APC Status Codes and Titles Effective 01-01-2001
Source: HCFA OCE/APC V 2.0.1 Module, December 2000

00001 S PHOTOCHEMOTHERAPY
00002 T FINE NEEDLE BIOPSY/ASPIRATION
00003 T BONE MARROW BIOPSY/ASPIRATION
00004 T LEVEL I NEEDLE BIOPSY/ ASPIRATION EXCEPT BONE MARROW
00005 T LEVEL II NEEDLE BIOPSY /ASPIRATION EXCEPT BONE MARROW
00006 T LEVEL I INCISION & DRAINAGE
00007 T LEVEL II INCISION & DRAINAGE
00008 T LEVEL III INCISION & DRAINAGE
00009 T NAIL PROCEDURES
00010 T LEVEL I DESTRUCTION OF LESION
00011 T LEVEL II DESTRUCTION OF LESION
00012 T LEVEL I DEBRIDEMENT & DESTRUCTION
00013 T LEVEL II DEBRIDEMENT & DESTRUCTION
00014 T LEVEL III DEBRIDEMENT & DESTRUCTION
00015 T LEVEL IV DEBRIDEMENT & DESTRUCTION
00016 T LEVEL V DEBRIDEMENT & DESTRUCTION
00017 T LEVEL VI DEBRIDEMENT & DESTRUCTION
00018 T BIOPSY SKIN, SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE
00019 T LEVEL I EXCISION/ BIOPSY
00020 T LEVEL II EXCISION/ BIOPSY
00021 T LEVEL III EXCISION/ BIOPSY
00022 T LEVEL IV EXCISION/ BIOPSY
00023 T EXPLORATION PENETRATING WOUND
00024 T LEVEL I SKIN REPAIR
00025 T LEVEL II SKIN REPAIR
00026 T LEVEL III SKIN REPAIR
00027 T LEVEL IV SKIN REPAIR
00028 T LEVEL I INCISION/EXCISION BREAST
00029 T LEVEL II INCISION/EXCISION BREAST
00030 T BREAST RECONSTRUCTION
00032 T PLACEMENT TRANSVENOUS CATHETERS/ARTERIAL CUTDOWN
00033 P PARTIAL HOSPITALIZATION
00034 P DAILY MENTAL HEALTH SERVICES
00040 T ARTHROCENTESIS & LIGAMENT/TENDON INJECTION
00041 T ARTHROSCOPY
00042 T ARTHROSCOPICALLY-AIDED PROCEDURES
00043 T CLOSED TREATMENT FRACTURE FINGER/TOE/TRUNK
00044 T CLOSED TREATMENT FRACTURE/DISLOCATION EXCEPT FINGER/TOE/TRUNK
00045 T BONE/JOINT MANIPULATION UNDER ANESTHESIA
00046 T OPEN/PERCUTANEOUS TREATMENT FRACTURE OR DISLOCATION
00047 T ARTHROPLASTY WITHOUT PROSTHESIS
00048 T ARTHROPLASTY WITH PROSTHESIS
00049 T LEVEL I MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT
00050 T LEVEL II MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT
00051 T LEVEL III MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT
00052 T LEVEL IV MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT
00053 T LEVEL I HAND MUSCULOSKELETAL PROCEDURES
00054 T LEVEL II HAND MUSCULOSKELETAL PROCEDURES
00055 T LEVEL I FOOT MUSCULOSKELETAL PROCEDURES
00056 T LEVEL II FOOT MUSCULOSKELETAL PROCEDURES
00057 T BUNION PROCEDURES
00058 S LEVEL I STRAPPING AND CAST APPLICATION
00059 S LEVEL II STRAPPING AND CAST APPLICATION
00060 S MANIPULATION THERAPY
00070 T THORACENTESIS/LAVAGE PROCEDURES
00071 T LEVEL I ENDOSCOPY UPPER AIRWAY
00072 T LEVEL II ENDOSCOPY UPPER AIRWAY
00073 T LEVEL III ENDOSCOPY UPPER AIRWAY
00074 T LEVEL IV ENDOSCOPY UPPER AIRWAY
00075 T LEVEL V ENDOSCOPY UPPER AIRWAY
00076 T ENDOSCOPY LOWER AIRWAY
00077 S LEVEL I PULMONARY TREATMENT
00078 S LEVEL II PULMONARY TREATMENT
00079 S VENTILATION INITIATION AND MANAGEMENT
00080 T DIAGNOSTIC CARDIAC CATHETERIZATION
00081 T NON-CORONARY ANGIOPLASTY OR ATHERECTOMY
00082 T CORONARY ATHERECTOMY
00083 T CORONARY ANGIOSPLASTY
00084 S LEVEL I ELECTROPHYSIOLOGIC EVALUATION
00085 S LEVEL II ELECTROPHYSIOLOGIC EVALUATION
00086 S ABLATE HEART DYSRHYTHM FOCUS
00087 S CARDIAC ELECTROPHYSIOLOGIC RECORDING/MAPPING
00088 T THROMBECTOMY
00089 T INSERTION/REPLACEMENT OF PERMANENT PACEMAKER AND ELECTRODES
00090 T INSERTION/REPLACEMENT OF PACEMAKER PULSE GENERATOR
00091 T LEVEL I VASCULAR LIGATION
00092 T LEVEL II VASCULAR LIGATION
00093 T VASCULAR REPAIR/FISTULA CONSTRUCTION
00094 S RESUSCITATION AND CARDIOVERSION
00095 S CARDIAC REHABILITATION
00096 S NON-INVASIVE VASCULAR STUDIES
00097 X CARDIAC MONITORING FOR 30 DAYS
00098 T INJECTION OF SCLEROSING SOLUTION
00099 X ELECTROCARDIOGRAMS
00100 X STRESS TESTS AND CONTINUOUS ECG
00101 S TILT TABLE EVALUATION
00102 S ELECTRONIC ANALYSIS OF PACEMAKERS/OTHER DEVICES
00103 T MISCELLANEOUS VASCULAR PROCEDURES
00104 T TRANSCATHETER PLACEMENT OF INTRACORONARY STENTS
00105 T REVISION/REMOVAL OF PACEMAKERS, AICD, OR VASCULAR DEVICE
00106 T INSERTION/REPLACEMENT/REPAIR OF PACEMAKER ELECTRODES
00107 T INSERTION OF CARDIOVERTER-DEFIBRILLATOR
00108 T INSERTION/REPLACEMENT/REPAIR OF CARDIOVERTER-DEFIBRILLATOR LEADS
00109 T REMOVAL OF IMPLANTED DEVICES
00110 S TRANSFUSION
00111 S BLOOD PRODUCT EXCHANGE
00112 S EXTRACORPOREAL PHOTOPHERESIS
00113 T EXCISION LYMPHATIC SYSTEM
00114 T THYROID/LYMPHADENECTOMY PROCEDURES
00115 T CANNULA/ACCESS DEVICE PROCEDURES
00116 S CHEMOTHERAPY ADMINISTRATION BY OTHER TECHNIQUE EXCEPT INFUSION
00117 S CHEMOTHERAPY ADMINISTRATION BY INFUSION ONLY
00118 S CHEMOTHERAPY ADMINISTRATION BY BOTH INFUSION AND OTHER TECHNIQUE
00119 T IMPLANTATION OF DEVICES
00120 T INFUSION THERAPY EXCEPT CHEMOTHERAPY
00121 T LEVEL I TUBE CHANGES AND REPOSITIONING
00122 T LEVEL II TUBE CHANGES AND REPOSITIONING
00123 S BONE MARROW HARVESTING AND BONE MARROW/STEM CELL TRANSPLANT
00124 T REVISION OF IMPLANTED INFUSION PUMP
00130 T LEVEL I LAPAROSCOPY
