, Procedure",SD176,"guidewire, torque",item,41,1,0,000,35476,CPT07,
G0393,CMS,"Accessory, Procedure",SD174,"guidewire, steerable (Hi-Torque)",item,90,1,0,000,35476,CPT07,
G0393,CMS,"Accessory, Procedure",SD152,"catheter, balloon, PTA",item,243.5,2,0,000,35476,CPT07,
G0393,CMS,"Accessory, Procedure",SD149,"catheter, balloon inflation device",item,24.9,1,0,000,35476,CPT07,
G0393,CMS,"Accessory, Procedure",SD089,"guidewire, hydrophilic",item,35.5,1,0,000,35476,CPT07,
G0393,CMS,"Gown, Drape",SB019,"drape-towel, sterile 18in x 26in",item,0.282,2,0,000,35476,CPT07,
G0396,CMS,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,99408,CPT08,W
G0397,CMS,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,,XXX,99409,CPT08,W
G0402,CMS,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,,CPT11,
G0402,CMS,"Office Supply, Grocery",SK100,preventive assessment forms,item,3,1,,XXX,,CPT11,
G0403,CMS,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,10,,XXX,93000,,
G0403,CMS,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,4,,XXX,93000,,
G0403,CMS,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,XXX,93000,,
G0409,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,CORF,09
G0412,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,3,090,27215,CPT09,rv
G0412,CMS,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,27215,CPT09,rv
G0413,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,27216,CPT09,rv
G0413,CMS,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,27216,CPT09,rv
G0414,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,27217,CPT09,rv
G0414,CMS,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,27217,CPT09,rv
G0415,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,,4,090,27218,CPT09,rv
G0415,CMS,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",pack,4.907,,1,090,27218,CPT09,rv
G0420,CMS,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,1,0,XXX,,CMS10,
G0420,CMS,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,1,0,XXX,,CMS10,
G0420,CMS,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,0,XXX,,CMS10,
G0421,CMS,"Office Supply, Grocery",SK062,patient education booklet,item,1.55,0.2,0,XXX,,CMS10,
G0421,CMS,"Office Supply, Grocery",SK043,label for files-folders,item,0.08,0.5,0,XXX,,CMS10,
G0421,CMS,"Office Supply, Grocery",SK057,"paper, laser printing (each sheet)",item,0.005,2,0,XXX,,CMS10,
G0424,CMS,NO DETAILS,SX007,NO SUPPLIES,na,,0,,XXX,,CMS10,
G0429,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,11951,CPT11,
G0429,CMS,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,1,0,000,11951,CPT11,
G0429,CMS,"Wound Care, Dressings",SG055,"gauze, sterile 4in x 4in",item,0.159,1,0,000,11951,CPT11,
G0429,CMS,"Pharmacy, NonRx",SJ053,"swab-pad, alcohol",item,0.013,2,0,000,11951,CPT11,
G9001,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G9002,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G9003,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G9004,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G9005,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G9006,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G9007,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G9008,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G9009,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G9010,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G9011,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G9012,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G9016,CMS,NO DETAILS,SX006,EXCLUDED BY LAW,na,,,,XXX,,,
G0440,CMS,"Gown, Drape",SB024,"gloves, sterile",pair,0.84,2,0,000,15340,CPT11,