00131 T LEVEL II LAPAROSCOPY
00132 T LEVEL III LAPAROSCOPY
00140 T ESOPHAGEAL DILATION WITHOUT ENDOSCOPY
00141 T UPPER GI PROCEDURES
00142 T SMALL INTESTINE ENDOSCOPY
00143 T LOWER GI ENDOSCOPY
00144 T DIAGNOSTIC ANOSCOPY
00145 T THERAPEUTIC ANOSCOPY
00146 T LEVEL I SIGMOIDOSCOPY
00147 T LEVEL II SIGMOIDOSCOPY
00148 T LEVEL I ANAL/RECTAL PROCEDURE
00149 T LEVEL II ANAL/RECTAL PROCEDURE
00150 T LEVEL III ANAL/RECTAL PROCEDURE
00151 T ENDOSCOPIC RETROGRADE CHOLANGIO-PANCREATOGRAPHY (ERCP)
00152 T PERCUTANEOUS BILIARY ENDOSCOPIC PROCEDURES
00153 T PERITONEAL AND ABDOMINAL PROCEDURES
00154 T HERNIA/HYDROCELE PROCEDURES
00157 S COLORECTAL CANCER SCREENING: BARIUM ENEMA
00158 S COLORECTAL CANCER SCREENING: COLONOSCOPY
00159 S COLORECTAL CANCER SCREENING: FLEXIBLE SIGMOIDOSCOPY
00160 T LEVEL I CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES
00161 T LEVEL II CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES
00162 T LEVEL III CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES
00163 T LEVEL IV CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES
00164 T LEVEL I  URINARY AND ANAL PROCEDURES
00165 T LEVEL II  URINARY AND ANAL PROCEDURES
00166 T LEVEL I URETHRAL PROCEDURES
00167 T LEVEL II URETHRAL PROCEDURES
00168 T LEVEL III URETHRAL PROCEDURES
00169 T LITHOTRIPSY
00170 S DIALYSIS FOR OTHER THAN ESRD PATIENTS
00180 T CIRCUMCISION
00181 T PENILE PROCEDURES
00182 T INSERTION OF PENILE PROSTHESIS
00183 T TESTES/EPIDIDYMIS PROCEDURES
00184 T PROSTATE BIOPSY
00185 T REMOVAL OR REPAIR OF PENILE PROSTHESIS
00190 T SURGICAL HYSTEROSCOPY
00191 T LEVEL I FEMALE REPRODUCTIVE PROCEDURES
00192 T LEVEL II FEMALE REPRODUCTIVE PROCEDURES
00193 T LEVEL III FEMALE REPRODUCTIVE PROCEDURES
00194 T LEVEL IV FEMALE REPRODUCTIVE PROCEDURES
00195 T LEVEL V FEMALE REPRODUCTIVE PROCEDURES
00196 T DILATATION & CURETTAGE
00197 T INFERTILITY PROCEDURES
00198 T PREGNANCY AND NEONATAL CARE PROCEDURES
00199 T VAGINAL DELIVERY
00200 T THERAPEUTIC ABORTION
00201 T SPONTANEOUS ABORTION
00210 T SPINAL TAP
00211 T LEVEL I NERVOUS SYSTEM INJECTIONS
00212 T LEVEL II NERVOUS SYSTEM INJECTIONS
00213 S EXTENDED EEG STUDIES AND SLEEP STUDIES
00214 S ELECTROENCEPHALOGRAM
00215 S LEVEL I NERVE AND MUSCLE TESTS
00216 S LEVEL II NERVE AND MUSCLE TESTS
00217 S LEVEL III NERVE AND MUSCLE TESTS
00220 T LEVEL I NERVE PROCEDURES
00221 T LEVEL II NERVE PROCEDURES
00222 T IMPLANTATION OF NEUROLOGICAL DEVICE
00223 T IMPLANTATION OF PAIN MANAGEMENT DEVICE
00224 T IMPLANTATION OF RESERVOIR/PUMP/SHUNT
00225 T IMPLANTATION OF NEUROSTIMULATOR ELECTRODES
00226 T IMPLANTATION OF DRUG INFUSION RESERVOIR
00227 T IMPLANTATION OF DRUG INFUSION DEVICE
00228 T CREATION OF LUMBAR SUBARACHNOID SHUNT
00229 T TRANSCATHETER PLACEMENT OF INTRAVASCULAR SHUNTS
00230 S LEVEL I EYE TESTS
00231 S LEVEL II EYE TESTS
00232 T LEVEL I ANTERIOR SEGMENT EYE
00233 T LEVEL II ANTERIOR SEGMENT EYE
00234 T LEVEL III ANTERIOR SEGMENT EYE PROCEDURES
00235 T LEVEL I POSTERIOR SEGMENT EYE PROCEDURES
00236 T LEVEL II POSTERIOR SEGMENT EYE PROCEDURES
00237 T LEVEL III POSTERIOR SEGMENT EYE PROCEDURES
00238 T LEVEL I REPAIR AND PLASTIC EYE PROCEDURES
00239 T LEVEL II REPAIR AND PLASTIC EYE PROCEDURES
00240 T LEVEL III REPAIR AND PLASTIC EYE PROCEDURES
00241 T LEVEL IV REPAIR AND PLASTIC EYE PROCEDURES
00242 T LEVEL V REPAIR AND PLASTIC EYE PROCEDURES
00243 T STRABISMUS/MUSCLE PROCEDURES
00244 T CORNEAL TRANSPLANT
00245 T CATARACT PROCEDURES WITHOUT IOL INSERT
00246 T CATARACT PROCEDURES WITH IOL INSERT
00247 T LASER EYE PROCEDURES EXCEPT RETINAL
00248 T LASER RETINAL PROCEDURES
00250 T NASAL CAUTERIZATION/PACKING
00251 T LEVEL I ENT PROCEDURES
00252 T LEVEL II ENT PROCEDURES
00253 T LEVEL III ENT PROCEDURES
00254 T LEVEL IV ENT PROCEDURES
00256 T LEVEL V ENT PROCEDURES
00258 T TONSIL AND ADENOID PROCEDURES
00260 X LEVEL I PLAIN FILM EXCEPT TEETH
00261 X LEVEL II PLAIN FILM EXCEPT TEETH INCLUDING BONE DENSITY MEASUREMENT
00262 X PLAIN FILM OF TEETH
00263 X LEVEL I MISCELLANEOUS RADIOLOGY PROCEDURES
00264 X LEVEL II MISCELLANEOUS RADIOLOGY PROCEDURES
00265 S LEVEL I DIAGNOSTIC ULTRASOUND EXCEPT VASCULAR
00266 S LEVEL II DIAGNOSTIC ULTRASOUND EXCEPT VASCULAR
00267 S VASCULAR ULTRASOUND
00268 X GUIDANCE UNDER ULTRASOUND
00269 S ECHOCARDIOGRAM EXCEPT TRANSESOPHAGEAL
00270 S TRANSESOPHAGEAL ECHOCARDIOGRAM
00271 S MAMMOGRAPHY
00272 X LEVEL I FLUOROSCOPY
00273 X LEVEL II FLUOROSCOPY
00274 S MYELOGRAPHY
00275 S ARTHROGRAPHY
00276 S LEVEL I DIGESTIVE RADIOLOGY
00277 S LEVEL II DIGESTIVE RADIOLOGY
00278 S DIAGNOSTIC UROGRAPHY
00279 S LEVEL I ANGIOGRAPHY AND VENOGRAPHY EXCEPT EXTREMITY
00280 S LEVEL II ANGIOGRAPHY AND VENOGRAPHY EXCEPT EXTREMITY
00281 S VENOGRAPHY OF EXTREMITY
00282 S LEVEL I COMPUTERIZED AXIAL TOMOGRAPHY
00283 S LEVEL II COMPUTERIZED AXIAL TOMOGRAPHY
00284 S MAGNETIC RESONANCE IMAGING
00285 S POSITRON EMISSION TOMOGRAPHY (PET)
00286 S MYOCARDIAL SCANS
00290 S STANDARD NON-IMAGING NUCLEAR MEDICINE
00291 S LEVEL I DIAGNOSTIC NUCLEAR MEDICINE EXCLUDING MYOCARDIAL SCANS
00292 S LEVEL II DIAGNOSTIC NUCLEAR MEDICINE EXCLUDING MYOCARDIAL SCANS
00294 S LEVEL I THERAPEUTIC NUCLEAR MEDICINE
00295 S LEVEL II THERAPEUTIC NUCLEAR MEDICINE
00296 S LEVEL I THERAPEUTIC RADIOLOGIC PROCEDURES
00297 S LEVEL II THERAPEUTIC RADIOLOGIC PROCEDURES
00300 S LEVEL I RADIATION THERAPY
00301 S LEVEL II  RADIATION THERAPY
00302 S LEVEL III RADIATION THERAPY
00303 X TREATMENT DEVICE CONSTRUCTION
00304 X LEVEL  I THERAPEUTIC RADIATION TREATMENT PREPARATION
00305 X LEVEL  II THERAPEUTIC RADIATION TREATMENT PREPARATION
00310 X LEVEL III THERAPEUTIC RADIATION TREATMENT PREPARATION
00311 X RADIATION PHYSICS SERVICES
00312 S RADIOELEMENT APPLICATIONS
00313 S BRACHYTHERAPY
00314 S HYPERTHERMIC THERAPIES
00320 S ELECTROCONVULSIVE THERAPY
00321 S BIOFEEDBACK AND OTHER TRAINING
00322 S BRIEF INDIVIDUAL PSYCHOTHERAPY
00323 S EXTENDED INDIVIDUAL PSYCHOTHERAPY
00324 S FAMILY PSYCHOTHERAPY
00325 S GROUP PSYCHOTHERAPY
00330 S DENTAL PROCEDURES
00340 X MINOR ANCILLARY PROCEDURES
00341 X IMMUNOLOGY TESTS
00342 X LEVEL I PATHOLOGY
00343 X LEVEL II PATHOLOGY
00344 X LEVEL III PATHOLOGY
00345 X TRANSFUSION LABORATORY PROCEDURES LEVEL I
00346 X TRANSFUSION LABORATORY PROCEDURES LEVEL II
00347 X TRANSFUSION LABORATORY PROCEDURES LEVEL III
00348 X FERTILITY LABORATORY PROCEDURES
00349 X MISCELLANEOUS LABORATORY PROCEDURES
00354 K ADMINISTRATION OF INFLUENZA/PNEUMONIA VACCINE
00355 K LEVEL I IMMUNIZATIONS
00356 K LEVEL II IMMUNIZATIONS
00359 X INJECTIONS
00360 X LEVEL I ALIMENTARY TESTS
00361 X LEVEL II ALIMENTARY TESTS
00362 X FITTING OF VISION AIDS
00363 X OTORHINOLARYNGOLOGIC FUNCTION TESTS
00364 X LEVEL I AUDIOMETRY
00365 X LEVEL II AUDIOMETRY
00367 X LEVEL I PULMONARY TEST
00368 X LEVEL II PULMONARY TESTS
00369 X LEVEL III PULMONARY TESTS
00370 X ALLERGY TESTS
00371 X ALLERGY INJECTIONS
00372 X THERAPEUTIC PHLEBOTOMY
00373 X NEUROPSYCHOLOGICAL TESTING
00374 X MONITORING PSYCHIATRIC DRUGS
00600 V LOW LEVEL CLINIC VISITS
00601 V MID LEVEL CLINIC VISITS
00602 V HIGH LEVEL CLINIC VISITS
00603 V INTERDISCIPLINARY TEAM CONFERENCE
00610 V LOW LEVEL EMERGENCY VISITS
00611 V MID LEVEL EMERGENCY VISITS
00612 V HIGH LEVEL EMERGENCY VISITS
00620 S CRITICAL CARE
00701 G SR 89 CHLORIDE, PER MCI
00702 G SM 153 LEXIDRONAM, 50 MCI
00704 G IN 111 SATUMOMAB PENDETIDE PER DOSE
00705 G TC 99M TETROFOSMIN, PER DOSE
00725 G LEUCOVORIN CALCIUM INJ, 50 MG
00726 G DEXRAZOXANE HCL INJECTION, 250 MG
00727 G ETIDRONATE DISODIUM INJ 300 MG
00728 G FILGRASTIM 300 MCG INJECTION
00730 G PAMIDRONATE DISODIUM , 30 MG
00731 G SARGRAMOSTIM INJECTION 50 MCG
00732 G MESNA INJECTION 200 MG
00733 G NON ESRD EPOETIN ALPHA INJ, 1000 U
00750 G DOLASETRON MESYLATE, 10 MG
00754 G METOCLOPRAMIDE HCL INJECTION UP TO 10 MG
00755 G THIETHYLPERAZINE MALEATE INJ UP TO 10 MG
00761 G UNSPECIFIED ORAL ANTI-EMETIC
00762 G DRONABINOL 2.5MG ORAL
00763 G DOLASETRON MESYLATE ORAL, 100 MG
00764 G GRANISETRON HCL INJECTION 10 MCG
00765 G GRANISETRON HCL 1 MG ORAL
00768 G ONDANSETRON HCL INJECTION 1 MG
00769 G ONDANSETRON HCL 8MG ORAL
00800 G LEUPROLIDE ACETATE, 3.75 MG
00801 G CYCLOPHOSPHAMIDE ORAL 25 MG
00802 G ETOPOSIDE ORAL 50 MG
00803 G MELPHALAN ORAL 2 MG
00807 G ALDESLEUKIN/SINGLE USE VIAL
00809 G BCG LIVE INTRAVESICAL VAC
00810 G GOSERELIN ACETATE IMPLANT 3.6 MG
00811 G CARBOPLATIN INJECTION 50 MG
00812 G CARMUS BISCHL NITRO INJ 100 MG
00813 G CISPLATIN 10 MG INJECTION
00814 G ASPARAGINASE INJECTION 10,000 U
00815 G CYCLOPHOSPHAMIDE 100 MG INJ
00816 G CYCLOPHOSPHAMIDE LYOPHILIZED 100 MG
00817 G CYTARABINE HCL 100 MG INJ
00818 G DACTINOMYCIN 0.5 MG
00819 G DACARBAZINE 10 MG INJ
00820 G DAUNORUBICIN 10 MG
00821 G DAUNORUBICIN CITRATE LIPOSOM 10 MG
00822 G DIETHYLSTILBESTROL INJECTION 250 MG
00823 G DOCETAXEL, 20 MG
00824 G ETOPOSIDE 10 MG INJ
00826 G METHOTREXATE ORAL 2.5 MG
00827 G FLOXURIDINE INJECTION 500 MG
00828 G GEMCITABINE HCL 200 MG
00830 G IRINOTECAN INJECTION 20 MG
00831 G IFOSFOMIDE INJECTION 1 GM
00832 G IDARUBICIN HCL INJECTION 5 MG
00833 G INTERFERON ALFACON-1, 1 MCG
00834 G INTERFERON ALFA-2A INJ RECOMBINANT 3 MILLION U
00836 G INTERFERON ALFA-2B INJ RECOMBINANT, 1 MILLION
00838 G INTERFERON GAMMA 1-B INJ, 3 MILLION U
00839 G MECHLORETHAMINE HCL INJ 10 MG
00840 G MELPHALAN HYDROCHL 50 MG
00841 G METHOTREXATE SODIUM INJ 5 MG
00842 G FLUDARABINE PHOSPHATE INJ 50 MG
00843 G PEGASPARGASE, SINGL DOSE VIAL
00844 G PENTOSTATIN INJECTION, 10 MG
00847 G DOXORUBICIN HCL 10 MG VL CHEMO
00849 G RITUXIMAB, 100 MG
00850 G STREPTOZOCIN INJECTION, 1 GM
00851 G THIOTEPA INJECTION, 15 MG
00852 G TOPOTECAN, 4 MG
00853 G VINBLASTINE SULFATE INJ, 1 MG
00854 G VINCRISTINE SULFATE 1 MG INJ
00855 G VINORELBINE TARTRATE, 10 MG
00856 G PORFIMER SODIUM, 75 MG
00857 G BLEOMYCIN SULFATE INJECTION 15 U
00858 G CLADRIBINE, 1MG
00859 G FLUOROURACIL INJECTION 500 MG
00860 G PLICAMYCIN (MITHRAMYCIN) INJ 2.5 MG