G0440,CMS,"Cutters, Closures, Cautery",SF033,"scalpel with blade, surgical (#10-20)",item,0.694,1,0,000,15340,CPT11,
G0440,CMS,"Gown, Drape",SB007,"drape, sterile barrier 16in x 29in",item,0.494,1,0,000,15340,CPT11,
G0440,CMS,"Kit, Pack, Tray",SA043,"pack, cleaning, surgical instruments",pack,5.339,1,0,000,15340,CPT11,
G0440,CMS,"Kit, Pack, Tray",SA069,"tray, suturing",tray,8.993,1,0,000,15340,CPT11,
G0440,CMS,"Pharmacy, NonRx",SJ007,bacitracin oint (0.9gm uou),item,0.091,1,0,000,15340,CPT11,
G0440,CMS,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,0,000,15340,CPT11,
G0440,CMS,"Pharmacy, Rx",SH069,sodium chloride 0.9% irrigation (500-1000ml uou),item,2.074,1,0,000,15340,CPT11,
G0440,CMS,"Kit, Pack, Tray",SA048,"pack, minimum multi-specialty visit",pack,1.143,1,0,000,15340,CPT11,
G0440,CMS,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,000,15340,CPT11,
G0440,CMS,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,000,15340,CPT11,
G0440,CMS,"Gown, Drape",SB033,"mask, surgical",item,0.196,2,0,000,15340,CPT11,
G0440,CMS,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,1,0,000,15340,CPT11,
G0440,CMS,"Hypodermic, IV",SC064,syringe-needle 3ml 22-26g,item,0.16,1,0,000,15340,CPT11,
G0441,CMS,"Pharmacy, Rx",SH046,lidocaine 1% w-epi inj (Xylocaine w-epi),ml,0.064,5,0,ZZZ,15341,CPT11,
G0441,CMS,"Cutters, Closures, Cautery",SF036,"suture, nylon, 3-0 to 6-0, c",item,2.401,1,0,ZZZ,15341,CPT11,
G0441,CMS,"Wound Care, Dressings",SG020,"bandage, Kling, sterile 4in",item,1.06,2,0,ZZZ,15341,CPT11,
G0441,CMS,"Wound Care, Dressings",SG041,"dressing, 5in x 9in (Xeroform)",item,1.556,5,0,ZZZ,15341,CPT11,
G0438,CMS,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,99204,CPT11,
G0438,CMS,"Office Supply, Grocery",SK100,preventive assessment forms,item,3,1,,XXX,G0402,CPT11,
G0439,CMS,"Kit, Pack, Tray",SA047,"pack, EM visit",pack,2.984,1,,XXX,99214,CPT11,
G0439,CMS,"Office Supply, Grocery",SK100,preventive assessment forms,item,3,1,,XXX,99214,CPT11,
M0064,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,,,XXX,,,
P3001,CPEP,"Accessory, Procedure",SD040,"cytology, brush",item,0.2,1,,XXX,,,
P3001,CPEP,"Gown, Drape",SB023,"gloves, non-sterile, nitrile",pair,0.188,1,,XXX,,,
P3001,CPEP,Lab,SL026,clearing agent (Histo-clear),ml,0.008,4,,XXX,,,
P3001,CPEP,Lab,SL030,"cover slip, glass",item,0.079,1,,XXX,,,
P3001,CPEP,Lab,SL035,"cup, biopsy-specimen non-sterile 4oz",item,0.087,1,,XXX,,,
P3001,CPEP,Lab,SL071,fixative spray,ml,0.047,1,,XXX,,,
P3001,CPEP,Lab,SL085,label for microscope slides,item,0.026,1,,XXX,,,
P3001,CPEP,Lab,SL095,mounting media (Histomount),ml,0.035,0.6,,XXX,,,
P3001,CPEP,Lab,SL122,"slide, microscope",item,0.055,1,,XXX,,,
P3001,CPEP,Lab,SL137,"stain, PAP EA-50",ml,0.035,3,,XXX,,,
Q0035,NPRM,"Accessory, Procedure",SD053,"electrode, ECG (single)",item,0.09,10,,XXX,93000,,
Q0035,NPRM,"Wound Care, Dressings",SG050,"gauze, non-sterile 2in x 2in",item,0.013,2,,XXX,93000,,
Q0035,NPRM,"Office Supply, Grocery",SK059,"paper, recording (per sheet)",item,0.067,4,,XXX,93000,,
Q0091,CPEP,"Gown, Drape",SB026,"gown, patient",item,0.533,1,,XXX,,,
Q0091,CPEP,"Gown, Drape",SB036,"paper, exam table",foot,0.014,7,,XXX,,,
Q0092,CPEP,NO DETAILS,SX007,NO SUPPLIES,na,,0,,XXX,,,
R0070,CPEP,,,,,,,,,,,
R0075,CPEP,,SA053,,,6.11,,,,,,
R0076,CPEP,NO DETAILS,SX002,BUNDLED,na,,0,,XXX,,,
14301,RUC,"Kit, Pack, Tray",SA054,"pack, post-op incision care (suture)",kit,4.907,1,1,090,,CPT10,26
53855,RUC,"Accessory, Procedure",SD074,filiform,item,9.19,1,,000,,CPT10,13
55873,PEAC,"Accessory, Procedure",SD074,filiform,item,9.19,1,,090,,Feb09,