00861 G LEUPROLIDE ACETATE INJECTION 1 MG
00862 G MITOMYCIN 5 MG INJ
00863 G PACLITAXEL INJECTION, 30 MG
00864 G MITOXANTRONE HCL,  5 MG
00865 G INTERFERON ALFA-N3 INJ, HUMAN LEUKOCYTE DERIVED, 250,000 IU
00884 G RHO D IMMUNE GLOBULIN INJ, 1 DOSE PKG
00886 G AZATHIOPRINE ORAL 50MG
00887 G AZATHIOPRINE PARENTERAL 100 MG
00888 G CYCLOSPORINE ORAL 100 MG
00889 G CYCLOSPORIN PARENTERAL 250MG
00890 G LYMPHOCYTE IMMUNE GLOBULIN 250 MG
00891 G TACROLIMUS ORAL PER 1 MG
00900 G ALGLUCERASE INJECTION, PER 10 U
00901 G ALPHA 1 PROTEINASE INHIBITOR, 10 MG
00902 G BOTULINUM TOXIN A, PER UNIT
00903 G CYTOMEGALOVIRUS IMM IV,  50 MG
00905 G IMMUNE GLOBULIN 500 MG
00906 G RSV-IVIG, 50 MG
00907 X GANCICLOVIR SODIUM 500 MG INJECTION
00908 G TETANUS IMMUNE GLOBULIN INJ UP TO 250 U
00909 G INTERFERON BETA-1A, 33 MCG
00910 G INTERFERON BETA-1B ,  .25 MG
00911 K STREPTOKINASE PER 250,000 IU
00913 G GANCICLOVIR LONG ACT IMPLANT 4.5 MG
00914 G RETEPLASE, PER 37.6MG
00915 X ALTEPLASE INJ REC, PER 10 MG
00916 G IMIGLUCERASE, UNIT
00917 X PHARMACOLOGIC STRESSORS
00918 H BRACHYTHERAPY SEEDS, ANY TYPE, EACH
00925 G FACTOR VIII PER IU
00926 G FACTOR VIII (PORCINE) PER IU
00927 G FACTOR VIII RECOMBINANT PER IU
00928 G FACTOR IX COMPLEX PER IU
00929 G ANTI-INHIBITOR PER IU
00930 G ANTITHROMBIN III INJECTION PER IU
00931 G FACTOR IX NON-RECOMBINANT, PER IU
00932 G FACTOR IX RECOMBINANT, PER IU
00949 K PLASMA, POOLED MULTIPLE DONOR, SOLVENT/DETERGENT TREATED, FROZEN
00950 K BLOOD (WHOLE) FOR TRANSFUSION
00952 K CRYOPRECIPITATE
00953 K FIBRINOGEN UNIT
00954 K RBC LEUKOCYTES REDUCED
00955 K PLASMA, FRESH FROZEN
00956 K PLASMA PROTEIN FRACTION
00957 K PLATELET CONCENTRATE
00958 K PLATELET RICH PLASMA
00959 K RED BLOOD CELLS
00960 K WASHED RED BLOOD CELLS
00961 K INFUSION, ALBUMIN (HUMAN) 5%, 500 ML
00962 K INFUSION, ALBUMIN (HUMAN) 25%, 50 ML
00970 T NEW TECHNOLOGY (T) - LEVEL I  ($0 - $50)
00971 S NEW TECHNOLOGY - LEVEL II    ($50 - $100)
00972 T NEW TECHNOLOGY - LEVEL III    ($100 - $200)
00973 T NEW TECHNOLOGY - LEVEL IV   ($200 - $300)
00974 S NEW TECHNOLOGY - LEVEL V    ($300 - $500)
00975 T NEW TECHNOLOGY - LEVEL VI   ($500 - $750)
00976 S NEW TECHNOLOGY - LEVEL VII   ($750 - $1000)
00977 T NEW TECHNOLOGY - LEVEL VIII  ($1000 - $1250)
00978 T NEW TECHNOLOGY - LEVEL IX    ($1250 - $1500)
00979 T NEW TECHNOLOGY - LEVEL X     ($1500 - $1750)
00980 T NEW TECHNOLOGY - LEVEL XI    ($1750 - $2000)
00981 S NEW TECHNOLOGY - LEVEL XII   ($2000 - $2500)
00982 T NEW TECHNOLOGY - LEVEL XIII   ($2500 - $3500)
00983 T NEW TECHNOLOGY - LEVEL XIV  ($3500 - $5000)
00984 T NEW TECHNOLOGY - LEVEL XV   ($5000 - $6000)
00987 X NEW DEVICE TECHNOLOGY - LEVEL I ($0-$250)
00988 X NEW DEVICE TECHNOLOGY - LEVEL II ($250-$500)
00989 X NEW DEVICE TECHNOLOGY - LEVEL III ($500-$750)
00990 X NEW DEVICE TECHNOLOGY - LEVEL IV ($750-$1000)
00991 X NEW DEVICE TECHNOLOGY - LEVEL V ($1000-$1500)
00992 X NEW DEVICE TECHNOLOGY - LEVEL VI ($1500-$2000)
00993 X NEW DEVICE TECHNOLOGY - LEVEL VII ($2000-$3000)
00994 X NEW DEVICE TECHNOLOGY - LEVEL VIII ($3000-$4000)
00995 X NEW DEVICE TECHNOLOGY - LEVEL IX ($4000-$5000)
00996 X NEW DEVICE TECHNOLOGY - LEVEL X ($5000-$7000)
00997 X NEW DEVICE TECHNOLOGY - LEVEL XI ($7000-$9000)
01000 H PERCLOSE CLOSER PROSTAR ARTERIAL VASCULAR CLOSURE
01001 H ACUNAV-DIAGNSTIC ULTRSND CA
01002 H COCHLEAR IMPLANT SYSTEM
01003 H CATH, ABLATION, LIVEWIRE TC
01004 H FAST-CATH,SWARTZ,SAFL,CSTA
01006 H ARRAY POST CHAMB IOL
01007 H AMS 700 PENILE PROSTHESIS
01008 H UROLUME-IMPLT URETHRAL STENT
01009 K PLASMA, CRYOPRECIPITATE-REDUCED, UNIT
01010 S BLOOD, L/R, CMV-NEG
01011 S PLATELETS, L/R, CMV-NEG, UNIT
01012 S PLATELET CONCENTRATE, L/R, IRRADIATED, UNIT
01013 S PLATELET CONCENTRATE, L/R, UNIT
01014 S PLATELETS, APH/PHER, L/R, UNIT
01016 S BLOOD, L/R, FROZ/DEGLYCEROL/WASHED
01017 S PLATELETS, APH/PHER, L/R, CMV-NEG, UNIT
01018 S BLOOD, L/R, IRRADIATED
01019 S PLATELETS, APH/PHER, L/R, IRRADIATED, UNIT
01024 J QUINUPRISTIN 150 MG/DALFOPRISTON 350 MG
01025 H MARINR CS CATHETER
01026 H RF PERFRMR CATH 5F RF MARINR
01027 H MAGIC X/SHORT, RADIUS14MM
01028 H PRCIS TWST TRNSVG ANCH SYS
01029 H CRE GUIDED BALLOON DIL CATH
01030 H CTHTR:MRSHAL,BLU MAX UTR DMND
01033 H SONICATH MDL 37-410
01034 H SURPASS, LONG30 SURPASS-CATH
01035 H CATH, ULTRA ICE
01036 H R PORT/RESERVOIR IMPL DEV
01037 H VAXCELCHRONIC DIALYSIS CATH
01038 H ULTRACROSS IMAGING CATH
01039 H WALLSTENT/RP: TRACH
01040 H WALLSTENT/RP TIPS --20/40/60
01042 H WALLSTENT, ULTRAFLEX: BIL
01043 H ATHERECTOMY SYS, CORONARY
01045 G I-131 MIBG (IOBEN-SULFATE) O.5MCI
01047 H NAVI-STAR, NOGA-STAR CATH
01048 H NEUROCYBERNETICPROS:  GEN
01051 H OASIS THROMBECTOMY CATH
01053 H ENSITE 3000 CATHETER
01054 H HYDROLYSER THROMB CATH 6/7F
01055 H TRANSESOPH 210, 210-S CATH
01056 H THERMACHOICE II CATH
01057 H MICROMARK TISSUE MARKER
01059 G CARTICEL,AUTO CULT-CHNDR CYTE
01060 H ACS MULTI-LINK TRISTOR STENT
01061 H ACS VIKING GUIDING CATH
01063 H ENDOTAK ENDURANCE EZ, RX LEADS
01067 H MEGALINK BILIARY STENT
01068 H PULSAR DDD PMKR
01069 H DISCOVERY DR, PMAKER
01071 H PULSAR MAX, PULSAR SR PMKR
01072 H GUIDANT: BLLN DIL CATH
01073 H GYNECARE MORCELLATOR
01074 H RX/OTW VIATRAC-PERI DIL CATH
01075 H GUIDANT:  LEAD
01076 H VENTAK MINI SC DEFIB
01077 H VENTAK VR PRIZM VR, SC DEFIB
01078 H VENTAK: PRIZM, AVIIIDR DEFIB
01079 G CO 57/58 0.5 MCI
01084 G DENILEUKIN DIFTITOX, 300 MCG
01086 G TEMOZOLOMIDE, 5 MG
01087 G I-123 PER UCI CAPSULE
01089 G CO 57, 0.5 MCI
01090 G IN 111 CHLORIDE, PER MCI
01091 G IN 111 OXYQUINOLINE, PER 5 MCI
01092 G IN 111 PENTETATE, PER 1.5 MCI
01094 J TC 99M ALBUMIN AGGR, PER VIAL
01095 G TC 99M DEPREOTIDE, PER VIAL
01096 J TC 99M EXAMETAZIME, PER DOSE
01097 G TC 99M MEBROFENIN, PER VIAL
01098 G TC 99M PENTETATE, PER VIAL
01099 J TC 99M PYROPHOSPHATE, PER VIAL
01100 H MEDTRONIC AVE GT1 GUIDEWIRE
01101 H MEDTRONIC AVE, AVE Z2 CATH
01102 H SYNERGY NEUROSTIM GENRTR
01103 H MICRO JEWEL  DEFIBRILLATOR
01104 H RF CONDUCTOR ABLATIVE CATH
01105 H SIGMA 300VDD PACMKER
01106 H SYNERGYEZ PT PROGRMR
01107 H TORQR, SOLIST CATH
01108 H REVEAL CARDIAC RECORDER
01109 H IMPLANTABLE ANCHOR: ETHICON
01110 H STABLE MAPPER, CATH ELECTRD
01111 H ANEURXAORT-UNI-ILICSTNT&CATH
01112 H ANEURX STENT GRAFT/DEL.CATH
01113 H TLNT ENDO SPRNG STNT GRFT SYS
01114 H TALNTSPRGSTNT+GRAF ENDO PROS
01115 H 5038S,5038,5038L PACE LEAD
01116 H CAPSURESP PACING LEAD
01117 H ANCURE ENDOGRAFT DEL SYS
01118 H SIGMA300DR LEGIIDR,PACEMKR
01119 H SPRINT6932,6943 DEFIB LEAD
01120 H SPRINT6942,6945 DEFIB LEAD
01121 H GEM DEFIBRILLATOR
01122 G TC 99M ARCITUMOMAB PER DOSE
01123 H GEM II VR DEFIBRILLATOR
01124 H INTERSTIM TEST STIM KIT
01125 H KAPPA 400SR,TTOPAZ II SR PMKR
01126 H KAPPA 700 DR PACEMAKR
01127 H KAPPA 700SR,PMKR SGL CHAMBER
01128 H KAPPA 700D,RUBY IID PMKR
01129 H KAPPA 700VDD,PACMKR
01130 H SIGMA 200D,LGCY IID SC PMKR
01131 H SIGMA 200DR, PMKER
01132 H SIGMA 200SR LEG II:SC PAC
01133 H SIGMA SR, VITA SR, PMAKER
01134 H SIGMA 300D PMKER
01135 H ENTITY DR 5326L/R, DC, PMKR
01136 H AFFINITY DR 5330L/R, DC, PMKR
01137 H CARDIOSEAL IMPLANT SYST
01143 H ADDVENT MOD 2060BL,VDD
01144 H AFNTY SP 5130,INTEGRITY SR,PMKR
01145 H ANGIO-SEAL 6FR, 8FR
01147 H AV PLUS DX 1368: LEAD
01148 H CONTOUR MD SC DEFIB
01149 H ENTITY DC 5226R-PMKER
01151 H PASSIVEPLUS DX LEAD, 10MDLS
01152 H LIFESITE ACCESS SYSTEM
01153 H REGENCY SC+ 2402L PMKER
01154 H SPL:SPOI,02,04- DEFIB LEAD
01155 H REPLIFORM 8 SQ CM
01156 H TR 1102TRSR+ 2260L,2264L,5131
01157 H TRILOGY DCT 23/8L PMKR
01158 H TVL LEAD SV01,SV02,SV04
01159 H TVL RV02,RV06,RV07: LEAD
01160 H TVL-ADX 1559: LEAD
01161 H TENDRIL DX, 1388 PACING LEAD
01162 H TEMPODR, TRILOGYDR+DC PMKR
01163 H TENDRIL SDX, 1488T PACING LEAD
01164 H IODINE-125 BRACHYTX SEED
01166 G CYTARABINE LIPOSOMAL, 10 MG
01167 J EPIRUBICIN HCL, 2 MG
01171 H AUTOSUTURE SITE MARKER STPLE
01172 H SPACEMAKER DISSECT BALLON
01173 H COR STNTS540,S670,O-WIRE STN
01174 H BARD BRACHYTX NEEDLE
01178 G BUSULFAN IV, 6 MG
01180 H VIGOR SR, SC, PMKR
01181 H MERIDIAN SSI, SC, PMKR
01182 H PULSAR SSI, SC, PMKR
01183 H JADE IIS, SIGMA 300S,SC, PMKR
01184 H SIGMA 200S, SC, PMKR
01188 G I 131, PER UCI
01200 G TC 99M SODIUM GLUCOHEPTONATE, PER VIAL
01201 G TC 99M SUCCIMER, PER VIAL
01202 G TC 99M SULFUR COLLOID, PER DOSE
01203 G VERTEPORFIN FOR INJECTION
01205 G TC 99M DISOFENIN, PER VIAL
01207 G OCTREOTIDE ACETATE DEPOT 1MG
01302 H SQ01: LEAD
01303 H CAPSURE FIX 6940/4068-110, LEAD
01304 H SONICATH MDL 37-416,-418
01305 H APLIGRAF
01306 H NEUROCYBERNETICPROS:  LEAD
01311 H TRILOGY DR+/DAO PMKR
01312 H MAGIC WALLSTENT STENT-MINI
01313 H MAGIC MEDIUM, RADIUS 31MM
01314 H MAGIC WALLSTENT STENT-LONG
01315 H VIGOR DR, MERIDIAN DR PMKR
01316 H MERIDIAN DDD PMKR
01317 H DISCOVERY SR, PMKR
01318 H MERIDIAN SR PMAKR
01319 H WALLSTENT/RP ENTERAL--60MM
01320 H WALLSTENT/RP ILIAC DEL SYS
01325 H PALLIDIUM -103 SEED
01326 H ANGIO-JET RHEOLYTIC THROMB CATH
01328 H ANS RENEW NS TRNSMTR
01333 H PALMZA CORINTHIAN BILL STENT
01334 H CROWN,MINI-CROWN,CROSSLC
01335 H MESH, PROLENE
01336 H CONSTANT FLOW IMP PUMP
01337 H ISOMED 8472-20/35/60
01348 G I 131  PER MCI SOLUTION
01350 H PROSTA/ONCOSEED, RAPID STRAND, I-125
01351 H CAPSURE(FIX)PACING LEAD
01352 H GEM II DEFIB
01353 H ITREL INTERSTM NEUROSTIM+EXT
01354 H KAPPA 400DR,DIAMOND II 820DR
01355 H KAPPA 600DR, VITA DR
01356 H PROFILE MD V-186HV3 SC DEFIB
01357 H ANGSTROM MD V-190HV3 SC DEFIB
01358 H AFFINITY DC 5230R-PACEMAKER
01359 H PULSAR,PULSAR MAX DR,PMKR
01363 H GEM DR, DC, DEFIB
01364 H PHOTON DR V-230HV3 DC DEFIB
01365 H GUIDEWIRE, HI-TORQUE14/18/35
01366 H GUIDEWIRE,PTCA, HI-TORQUE
01367 H GUIDEWIRE, HI-TORQUE CROSSIT
01369 H ANS RENEW STIM SYS RECVR
01370 H TENSION-FREE VAGINAL TAPE
01371 H SYMP NITINOL TRANSHEP BIL SYS
01372 H CORDIS NITINOL BIL STENT
01375 H STENT, CORONARY, NIR
01376 H ANS RENEW STIM SYS LEAD
01377 H SPECIFY 3988 NEURO LEAD
01378 H INTERSTIM TX 3080/3886 LEAD
01379 H PISCES-QUAD 3887 LEAD
01400 G DIPHENHYDRAMINE HCL 50MG
01401 G PROCHLORPERAZINE MALEATE 5MG
01402 G PROMETHAZINE HCL 12.5MG ORAL
01403 G CHLORPROMAZINE HCL 10MG ORAL
01404 G TRIMETHOBENZAMIDE HCL 250MG
01405 G THIETHYLPERAZINE MALEATE10MG
01406 G PERPHENAZINE 4MG ORAL
01407 G HYDROXYZINE PAMOATE 25MG
01409 G FACTOR VIIA RECOMBINANT, PER 1.2 MG
01410 H PROSORBA COLUMN
01411 H HERCULINK,OTW SDS BIL STENT
01420 H STAPLETAC2 BONEW/DERMIS
01421 H STAPLETAC2 BONE WO DERMIS
01450 H ORTHOSPHERE ARTHROPLASTY
01451 H ORTHOSPHERE ARTHROPLASTY KIT
01500 H ATHERECTOMY SYS, PERIPHERAL
01600 G TC 99M SESTAMIBI, PER SYRINGE
01601 G TC 99M MEDRONATE, PER DOSE
01602 G TC 99M APCITIDE, PER VIAL
01603 G TL 201, MCI
01604 G IN 111 CAPROMAB PENDETIDE, PER DOSE
01605 G ABCIXIMAB INJECTION, 10 MG
01606 G ANISTREPLASE, 30 U
01607 G EPTIFIBATIDE INJECTION, 5 MG
01608 G ETANERCEPT INJECTION, 25 MG
01609 G RHO(D) IMMUNE GLOBULIN H, SD, 100 IU
01611 G HYLAN G-F 20 INJECTION, 16 MG
01612 G DACLIZUMAB, PARENTERAL, 25 MG
01613 G TRASTUZUMAB, 10 MG
01614 G VALRUBICIN, 200 MG
01615 G BASILIXIMAB, 20 MG
01616 G HISTRELIN ACETATE, 0.5 MG
01617 G LEPIRDIN, 50 MG
01618 G VON WILLEBRAND FACTOR, PER IU
01619 G GA 67, PER MCI
01620 G TC 99M BICISATE, PER VIAL
01621 G XE 133, PER MCI
01622 G TC 99M MERTIATIDE, PER VIAL
01623 G TC 99M GLUCEPTATE
01624 G P32 SODIUM, PER MCI
01625 G IN 111 PENTETREOTIDE, PER MCI
01626 G TC 99M OXIDRONATE, PER VIAL
01627 G TC-99 LABELED RED BLOOD CELL, PER TEST
01628 G P32 PHOSPHATE CHROMIC, PER MCI
01700 H AUTHEN MICK TP BRACHY NEEDLE
01701 H MEDTEC MT-BT-5201-25 NDL
01702 H WWMT BRACHYTX NEEDLE
01703 H MENTOR PROSTATE BRACHY
01704 H MT-BT-5001-25/5051-25
01705 H BEST FLEXI BRACHY NEEDLE
01706 H INDIGO PROSTATE SEEDING NDL
01707 H VARISOURCE IMPLT NDL
01708 H UROMED PROSTATE SEED NDL
01709 H REMINGTON BRACHYTX NEEDLE
01710 H US BIOPSY PROSTATE NEEDLE
01711 H MD TECH BRACHYTX NEEDLE
01712 H IMAGYN BRACHYTX NEEDLE
01790 H IRIDIUM 192 HDR
01791 H ONCOSEED, RAPID STRAND I-125
01792 H UROMED I-125 BRACHY SEED
01793 H BARD INTERSOURCE P-103 SEED
01794 H BARD ISOSEED P-103 SEED
01795 H BARD BRACHYSOURCE I-125
01796 H SOURCETECH MED I-125
01797 H DRAXIMAGE I-125 SEED
01798 H SYNCOR I-125 PHARMASEED
01799 H I-PLANT I-125 BRACHYTX SEED
01800 H PD-103 BRACHYTX SEED
01801 H IOGOLD I-125 BRACHYTX SEED
01802 H IRIDIUM 192 BRACHYTX SEEDS
01803 H BEST IODINE 125 BRACHYTX SDS
01804 H BEST PALLADIUM 103 SEEDS
01805 H ISOSTAR IODINE-125 SEEDS
01806 H GOLD 198
01810 H D114S DILATATION CATH
01811 H SURGICAL DYNAMICS ANCHORS
01812 H OBL ANCHORS
01850 H REPLIFORM 14/21 SQ CM
01851 H REPLIFORM 24/28 SQ CM
01852 H TRANSCYTE, PER 247 SQ CM
01853 H SUSPEND, PER 8/14 SQ CM
01854 H SUSPEND, PER 24/28 SQ CM
01855 H SUSPEND, PER 36 SQ CM
01856 H SUSPEND, PER 48 SQ CM
01857 H SUSPEND, PER 84 SQ CM
01858 H DURADERM, PER 8/14 SQ CM
01859 H DURADERM, PER 21/24/28 SQ CM
01860 H DURADERM, PER 48 SQ CM
01861 H DURADERM, PER 36 SQ CM
01862 H DURADERM, PER 72 SQ CM
01863 H DURADERM, PER 84 SQ CM
01864 H SPERMATEX,PER 13.44 SQ CM
01865 H FASLATA, PER 8/14 SQ CM
01866 H FASLATA, PER 24/28 SQ CM
01867 H FASLATA, PER 36/48 SQ CM
01868 H FASLATA, PER 96 SQ CM
01869 H GORE THYROPLASTY DEV
01870 H DERMMATRIX, PER 16 SQ CM
01871 H DERMMATRIX, 32 OR 64 SQ CM
01872 H DERMAGRAFT, PER 37.5 SQ CM
01873 H BARD 3DMAX MESH
01929 H MAVERICK PTCA CATH
01930 H COYOTE DIL CATH,20/30/40MM
01931 H TALON DIL CATH
01932 H SCIMED REMEDY DIL CATH
01933 H OPTI-PLAST XL/CENTURION CATH
01934 H ULTRAVERSE 3.5F BAL DIL CATH
01935 H WORKHORSE PTA BAL CATH
01936 H UROMAX ULTRA BAL DIL CATH
01937 H SYNERGY BALLOON DIL CATH
01938 H UROFORCE BAL DIL CATH
01939 H RAPTUR, NINJA PTCA DIL CATH
01940 H POWERFLEX,OPTA 5/LP BAL CATH
01941 H JUPITER PTA DIL CATH
01942 H CORDIS MAXI LD PTA BAL CATH
01943 H RXCROSSSAIL OTW OPENSAIL
01944 H RAPID EXCHANGE BIL DIL CATH
01945 H SAVVY PTA DIL CATH
01946 H R1S RAPID DIL CATH
01947 H GAZELLE BAL DIL CATH
01948 H ORACLE MEGASONICS CATH
01949 H ORACLE MEGASONICS CATH
01979 H VISIONS PV/AVANAR US CATH
01980 H ATLANTIS SR CORONARY CATH
01981 H PTCA CATHETERS
02000 H ORBITER ST STEERABLE CATH
02001 H CONSTELLATION DIAG CATH
02002 H IRVINE 5F INQUIRY DIAG EP CATH
02003 H IRVINE 6F INQUIRY DIAG EP CATH
02004 H BIOSENSE EP CATH--OCTAPOLAR
02005 H BIOSENSE EP CATH--HEXAPOLAR
02006 H BIOSENSE EP CATH--DECAPOLAR
02007 H IRVINE 6F LUMA-CATH EP CATH
02008 H 7F LUMA-CATH EP CATH 81910-15
02009 H IRVINE 7F LUMA-CATH EP CATH
02010 H FIXED CURVE EP CATH
02011 H DEFLECTABLE TIP CATH--QUAD
02012 H CELSIUS ABLN CATH
02013 H CELSIUS LARGE ABLN CATH
02014 H CELSIUS II ASYM ABLN CATH
02015 H CELSIUS II SYM ABLN CATH
02016 H NAVI-STAR DS, NAVI-STAR THER
02017 H NAVI-STAR ABLN CATH
02018 H POLARIS T ABLATION CATH
02019 H EP DEFLECTABLE CATH
02020 H BLAZER II XP ABLN CATH
02021 H SILVERFLEX EP CATH
02022 H CP CHILLI COOLED ABLN CATH
02023 H CHILLI CLD ABLNCATH-STD,LG
02100 H CP CS REFERENCE CATH
02101 H CP RV REFERENCE CATH
02102 H CP RADII 7F EP CATH
02103 H CP RADII 7F EP CATH W/TRACK
02104 H LASSO DEFLECTABLE CATH
02151 H VERIPATH GUIDING CATH
02152 H CORDIS VISTA BRITE TIP CATH
02153 H BARD VIKING CATH
02200 H ARROW-TREROTOLA PTD  CATH
02300 H VARISOURCE STND CATH
02597 H CLINICATH/KIT 16/18 SGL/DBL
02598 H CLINICATH 18/20/24G-SINGLE
02599 H CLINICATH 16/18G-DOUBLE
02601 H BARD DL URETERAL CATH
02602 H VITESSE LASER CATH 1.4/1.7MM
02603 H VITESSE LASER CATH 2.0MM
02604 H VITESSE E LASER CATH 2.0MM
02605 H EXTREME LASER CATHETER
02606 H SPINECATH  XL CATHETER
02607 H SPINECATH INTRADISCAL CATH
02608 H SCIMED 6F WISEGUIDE CATH
02609 H FLEXIMA BIL DRAINAGE CATH
02610 H FLEXTIPPLUS INTRASPINAL CATH
02611 H ALGOLINE INTRASPINAL CATH
02612 H INDURA CATHETER
02700 H MYCROPHYLAX PLUS SC DEFIB
02701 H PHYLAX XM SC DEFIB
02702 H VENTAK PRIZM 2 VR DEFIB
02703 H VENTAK PRIZM VR HE DEFIB
02704 H VENTAK MINI IV+ DEFIB
02801 H DEFENDER IV DR 612 DC DEFIB
02802 H PHYLAX AV DC DEFIB
02803 H VENTAK PRIZM DR HE DEFIB
02804 H VENTAK PRIZM 2 DR DEFIB
02805 H JEWEL AF 7250 DEFIB
02806 H GEM VR 7227 DEFIB
02807 H CONTAK CD 1823
02808 H CONTAK TR 1241
03001 H KAINOX SL/RV DEFIB LEAD
03002 H EASYTRAK DEFIB LEAD
03003 H ENDOTAK SQ ARAY XP LEAD
03004 H INTERVENE DEFIB LEAD
03400 H SILTEX SPECTRUM,CONTOUR PROF
03401 H SALINE-FILLED SPECTRUM
03500 H MENTOR ALPHA I INF PENILE PROS
03510 H AMS 800 URINARY PROS
03551 H CHOICE/PT GRAPHIX/LUGE/TROOPER
03552 H HI-TORQUE WHISPER
03553 H CORDIS GUIDEWIRES
03554 H JINDO GUIDEWIRE
03555 H WHOLEY HI-TORQUE PLUS GW
03556 H WAVE/FLOWWIRE GUIDEWIRE
03557 H HYTEK GUIDEWIRE
03800 H SYNCHROMED EL INFUSION PUMP
03801 H ARROW/MICROJECT PCA SYS
03851 H ELASTIC UV IOL AA-4203T/TF/TL
04000 H OPUS G 4621, 4624 SC PMKR
04001 H OPUS S 4121/4124 SC PMKR
04002 H TALENT 113 SC PMKR
04003 H KAIROS SR SC PMKR
04004 H ACTROS SR, ACTROS SLR SC PMKR
04005 H PHILOS SR/SR-B SC PMKR
04006 H PULSAR MAX II SR PMKR
04007 H MARATHON SR PMKR
04008 H DISCOVERY II SSI PMKR
04009 H DISCOVERY II SR PMKR
04300 H INTEGRITY AFX DR 5342 PMKR
04301 H INTEGRITY AFX DR 5346 PMKR
04302 H AFFINITY VDR 5430 PMKR
04303 H BRIO 112 DC PMKR
04304 H BRIO 212, TALENT 213/223 DC PMKR
04305 H BRIO 222 DC PMKR
04306 H BRIO 220 DC PMKR
04307 H KAIROS DR DC PMKR
04308 H INOS2, INOS2+ DC PMKR
04309 H ACTROS DR,D,DR-A,SLR DC PMKR
04310 H ACTROS DR-B DC PMKR
04311 H PHILOS DR/DR-B/SLR DC PMKR
04312 H PULSAR MAX II DR PMKR
04313 H MARATHON DR PMKR
04314 H MOMENTUM DR PMKR
04315 H SELECTION AFM PMKR
04316 H DISCOVERY II DR
04317 H DISCOVERY II DDD
04600 H SNYNOX,POLYROX,ELOX,RETROX
04602 H TENDRIL SDX, 1488K PMKR LEAD
04603 H OSCOR/FLEXION PMKR LEAD
04604 H CRYSTALLINEACTFIX,CAPSUREFIX
04605 H CAPSURE EPI PMKR LEAD
04606 H FLEXTEND PMKR LEAD
04607 H FINELINEII/EZ, THINLINEII/EZ
05000 H BX VELOCITY W/HEPACOAT
05001 H MEMOTHERM BIL STENT, SM, MED
05002 H MEMOTHERM BIL STENT, LARGE
05003 H MEMOTHERM BIL STENT, X-LARGE
05004 H PALMAZCORINTHIAN IQ BIL STENT
05005 H PALMAZCORINTHIAN IQ TRANS/BIL
05006 H PALMAZTRANS BIL STENT SYS-MED
05007 H PALMAZTRANS XL BIL STENT--40MM
05008 H PALMAZTRANS XL BIL STENT--50MM
05009 H VISTAFLEX BILIARY STENT
05010 H RAPID EXCHANGE BIL STENT SYS
05011 H INTRASTENT, INTRASTENT LP
05012 H INTRASTENT DOUBLESTRUT LD
05013 H INTRASTENT DOUBLESTRUT, XS
05014 H AVE BRIDGE STENT SYS-10/17/28
05015 H AVE/X3 BRIDGE SYS, 40-100
05016 H BILIARY STENT SINGLE USE COV
05017 H WALLSTENTRP BIL--20/40/60/68MM
05018 H WALLSTENTRP BIL--80/94MM
05019 H FLEXIMA BIL STENT SYS
05020 H SMART NITINOL STENT--20MM
05021 H SMART NITINOL STENT--40/60MM
05022 H SMART NITINOL STENT--80MM
05023 H BX VELOCITY STENT--8/13MM
05024 H BX VELOCITY STENT
05025 H BX VELOCITY STENT--23MM
05026 H BX VELOCITY STENT--28/33MM
05027 H BX VELOCITY W/HEP--8/13MM
05028 H BX VELOCITY W/HEP--18MM
05029 H BX VELOCITY W/HEP--23MM
05030 H STENT, CORONARY, S660 9/12MM
05031 H STENT,CORONARY, S660 15/18MM
05032 H STENT,CORONARY, S660 24/30MM
05033 H NIROYAL STENT SYS, 9MM
05034 H NIROYAL STENT SYS, 12/15MM
05035 H NIROYAL STENT SYS, 18MM
05036 H NIROYAL STENT SYS, 25MM
05037 H NIROYAL STENT SYS, 31MM
05038 H BX VELOCITY STENT W/RAPTOR
05039 H INTRACOIL PERIPH STENT--40MM
05040 H INTRACOIL PERIPH STENT--60MM
05041 H BESTENT OVER-THE-WIRE 24/30MM
05042 H BESTENT OVER-THE-WIRE 18MM
05043 H BESTENT OVER-THE-WIRE 15MM
05044 H BESTENT OVER-THE-WIRE 9/12MM
05045 H MULTILINK TETRA COR STENT SYS
05046 H RADIUS 20MM COR STENT
05047 H NIROYAL ELITE COR STENT SYS
05048 H GR II CORONARY STENT
05130 H WILSON-COOK COLONIC Z-STENT
05131 H BARD COLORECTAL STENT-60MM
05132 H BARD COLORECTAL STENT-80MM
05133 H BARD COLORECTAL STENT-100MM
05134 H ENTERAL WALLSTENT--90MM
05279 H CONTOUR/PERCUFLEX STENT
05280 H INLAY DBL URETERAL STENT
05281 H WALLGRAFT TRACH SYS 70MM
05282 H WALLGRAFT TRACH SYS 20/30/50
05283 H WALLSTENT/RP TIPS --80MM
05284 H WALLSTENT TRACHULTRAFLEX
05600 H CLOSURE DEV, VASOSEAL ES
05601 H VASOSEAL 1000
06001 H COMPOSIX MESH 8/21 IN
06002 H  COMPOSIX MESH 32 IN
06003 H COMPOSIX MESH 48 IN
06004 H COMPOSIX MESH 80 IN
06005 H COMPOSIX MESH 140 IN
06006 H COMPOSIX MESH 144 IN
06012 H PELVICOL COLLAGEN 8/14 SQ CM
06013 H PELVICOL COLLAGEN 21/24/28 SQ CM
06014 H PELVICOL COLLAGEN 36 SQ CM
06015 H PELVICOL COLLAGEN 48 SQ CM
06016 H PELVICOL COLLAGEN 96 SQ CM
06017 H GORE-TEX DUALMESH 75/96 SQ CM
06018 H GORE-TEX DUALMESH 150 SQ CM
06019 H GORE-TEX DUALMESH 285 SQ CM
06020 H GORE-TEX DUALMESH 432 SQ CM
06021 H GORE-TEX DUALMESH 600 SQ CM
06022 H GORE-TEX DUALMESH 884 SQ CM
06023 H GORE-TEXPLUS 1MM, 75/96SQ CM
06024 H GORE-TEXPLUS 1MM, 150SQ CM
06025 H GORE-TEXPLUS 1MM, 285SQ CM
06026 H GORE-TEXPLUS 1MM, 432SQ CM
06027 H GORE-TEXPLUS 1MM, 600SQ CM
06028 H GORE-TEXPLUS 1MM, 884 SQ CM
06029 H GORE-TEXPLUS 2MM, 150 SQ CM
06030 H GORE-TEXPLUS 2MM, 285 SQ CM
06031 H GORE-TEXPLUS 2MM, 432 SQ CM
06032 H GORE-TEXPLUS 2MM, 600 SQ CM
06033 H GORE-TEXPLUS 2MM, 884 SQ CM
06034 H BARD EPTFE: 15 SQ CM--2MM
06035 H BARD EPTFE150SQCM-1MM,75-2MM
06036 H BARD EPTFE: 50/75SQCM-1,2MM
06037 H BARD EPTFE: 300SQ CM-1,2MM
06038 H BARD EPTFE: 600SQ CM-1MM
06039 H BARD EPTFE: 884SQ CM-1MM
06040 H BARD EPTFE: 600SQ CM-2MM
06041 H BARD EPTFE: 884SQ CM-2MM
06050 H FEMALE SLING SYS W/WO MATRL
06051 H STRATASIS SLING, 20/40 CM
06052 H STRATASIS SLING, 60 CM
06053 H SURGISIS SOFT GRAFT
06054 H SURGISIS ENCHANCED GRAFT
06055 H SURGISIS ENHANCED TISSUE
06056 H SURGISIS SOFT TISSUE GRAFT
06057 H SURGISIS HERNIA GRAFT
06058 H SURGIPRO HERNIA PLUG,MED/LG
06080 H MALE SLING SYS W/WO MATRL
06200 H EXXCEL SFT EPTFE VAS GRAFT
06201 H IMPRA VENAFLO-10/20CM
06202 H IMPRA VENAFLO-30/40CM
06203 H IMPRA VENAFLO-50CM/VT45
06204 H IMPRA VENAFLO-STEPPED
06205 H IMPRA CARBOFLO-10CM
06206 H IMPRA CARBOFLO-20CM
06207 H IMPRA CARBOFLO-30/34/40CM
06208 H IMPRA CARBOFLO-40/50CM
06209 H IMPRA CARBOFLO-CTRFLEX
06210 H EXXCEL EPTFE VAS GRAFT
06300 H VANGUARD III ENDOVAS GRAFT
06500 H PREFACE GUIDING SHEATH
06501 H SOFT TIP SHEATHS
06502 H PERRY EXCHANGE DILATOR
06525 H SPECTRANETICS LASER SHEATH
06600 H MICRO LITHO FLEX PROBES
06650 H FAST-CATH GUIDING INTRODUCER
06651 H SEAL-AWAYGUIDING INTRODUCER
06652 H BARD EXCALIBUR INTRODUCER
06700 H FOCAL SEAL-L
07000 G AMIFOSTINE, 500 MG
07001 G AMPHOTERICIN B LIPID COMPLEX, 50 MG
07003 G EPOPROSTENOL INJECTION 0.5 MG
07004 G IMMUNE GLOBULIN 5 GMS
07005 G GONADORELIN HYDROCH,  100 MCG
07007 X MILRINONE LACTATE, PER 5 ML, INJ
07010 G MORPHINE SULFATE (PRESERVATIVE FREE) 10 MG
07011 G OPRELVEKIN INJECTION, 5 MG
07014 G FENTANYL CITRATE INJ UP 2 ML
07015 G BUSULFAN, ORAL, 2 MG
07019 G APROTININ, 10,000 KIU
07022 G ELLIOT'S B SOLUTION, PER ML
07023 G TREATMENT FOR BLADDER CALCULI, PER 500 ML
07024 G CORTICORELIN OVINE TRIFLUTATE, PER 0.1 MG
07025 G DIGOXIN IMMUNE FAB (OVINE), 40 MG VIAL
07026 G ETHANOLAMINE OLEATE, 100 MG
07027 G FOMEPIZOLE, 1.5 MG
07028 G FOSPHENYTOIN, 50 MG
07029 G GLATIRAMER ACETATE, 20 MG
07030 G HEMIN, 1 MG
07031 G OCTREOTIDE ACETATE INJECTION 1MG
07032 G SERMORELIN ACETATE, 0.5 MG
07033 G SOMATREM, 5 MG
07034 G SOMATROPIN, 1 MG (ANY DERIVATION)
07035 G TENIPOSIDE, 50 MG
07036 X UROKINASE, INJ, IV, 250,000 I.U.
07037 G UROFOLLITROPIN, 75 I.U.
07038 G MUROMONAB-CD3, 5 MG
07039 G PEGADEMASE BOVINE INJ 25 I.U
07040 G PENTASTARCH 10% INJ, 100 ML
07041 G TIROFIBAN HYDROCHLORIDE 12.5 MG
07042 G CAPECITABINE, ORAL, 150 MG
07043 G INFLIXIMAB INJECTION 10 MG
07045 G TRIMETREXATE GLUCORONATE 25 MG
07046 G DOXORUBICIN HCL LIPOSOME INJ 10 MG
07047 G DROPERIDOL/FENTANYL INJ
07048 K ALTEPLASE RECOMBINANT
07049 G FILGRASTIM 480 MCG INJECTION
07315 G SODIUM HYALURONATE, 20 MG
08099 H SPECTRANETICS LEAD LOCK DEV
08100 H ADHESION BARRIER, ADCON-L
08102 H SURGIVISION ESOPH COIL
09000 G NA CHROMATE CR51, PER 0.25MCI
09001 J LINEZOLID INJ, 200MG
09002 J TENECTEPLASE, 50MG/VIAL
09003 J PALIVIZUMAB, PER 50MG
09004 J GEMTUZUMAB OZOGAMICIN INJ,5MG
09005 G RETEPLASE INJ, HALF-KIT 18.1
09006 J TACROLIMUS INJ, PER 5MG (1 AMP)
09007 G BACLOFEN INTRATHECAL KIT-1AMP
09008 G BACLOFEN REFILL KIT--500MCG
09009 G BACLOFEN REFILL KIT--2000MCG
09010 G BACLOFEN REFILL KIT--4000MCG
09011 G CAFFEINE CITRATE, INJ, 1ML
09100 G IODINATED I-131 ALBUMIN
09102 G 51 NA CHROMATE, 50MCI
09103 G NA IOTHALAMATE I-125, 10UCI
09104 G ANTI-THYMOCYTE GLOBULIN,25MG
09105 G HEP B IMM GLOB, PER 1 ML
09106 J SIROLIMUS 1MG/ML
09107 J TINZAPARIN SODIUM, 2ML VIAL
09108 G THYROTROPIN ALFA, 1.1 MG
09109 G TIROFLIBAN HCL, 6.25 MG
09217 G LEUPROLIDE ACETATE SUSPNSION
09500 K PLATELETS, IRRAD, EA UNIT
09501 K PLATELETS, PHERESIS, EA UNIT
09502 K PLATELETS, PHER/IRRAD, EA UNIT
09503 K FRESH FROZEN PLASMA, EA UNIT
09504 K RBC, DEGLYCEROLIZED, EA UNIT
09505 K RBC, IRRADIATED, EA UNIT
09998 G INJ ENOXAPARIN SODIUM